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ZBQ-31167-12144

5 vaccinations 6 coded responses 37 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
945 / CA
Registered
2021-02-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-10
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-15
    Registered in v-safe
  3. 2021-02-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pruritus, Insomnia, Pain in extremity, Pre-existing disease — Feeling: Good · Chills, Headache
    Free text: Mild symptoms, slight soreness in arm and off and on itching in the shot area, no visible rash. I couldn't sleep the first night. My chronic joint pain has subsided.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-17
    Survey response — day 7, dose 1
    MedDRA: Allergic sinusitis, Headache, Pre-existing disease — Feeling: Good · Headache
    Free text: I have sinus allergies so headache maybe from that
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-03-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-03-10
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-17
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-19
    Dose 2 — Pfizer-BioNTech
  11. 2021-05-12
    Survey response — 3 months, dose 1
    MedDRA: Blood pressure increased, Chills — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: 1 week after my 2nd dose, I had chills for about 1 hour and elevated blood pressure a bit above 170, otherwise its around 120.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-12
    Report sent to call center — 3 months, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-08-11
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-10-10
    Dose 3 — Pfizer-BioNTech
  15. 2022-02-10
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in
  16. 2022-02-10
  17. 2022-04-15
    Dose 4 — Pfizer-BioNTech
  18. 2022-04-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  19. 2022-04-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Nausea
    Adult check-in
  20. 2022-04-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  21. 2022-04-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  22. 2022-04-20
    Survey response — days 1–6 daily, dose 4
    MedDRA: Blood pressure increased — Feeling: Good
    Free text: Spike in BP for a day and a half
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-04-21
    Survey response — days 1–6 daily, dose 4
    MedDRA: Blood pressure increased — Feeling: Good
    Free text: BP spike but it's leveling out
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-04-22
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  25. 2022-04-29
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-05-06
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-05-13
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-05-20
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-05-27
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-07-15
    Survey response — 3 months, dose 4
    MedDRA: Abdominal pain upper, Diarrhoea, Nausea — Feeling: Good · Be unable to do your normal daily activities
    Free text: 3 days of stomach cramps, nausea and diarrhea.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-10-18
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-10-24
    Dose 5 — Pfizer-BioNTech
  33. 2022-10-24
    Health check-in — day 0, dose 5
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  34. 2022-10-25
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  35. 2022-10-27
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  36. 2022-10-28
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  37. 2022-10-29
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  38. 2022-10-30
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  39. 2022-10-31
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  40. 2022-11-07
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  41. 2022-11-14
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  42. 2022-11-21
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  43. 2022-11-28
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  44. 2022-12-05
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  45. 2023-04-24
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Pfizer-BioNTech
22021-03-19Pfizer-BioNTech No
32021-10-10Pfizer-BioNTech No
42022-04-15Pfizer-BioNTech No
52022-10-24Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-05-12 Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-15

Systemic reaction (other): Mild symptoms, slight soreness in arm and off and on itching in the shot area, no visible rash. I couldn't sleep the first night. My chronic joint pain has subsided.

Release 4 — day 7, dose 1

2021-02-17

Systemic reaction (other): I have sinus allergies so headache maybe from that

Release 8 — 3 months, dose 1

2021-05-12

Symptoms: 1 week after my 2nd dose, I had chills for about 1 hour and elevated blood pressure a bit above 170, otherwise its around 120.

Release 11 — days 1–6 daily, dose 4

2022-04-20

Systemic reaction (other): Spike in BP for a day and a half

2022-04-21

Systemic reaction (other): BP spike but it's leveling out

Release 12 — 3 months, dose 4

2022-07-15

Symptoms: 3 days of stomach cramps, nausea and diarrhea.

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
SDAbdominal pain upper · · ✓
SDBlood pressure increased ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDDiarrhoea · · ✓
SDNausea · · ✓
SROAllergic sinusitis ✓ ✓ ✓
SROBlood pressure increased · · ✓
SROHeadache ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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

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