ZCV-23782-87192
4 vaccinations
11 coded responses
48 check-ins
11 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 309 / GA
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-29
Registered in v-safe
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2021-03-29
Dose 1 — Pfizer-BioNTech
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2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Formication — Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaFree text: Ive been feeling like something crawling on me-specifically on my face.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-01
- 2021-04-03
- 2021-04-04
- 2021-04-07
- 2021-04-14
- 2021-04-19
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2021-04-26
Survey response — day 28, dose 1MedDRA: Cough, Nasal congestion, Sneezing — Feeling: Poor · 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 visitFree text: Nasal congestion, coughing, sneezing, 99.7 tempMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Report sent to call center — day 28, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-03
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2021-05-08
Dose 2 — Pfizer-BioNTech
- 2021-05-10
- 2021-05-11
- 2021-05-12
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2021-05-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-05-14
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Fair · Fatigue or tiredness, Nausea, DiarrheaFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-15
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, DiarrheaAdult check-in
- 2021-05-22
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2021-05-29
Survey response — day 21, dose 2MedDRA: Bronchitis, Diarrhoea, Sinusitis — Feeling: Poor · 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 visitFree text: Bronchitis, sinus infection, diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-29
Report sent to call center — day 21, 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)
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2021-06-05
Survey response — day 28, dose 2MedDRA: Bronchitis, Diarrhoea, Sinusitis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Bronchitis, sinus infection, diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-05
Report sent to call center — day 28, 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)
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2021-06-12
Survey response — day 35, dose 2MedDRA: Diarrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-12
Report sent to call center — day 35, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-06-18
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2021-06-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-06-18
Call successfulCompleted over the phone
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2021-06-18
Call successfulCompleted over the phone
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2021-06-18
Call successfulCompleted over the phone
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2021-06-19
Survey response — day 42, dose 2MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Diarrhea, stomach discomfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-19
Report sent to call center — day 42, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-06-25
Call successfulReported to VAERS during previous contact from GDIT
- 2021-08-07
- 2021-11-06
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2021-12-03
Dose 3 — Pfizer-BioNTech
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2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Hypoaesthesia, Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Numbness and pain in right handMedDRA releases: 2024-11 · check-in free text available
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2021-12-05
Survey response — days 1–6 daily, dose 3MedDRA: Hypoaesthesia — Feeling: Good · Site: Pain · Joint pains · Be unable to do your normal daily activitiesFree text: Mild Numbness in right handMedDRA releases: 2024-11 · check-in free text available
- 2021-12-09
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-01-14
- 2022-03-04
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2022-06-05
Survey response — 6 months, dose 3MedDRA: Cough, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Bad sounding cough with low grade fever- took Coricidin felt better but cough seems to come & go. No more fever & I feel better now no change in taste.MedDRA releases: 2024-11 · check-in free text available
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2022-12-03
Survey response — 12 months, dose 3MedDRA: Arthralgia, Dysphagia, Pain in extremity, Physiotherapy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Left hip/leg pain, difficulty swallowing pills · Healthcare visit (other): Physical therapy services, pending swallow studyMedDRA releases: 2024-11 · check-in free text available
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2022-12-03
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-05
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2023-01-06
Dose 4 — Pfizer-BioNTech
- 2023-01-06
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2023-01-07
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
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2023-01-08
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2023-01-09
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
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2023-01-10
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tirednessAdult check-in
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2023-01-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness, Itching · Fatigue or tirednessAdult check-in
- 2023-01-13
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2023-01-16
Call successfulDoes not wish to fill out VAERS report
- 2023-01-20
- 2023-01-27
- 2023-02-03
- 2023-02-10
- 2023-02-17
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Pfizer-BioNTech | |
| 2 | 2021-05-08 | Pfizer-BioNTech | |
| 3 | 2021-12-03 | Pfizer-BioNTech | No |
| 4 | 2023-01-06 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-26 | Successful 2021-06-18 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-05-29 | Successful 2021-06-18 |
Completed over the phone |
| 2021-06-05 | Successful 2021-06-18 |
Completed over the phone |
| 2021-06-12 | Successful 2021-06-18 |
Completed over the phone |
| 2021-06-19 | Successful 2021-06-25 |
Reported to VAERS during previous contact from GDIT |
| 2022-12-03 | Successful 2023-01-16 |
Does not wish to fill out VAERS report |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Ive been feeling like something crawling on me-specifically on my face.
Release 8 — day 28, dose 1
Symptoms: Nasal congestion, coughing, sneezing, 99.7 temp
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Cough
Release 8 — day 21, dose 2
Symptoms: Bronchitis, sinus infection, diarrhea
Release 8 — day 28, dose 2
Symptoms: Bronchitis, sinus infection, diarrhea
Release 9 — day 35, dose 2
Symptoms: Diarrhea
Release 9 — day 42, dose 2
Symptoms: Diarrhea, stomach discomfort
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Numbness and pain in right hand
Systemic reaction (other): Mild Numbness in right hand
Release 11 — 6 months, dose 3
Symptoms: Bad sounding cough with low grade fever- took Coricidin felt better but cough seems to come & go. No more fever & I feel better now no change in taste.
Release 12 — 12 months, dose 3
Symptoms: Left hip/leg pain, difficulty swallowing pills
Healthcare visit (other): Physical therapy services, pending swallow study
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 | Physiotherapy | · | · | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Bronchitis | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dysphagia | · | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Formication | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release