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ZCD-89213-96489

4 vaccinations 17 coded responses 41 check-ins 17 free-text entries 4 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
454 / OH
Registered
2021-02-10
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-10
    Registered in v-safe
  2. 2021-02-10
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-10
    Survey response — day 0, dose 1
    MedDRA: Adverse reaction, Pre-existing disease — Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: I had stomach pain and tiredness prior to receiving the vaccine. So how I feel l is probably not related to the vaccine. I had recent gallbladder surgery, other stomach issues and take a chemotherapy drug that makes me feel tired.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal pain
    Free text: As I said before, I had these symptoms prior to receiving the vaccine. So I dont believe that they are a result of receiving the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal pain
    Free text: Had symptoms prior to receiving the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Abdominal pain
    Free text: Had abdominal pain prior to receiving the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Abdominal pain
    Free text: Not vaccine related.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-19
    Survey response — day 7, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Abdominal pain
    Free text: Not vaccine related.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-03
    Dose 2 — Pfizer-BioNTech
  13. 2021-03-03
    Survey response — day 0, dose 2
    MedDRA: Abdominal pain upper, Pre-existing disease — Feeling: Good · Abdominal pain
    Free text: Stomach pain not related to vaccine. I have other stomach issues that started way before receiving the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-03-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain upper — Feeling: Fair · Site: Pain · Abdominal pain · Be unable to do your normal daily activities
    Free text: Stomach ache after I ate lunch. I have stomach issues. V
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain upper — Feeling: Good · Abdominal pain · Be unable to do your normal daily activities
    Free text: Stomach pain not from vaccine bb
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-17
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-03-24
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-04-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-09
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-04-14
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-06-02
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia, Physiotherapy — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Pain in the back of my knees. · Healthcare visit (other): Physical therapy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-06-02
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-09-01
    Survey response — 6 months, dose 2
    MedDRA: Pruritus, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Rash and itching on right foot.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  29. 2021-09-01
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  30. 2021-09-03
  31. 2021-10-16
    Dose 3 — Pfizer-BioNTech
  32. 2021-10-21
    Survey response — days 1–6 daily, dose 3
    MedDRA: Nasal congestion, Respiratory tract congestion — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Nasal and chest congestion
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-10-21
    Report sent to call center — days 1–6 daily, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  34. 2021-10-22
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cough, Nasal congestion, Respiratory tract congestion — Feeling: Fair · Site: Pain · Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Cough, nasal congestion and chest congestion
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-10-23
    Survey response — day 7, dose 3
    MedDRA: Nasal congestion, Respiratory tract congestion — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Nasal and chest congestion
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-10-26
  37. 2021-10-26
    Call successful
    Participant prefers to complete VAERS report online
  38. 2021-10-31
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  39. 2021-11-06
    Survey response — day 21, dose 3
    MedDRA: White blood cell count decreased — Feeling: Good · Be unable to do your normal daily activities
    Free text: Lower white blood count. Resulting in my Remicade infusion being rescheduled.
    MedDRA releases: 2024-11 · check-in free text available
  40. 2021-11-13
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-11-20
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-11-27
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-01-16
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  44. 2022-04-11
    Dose 4 — Pfizer-BioNTech
  45. 2022-04-16
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  46. 2022-04-18
    Survey response — day 7, dose 4
    MedDRA: Abdominal pain — Feeling: Fair · Abdominal pain · Be unable to do your normal daily activities
    Free text: Abdominal pain not associated with booster.
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-05-02
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-05-09
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  49. 2022-05-16
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-05-23
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-07-13
    Survey response — 3 months, dose 4
    MedDRA: Carpal tunnel decompression, Surgery — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Carpal Tunnel Surgery-Right Hand · Healthcare visit (other): Outpatient Surgery (b)(6) Hospital
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-07-13
    Report sent to call center — 3 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  53. 2022-07-14
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  54. 2022-10-11
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Pfizer-BioNTech
22021-03-03Pfizer-BioNTech
32021-10-16Pfizer-BioNTech No
42022-04-11Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-06-02 Successful Participant prefers to complete VAERS report online
2021-09-01 Successful Participant prefers to complete VAERS report online
2021-10-21 Successful
2021-10-26
 Participant prefers to complete VAERS report online
2022-07-13 Successful
2022-07-14
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 4 — day 0, dose 1

2021-02-10

Systemic reaction (other): I had stomach pain and tiredness prior to receiving the vaccine. So how I feel l is probably not related to the vaccine. I had recent gallbladder surgery, other stomach issues and take a chemotherapy drug that makes me feel tired.

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): As I said before, I had these symptoms prior to receiving the vaccine. So I dont believe that they are a result of receiving the vaccine.

2021-02-12

Systemic reaction (other): Had symptoms prior to receiving the vaccine.

2021-02-14

Systemic reaction (other): Had abdominal pain prior to receiving the vaccine.

2021-02-16

Systemic reaction (other): Not vaccine related.

Release 4 — day 7, dose 1

2021-02-19

Systemic reaction (other): Not vaccine related.

Release 5 — day 0, dose 2

2021-03-03

Systemic reaction (other): Stomach pain not related to vaccine. I have other stomach issues that started way before receiving the vaccine.

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Stomach ache after I ate lunch. I have stomach issues. V

2021-03-06

Systemic reaction (other): Stomach pain not from vaccine bb

Release 8 — 3 months, dose 2

2021-06-02

Symptoms: Pain in the back of my knees.
Healthcare visit (other): Physical therapy

Release 9 — 6 months, dose 2

2021-09-01

Symptoms: Rash and itching on right foot.

Release 10 — days 1–6 daily, dose 3

2021-10-21

Systemic reaction (other): Nasal and chest congestion

2021-10-22

Systemic reaction (other): Cough, nasal congestion and chest congestion

Release 10 — day 7, dose 3

2021-10-23

Systemic reaction (other): Nasal and chest congestion

Release 10 — day 21, dose 3

2021-11-06

Symptoms: Lower white blood count. Resulting in my Remicade infusion being rescheduled.

Release 11 — day 7, dose 4

2022-04-18

Systemic reaction (other): Abdominal pain not associated with booster.

Release 12 — 3 months, dose 4

2022-07-13

Symptoms: Carpal Tunnel Surgery-Right Hand
Healthcare visit (other): Outpatient Surgery (b)(6) Hospital
redacted (b)(6)

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
HCVOPhysiotherapy ✓ ✓ ✓
HCVOSurgery · · ✓
SDArthralgia ✓ ✓ ✓
SDCarpal tunnel decompression · · ✓
SDPruritus ✓ · ✓
SDRash ✓ · ✓
SDWhite blood cell count decreased · · ✓
SROAbdominal pain · · ✓
SROAbdominal pain upper ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROCough · · ✓
SRONasal congestion · · ✓
SROPre-existing disease ✓ ✓ ✓
SRORespiratory tract congestion · · ✓
SROUnevaluable event ✓ ✓ ✓

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

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