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ZB6-27035-01022

1 vaccination 3 coded responses 3 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
300 / GA
Registered
2021-10-20
Relationship
Self
Race
N/A
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-09-27
    Dose 1 — Pfizer-BioNTech
  2. 2021-10-20
    Registered in v-safe
  3. 2021-10-20
    Survey response — day 21, dose 1
    MedDRA: Chest discomfort, Dehydration, Dry throat, Fatigue, Myalgia, Pain in extremity, Photophobia, Rash erythematous — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My first dose caused symptoms for 8days. I documented each day. Day 1: Soreness in left arm (shot arm), Muscle pain in same arm,Fatigue, Weird feeling in my chest, Sensitive to light,Dry throat,Feeling of dehydration. Day 2 Small red bumps developed
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-10-25
    Survey response — day 28, dose 1
    MedDRA: Chest pain, Headache — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Headaches and chest pains have worsened and more consistent the past couple of days. Made appt with a cardiologist
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-10-25
    Report sent to call center — day 28, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  6. 2021-10-28
  7. 2021-11-04
    Survey response — day 35, dose 1
    MedDRA: Chest pain, Headache, Medical counselling, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Chest pains severe and headaches continued so upon time for 2nd dose the pharmacist recommended seeing a doctor first. The cardiologist said to wait until test results before getting 2nd dose. Waiting on echo appt and results.
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-11-04
    Report sent to call center — day 35, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  9. 2021-11-05

Vaccinations

DoseDateManufacturerCo-administered
12021-09-27Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-10-25 Unsuccessful
2021-11-04 Unsuccessful

Free text

Release 10 — day 21, dose 1

2021-10-20

Symptoms: My first dose caused symptoms for 8days. I documented each day. Day 1: Soreness in left arm (shot arm), Muscle pain in same arm,Fatigue, Weird feeling in my chest, Sensitive to light,Dry throat,Feeling of dehydration. Day 2 Small red bumps developed cut off by CDC

Release 10 — day 28, dose 1

2021-10-25

Symptoms: Headaches and chest pains have worsened and more consistent the past couple of days. Made appt with a cardiologist

Release 10 — day 35, dose 1

2021-11-04

Symptoms: Chest pains severe and headaches continued so upon time for 2nd dose the pharmacist recommended seeing a doctor first. The cardiologist said to wait until test results before getting 2nd dose. Waiting on echo appt and results.

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

FieldPreferred term2021-092023-042024-11
SDChest discomfort · · ✓
SDChest pain · · ✓
SDDehydration · · ✓
SDDry throat · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDMedical counselling · · ✓
SDMyalgia · · ✓
SDOffice visit · · ✓
SDPain in extremity · · ✓
SDPhotophobia · · ✓
SDRash erythematous · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release