ZBR-10378-76930
4 vaccinations
9 coded responses
50 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 980 / WA
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
F4N-35846-99609
Child or adolescent in my care · Female · 2022-07-11
Timeline
-
2021-03-31
Registered in v-safe
-
2021-03-31
Dose 1 — Pfizer-BioNTech
- 2021-03-31
-
2021-04-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-14
-
2021-04-21
Dose 2 — Pfizer-BioNTech
- 2021-04-21
-
2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Couldnt sleep well last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-07-21
- 2021-10-20
-
2021-11-11
Dose 3 — Pfizer-BioNTech
- 2021-11-11
-
2021-11-12
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-13
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessFree text: Arm pit lymph node swelling/tender on same arm as injectionMedDRA releases: 2024-11 · check-in free text available
-
2021-11-14
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessFree text: Swollen armpit lymph node on injection arm still existsMedDRA releases: 2024-11 · check-in free text available
-
2021-11-15
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Swelling · Fatigue or tirednessFree text: Lymph node under injection side armpit slightly swollen- much better than yesterday and not as tenderMedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2022-02-10
-
2022-05-12
Survey response — 6 months, dose 3MedDRA: Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pretty terrible allergies over the past couple of months/possibly something viral per tue doc I stopped in to see at the walk in clinicMedDRA releases: 2024-11 · check-in free text available
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2022-05-12
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-13
-
2022-10-06
Dose 4 — Pfizer-BioNTech
- 2022-10-06
-
2022-10-07
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2022-10-08
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tirednessFree text: Shot arm armpit (lymph node) is really soreMedDRA releases: 2024-11 · check-in free text available
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2022-10-09
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Sore armpit/swollen lymph node- but better than yesterday!MedDRA releases: 2024-11 · check-in free text available
- 2022-10-10
-
2022-10-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Chills, Headache, Fatigue or tirednessAdult check-in
- 2022-10-12
- 2022-10-13
- 2022-10-20
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2022-10-29
Survey response — day 21, dose 4MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: FairFree text: Just a scratchy throat and congestion- likely seasonal cold as Covid test came back negative this morningMedDRA releases: 2024-11 · check-in free text available
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2022-11-05
Survey response — day 28, dose 4MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test negative, Sneezing — Feeling: FairFree text: Cough, congestion and sneezing- Covid tests came back negative, so likely seasonal coldMedDRA releases: 2024-11 · check-in free text available
- 2022-11-10
- 2022-11-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Pfizer-BioNTech | |
| 2 | 2021-04-21 | Pfizer-BioNTech | |
| 3 | 2021-11-11 | Pfizer-BioNTech | No |
| 4 | 2022-10-06 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-12 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Couldnt sleep well last night
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Arm pit lymph node swelling/tender on same arm as injection
Systemic reaction (other): Swollen armpit lymph node on injection arm still exists
Systemic reaction (other): Lymph node under injection side armpit slightly swollen- much better than yesterday and not as tender
Release 11 — 6 months, dose 3
Symptoms: Pretty terrible allergies over the past couple of months/possibly something viral per tue doc I stopped in to see at the walk in clinic
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Shot arm armpit (lymph node) is really sore
Systemic reaction (other): Sore armpit/swollen lymph node- but better than yesterday!
Release 12 — day 21, dose 4
Symptoms: Just a scratchy throat and congestion- likely seasonal cold as Covid test came back negative this morning
Release 12 — day 28, dose 4
Symptoms: Cough, congestion and sneezing- Covid tests came back negative, so likely seasonal cold
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 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release