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ZC8-18689-23853

4 vaccinations 5 coded responses 14 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
981 / WA
Registered
2021-02-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-21
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-24
    Registered in v-safe
  3. 2021-02-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain
    Adult check-in
  4. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  5. 2021-03-03
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-08
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-03-13
    Dose 2 — Pfizer-BioNTech
  8. 2021-03-13
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  9. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-03-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema, Injection site mass, Injection site pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Painful red Lump at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-20
    Health check-in — day 7, dose 2
    Feeling: Good · Headache, Fatigue or tiredness, Abdominal pain
    Adult check-in
  12. 2021-04-17
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-09-11
    Survey response — 6 months, dose 2
    MedDRA: Cystitis, Diarrhoea, Migraine, Musculoskeletal stiffness, Office visit, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Ongoing diarhea, increased migraines, stiff neck that has continurd for almost 2 weeks, bladder infection. · Healthcare visit (other): Regular clinic and doctors
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-09-11
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-09-16
  16. 2021-09-21
  17. 2021-11-29
    Dose 3 — Pfizer-BioNTech
  18. 2022-03-14
    Survey response — 12 months, dose 2
    MedDRA: Lung neoplasm malignant — Feeling: Fair
    Free text: Lung cancer
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-04-12
    Dose 4 — Pfizer-BioNTech
  20. 2022-04-22
    Health check-in — day 7, dose 4
    Feeling: Fair · None
    Adult check-in
  21. 2022-04-26
    Survey response — day 14, dose 4
    MedDRA: Contusion, Eye contusion, Face injury, Fall, Head injury, Headache, Injury, Nausea, Swelling face, Vomiting — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Conditions likely due to a fall hitting my face head and entire front of body. Continued headache, black eves and swollen and very bruised nose. Also nausea and throwing up.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-10-14
    Survey response — 6 months, dose 4
    MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea, Sinus pain, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Sinuses and throat very sore. Increased coughing, runny nose constant. · Healthcare visit (other): Had to cansel sinus surgery.
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-10-14
    Report sent to call center — 6 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2022-10-17
  25. 2022-10-17

Vaccinations

DoseDateManufacturerCo-administered
12021-02-21Pfizer-BioNTech
22021-03-13Pfizer-BioNTech
32021-11-29Pfizer-BioNTech No
42022-04-12Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-09-11 Unsuccessful
2022-10-14 Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-15

Systemic reaction (other): Painful red Lump at injection site

Release 9 — 6 months, dose 2

2021-09-11

Symptoms: Ongoing diarhea, increased migraines, stiff neck that has continurd for almost 2 weeks, bladder infection.
Healthcare visit (other): Regular clinic and doctors

Release 11 — 12 months, dose 2

2022-03-14

Symptoms: Lung cancer

Release 11 — day 14, dose 4

2022-04-26

Symptoms: Conditions likely due to a fall hitting my face head and entire front of body. Continued headache, black eves and swollen and very bruised nose. Also nausea and throwing up.

Release 12 — 6 months, dose 4

2022-10-14

Symptoms: Sinuses and throat very sore. Increased coughing, runny nose constant.
Healthcare visit (other): Had to cansel sinus surgery.

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
HCVOOffice visit · · ✓
HCVOUnevaluable event · · ✓
SDContusion · · ✓
SDCough · · ✓
SDCystitis · · ✓
SDDiarrhoea · · ✓
SDEye contusion · · ✓
SDFace injury · · ✓
SDFall · · ✓
SDHead injury · · ✓
SDHeadache · · ✓
SDInjury · · ✓
SDLung neoplasm malignant · · ✓
SDMigraine · · ✓
SDMusculoskeletal stiffness · · ✓
SDNausea · · ✓
SDOropharyngeal pain · · ✓
SDPre-existing disease · · ✓
SDRhinorrhoea · · ✓
SDSinus pain · · ✓
SDSwelling face · · ✓
SDVomiting · · ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site mass ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓

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