ZBG-12583-99860
5 vaccinations
6 coded responses
47 check-ins
6 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 015 / MA
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Pfizer-BioNTech
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
-
2021-02-17
Dose 2 — Pfizer-BioNTech
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
-
2021-03-24
Survey response — day 35, dose 2MedDRA: Musculoskeletal discomfort — Feeling: GoodFree text: Discomfort in front of left shoulder blade.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
-
2021-05-19
Survey response — 3 months, dose 2MedDRA: Dry skin, Fungal skin infection, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Dry skin and a fungal area on near side and back of neck. · Healthcare visit (other): DermatologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-19
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-18
Survey response — 6 months, dose 2MedDRA: Dry skin, Fungal infection, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Fungus and dry skin · Healthcare visit (other): DermatologistMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-18
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-19
-
2021-11-02
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2022-02-17
Survey response — 12 months, dose 2MedDRA: Metabolic acidosis — Feeling: GoodFree text: Metabolic acidosis. Put on sodium bicarbonate as of 10/15 2021.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-12
Dose 4 — Pfizer-BioNTech
- 2022-04-23
- 2022-04-26
- 2022-05-03
-
2022-05-10
Survey response — day 28, dose 4MedDRA: Cough, Diarrhoea, Ear discomfort, Ear pain, Fatigue, Medical counselling, Oropharyngeal pain, Pyrexia, Sneezing — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: At first sneezing, then a sore throat, then an earache, fatigue, then a cough, then diarrhea, then a fever, now a cough and irritated ears. · Healthcare visit (other): Phone call. Did a rapid test at home, which was negative. Then a rapid test and PCR test at (b)(6).The rapid test was negative and should get the PCR result tomorrow.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-10
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professional1 call case(s)
-
2022-05-11
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-05-17
Survey response — day 35, dose 4MedDRA: Musculoskeletal chest pain, Office visit, Wheezing — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Wheezing and rib pain · Healthcare visit (other): Drs officeMedDRA releases: 2024-11 · check-in free text available
-
2022-05-17
Report sent to call center — day 35, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-18
-
2022-05-18
Call successfulDoes not wish to fill out VAERS report
- 2022-05-24
-
2022-10-18
Dose 5 — Pfizer-BioNTech
- 2022-10-18
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2022-11-22
- 2022-11-29
- 2023-01-17
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Pfizer-BioNTech | |
| 2 | 2021-02-17 | Pfizer-BioNTech | |
| 3 | 2021-11-02 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-12 | Pfizer-BioNTech | No |
| 5 | 2022-10-18 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-19 | Successful | Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2021-08-18 | Successful | Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-05-10 | Successful 2022-05-11 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-05-17 | Successful 2022-05-18 |
Does not wish to fill out VAERS report |
Free text
Release 6 — day 35, dose 2
Symptoms: Discomfort in front of left shoulder blade.
Release 8 — 3 months, dose 2
Symptoms: Dry skin and a fungal area on near side and back of neck.
Healthcare visit (other): Dermatologist
Release 9 — 6 months, dose 2
Release 11 — 12 months, dose 2
Symptoms: Metabolic acidosis. Put on sodium bicarbonate as of 10/15 2021.
Release 11 — day 28, dose 4
Symptoms: At first sneezing, then a sore throat, then an earache, fatigue, then a cough, then diarrhea, then a fever, now a cough and irritated ears.
Healthcare visit (other): Phone call. Did a rapid test at home, which was negative. Then a rapid test and PCR test at (b)(6).The rapid test was negative and should get the PCR result tomorrow.
redacted (b)(6)
Release 11 — day 35, dose 4
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 | Medical counselling | · | · | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dry skin | ✓ | ✓ | ✓ |
| SD | Ear discomfort | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Fungal infection | ✓ | · | ✓ |
| SD | Fungal skin infection | ✓ | ✓ | ✓ |
| SD | Metabolic acidosis | · | · | ✓ |
| SD | Musculoskeletal chest pain | · | · | ✓ |
| SD | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release