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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

  1. 2021-04-09
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-03
    Registered in v-safe
  3. 2021-05-03
    Dose 2 — Pfizer-BioNTech
  4. 2021-05-03
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-05-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain, Myalgia — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Free 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
  6. 2021-05-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Blister, Erythema — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free 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
  7. 2021-05-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 professional
    Free text: Went to doctor office
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-07
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-05-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Headache, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-05-12
    Survey response — day 7, dose 2
    MedDRA: 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 visit
    Free 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
  11. 2021-05-12
    Report sent to call center — day 7, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-05-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-08-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-11-01
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-01-12
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-04-09Pfizer-BioNTech
22021-05-03Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-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

2021-05-04

Systemic reaction (other): Muscle ache extends from elbow to head of injection site arm.

2021-05-06

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.

2021-05-07

Healthcare visit (other): Went to doctor office

Release 8 — day 7, dose 2

2021-05-12

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

FieldPreferred term2021-092023-042024-11
HCVOEmergency care ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
SROBlister ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROMigraine ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓

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