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
-
2021-02-21
Dose 1 — Pfizer-BioNTech
-
2021-02-24
Registered in v-safe
-
2021-02-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Abdominal painAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-03-03
- 2021-03-08
-
2021-03-13
Dose 2 — Pfizer-BioNTech
-
2021-03-13
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: Painful red Lump at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Health check-in — day 7, dose 2Feeling: Good · Headache, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-04-17
-
2021-09-11
Survey response — 6 months, dose 2MedDRA: 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 professionalFree text: Symptoms: Ongoing diarhea, increased migraines, stiff neck that has continurd for almost 2 weeks, bladder infection. · Healthcare visit (other): Regular clinic and doctorsMedDRA releases: 2024-11 · check-in free text available
-
2021-09-11
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-16
- 2021-09-21
-
2021-11-29
Dose 3 — Pfizer-BioNTech
-
2022-03-14
Survey response — 12 months, dose 2MedDRA: Lung neoplasm malignant — Feeling: FairFree text: Lung cancerMedDRA releases: 2024-11 · check-in free text available
-
2022-04-12
Dose 4 — Pfizer-BioNTech
- 2022-04-22
-
2022-04-26
Survey response — day 14, dose 4MedDRA: Contusion, Eye contusion, Face injury, Fall, Head injury, Headache, Injury, Nausea, Swelling face, Vomiting — Feeling: Poor · Be unable to do your normal daily activitiesFree 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
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2022-10-14
Survey response — 6 months, dose 4MedDRA: 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 professionalFree 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
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2022-10-14
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-17
- 2022-10-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-21 | Pfizer-BioNTech | |
| 2 | 2021-03-13 | Pfizer-BioNTech | |
| 3 | 2021-11-29 | Pfizer-BioNTech | No |
| 4 | 2022-04-12 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-11 | Unsuccessful | |
| 2022-10-14 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Painful red Lump at injection site
Release 9 — 6 months, dose 2
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
Symptoms: Lung cancer
Release 11 — day 14, dose 4
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Contusion | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Cystitis | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Eye contusion | · | · | ✓ |
| SD | Face injury | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Head injury | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injury | · | · | ✓ |
| SD | Lung neoplasm malignant | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SD | Swelling face | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site mass | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release