ZBU-27954-14567
2 vaccinations
3 coded responses
22 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 841 / UT
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Pfizer-BioNTech
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-11
- 2021-01-13
- 2021-01-15
- 2021-01-21
-
2021-01-28
Dose 2 — Pfizer-BioNTech
- 2021-01-28
-
2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Hypersomnia, Somnolence — Feeling: Good · Site: Pain, Swelling · Be unable to do your normal daily activitiesFree text: I slept for 13 hrs 2 hrs after the shot. I could not stay awake. It was 5:30pm in the afternoonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Most of these occurred about 16 hours after my shot. I had already reported for that day. I did not get a link yesterday. Today Im feeling much better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-12
-
2021-04-29
Survey response — 3 months, dose 2MedDRA: Hospitalisation, Hypersensitivity, Pre-existing disease, Respiratory arrest, Respiratory tract oedema — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Some type of allergic reaction which caused respiratory Edema with a hospital stay. It may or may not be related to an episode I had before the Covid shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-29
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-29
- 2022-01-03
- 2022-01-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Pfizer-BioNTech | |
| 2 | 2021-01-28 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-29 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I slept for 13 hrs 2 hrs after the shot. I could not stay awake. It was 5:30pm in the afternoon
Systemic reaction (other): Most of these occurred about 16 hours after my shot. I had already reported for that day. I did not get a link yesterday. Today Im feeling much better.
Release 8 — 3 months, dose 2
Symptoms: Some type of allergic reaction which caused respiratory Edema with a hospital stay. It may or may not be related to an episode I had before the Covid shot.
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 | Hospitalisation | ✓ | · | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Respiratory arrest | ○ | ✓ | ○ |
| SD | Respiratory tract oedema | ✓ | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release