ZB9-54065-03780
2 vaccinations
4 coded responses
13 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 273 / NC
- Registered
- 2021-05-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-09
Dose 1 — Pfizer-BioNTech
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2021-05-03
Registered in v-safe
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2021-05-03
Dose 2 — Pfizer-BioNTech
- 2021-05-03
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2021-05-04
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Myalgia — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: Muscle ache extends from elbow to head of injection site arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Survey response — days 1–6 daily, dose 2MedDRA: Blister, Erythema — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: There are several areas on the opposite arm that are red blisters. Ive had a few show up each morning. Today there are two new ones on my palm. I am going to the doctor tomorrow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Office visit — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professionalFree text: Went to doctor officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-05-12
Survey response — day 7, dose 2MedDRA: Blister, Emergency care, Migraine, Office visit — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Systemic reaction (other): Blisters appeared throughout week following vaccine. Migraine headache began Saturday with ER visit Sunday. · Healthcare visit (other): Dr visit Friday 05/07/2021. ER visit Sunday 05/09/2021. Missed work Monday 05/10/3021.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-17
- 2021-05-24
- 2021-06-01
- 2021-06-10
- 2021-06-15
- 2021-08-06
- 2021-11-01
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2022-01-12
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Pfizer-BioNTech | |
| 2 | 2021-05-03 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-07 | Successful | Participant prefers to complete VAERS report online |
| 2021-05-12 | Successful 2022-01-12 |
Participant prefers to complete VAERS report online |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Muscle ache extends from elbow to head of injection site arm.
Systemic reaction (other): There are several areas on the opposite arm that are red blisters. Ive had a few show up each morning. Today there are two new ones on my palm. I am going to the doctor tomorrow.
Healthcare visit (other): Went to doctor office
Release 8 — day 7, dose 2
Systemic reaction (other): Blisters appeared throughout week following vaccine. Migraine headache began Saturday with ER visit Sunday.
Healthcare visit (other): Dr visit Friday 05/07/2021. ER visit Sunday 05/09/2021. Missed work Monday 05/10/3021.
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 |
|---|---|---|---|---|
| HCVO | Emergency care | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SRO | Blister | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release