ZB4-17127-11786
4 vaccinations
10 coded responses
35 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 641 / MO
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Dose 1 — Pfizer-BioNTech
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2021-04-08
Registered in v-safe
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2021-04-08
Dose 2 — Pfizer-BioNTech
- 2021-04-08
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · HeadacheFree text: Swollen lymph nodes in armpit (injection side)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessFree text: Still have fullness in armpit on injection sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Still feel swollen lymph nodes under arm on side of the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-15
- 2021-04-24
- 2021-04-29
- 2021-05-06
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2021-05-13
Survey response — day 35, dose 2MedDRA: Diarrhoea, Nausea, Pyrexia, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Nausea, vomiting, diarrhea, feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-21
Survey response — day 42, dose 2MedDRA: Abdominal discomfort, Diarrhoea — Feeling: FairFree text: Stomach issues. Mostly diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-08
Survey response — 3 months, dose 2MedDRA: Diarrhoea, Hepatomegaly, Pyrexia, Splenomegaly, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Vomiting, diarrhea, fever, enlarged liver and spleenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-08
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-07-12
Call successfulParticipant prefers to complete VAERS report online
- 2021-10-08
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2021-12-02
Dose 3 — Pfizer-BioNTech
- 2021-12-02
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2021-12-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
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2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Lymph nodes swollen under arms and neckMedDRA releases: 2024-11 · check-in free text available
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2021-12-05
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tirednessFree text: Swollen lymph nodes under left armMedDRA releases: 2024-11 · check-in free text available
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2021-12-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-12-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness · Fever · Chills, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness · Fatigue or tiredness, Nausea, DiarrheaAdult check-in
- 2021-12-09
- 2021-12-16
- 2021-12-23
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2021-12-30
Survey response — day 28, dose 3MedDRA: Diarrhoea, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Vomiting and diarrheaMedDRA releases: 2024-11 · check-in free text available
- 2022-01-06
- 2022-01-15
- 2022-03-06
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2022-09-09
Dose 4 — Pfizer-BioNTech
- 2022-09-24
- 2022-09-30
- 2022-10-07
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2022-10-22
Survey response — day 42, dose 4MedDRA: Cough, Headache, Pyrexia, Rhinorrhoea, Sinus headache — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Fever, cough, sinus headache, nasal drip, headacheMedDRA releases: 2024-11 · check-in free text available
- 2022-12-10
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Pfizer-BioNTech | |
| 2 | 2021-04-08 | Pfizer-BioNTech | |
| 3 | 2021-12-02 | Pfizer-BioNTech | No |
| 4 | 2022-09-09 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-13 | Successful | Participant prefers to complete VAERS report online |
| 2021-07-08 | Successful 2021-07-12 |
Participant prefers to complete VAERS report online |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph nodes in armpit (injection side)
Systemic reaction (other): Still have fullness in armpit on injection side
Systemic reaction (other): Still feel swollen lymph nodes under arm on side of the injection
Release 8 — day 35, dose 2
Symptoms: Nausea, vomiting, diarrhea, fever
Release 8 — day 42, dose 2
Symptoms: Stomach issues. Mostly diarrhea
Release 9 — 3 months, dose 2
Symptoms: Vomiting, diarrhea, fever, enlarged liver and spleen
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Lymph nodes swollen under arms and neck
Systemic reaction (other): Swollen lymph nodes under left arm
Release 10 — day 28, dose 3
Symptoms: Vomiting and diarrhea
Release 12 — day 42, dose 4
Symptoms: Fever, cough, sinus headache, nasal drip, headache
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hepatomegaly | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SD | Splenomegaly | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release