ZD5-16601-86811
3 vaccinations
6 coded responses
12 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 462 / IN
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Registered in v-safe
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2021-04-06
Dose 1 — Pfizer-BioNTech
- 2021-04-06
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2021-04-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Head discomfort — Feeling: Good · Site: PainFree text: Not really a headache, but the feeling of heaviness in my forehead. Almost like a good get a headache but it never quite comes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Fair · Site: PainFree text: Headache, possibly alcohol related or amplified by alcohol from the night before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction, Immunisation reaction, Unevaluable event — Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Im not sure if its a rash, I have what may be Covid tongue. It may have started from a cold I had before the shot but it seems amplified now and its not going away. · Healthcare visit (other): Scheduling an apt for later this week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Oral pain, Swelling, Tongue eruption — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: My right nostril is red and swollen? Related I have no idea. Also still have weird tongue rash/mouth sores.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — day 7, dose 1MedDRA: Hand-foot-and-mouth disease, Stomatitis — Feeling: GoodFree text: Turns out my mouth sores are not shot related, but rather I have hand foot and mouth. Woohoo, at least the shot didnt do it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Dose 2 — Pfizer-BioNTech
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2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Nasopharyngitis, Pyrexia — Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Yesterday I forgot to report but I had fever/cold chills for about 12 hours straightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-01
- 2021-10-26
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2021-12-07
Dose 3 — Pfizer-BioNTech
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2022-02-15
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-12-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Pfizer-BioNTech | |
| 2 | 2021-04-27 | Pfizer-BioNTech | |
| 3 | 2021-12-07 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-10 | Successful 2022-02-15 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Not really a headache, but the feeling of heaviness in my forehead. Almost like a good get a headache but it never quite comes.
Systemic reaction (other): Headache, possibly alcohol related or amplified by alcohol from the night before.
Systemic reaction (other): Im not sure if its a rash, I have what may be Covid tongue. It may have started from a cold I had before the shot but it seems amplified now and its not going away.
Healthcare visit (other): Scheduling an apt for later this week.
Systemic reaction (other): My right nostril is red and swollen? Related I have no idea. Also still have weird tongue rash/mouth sores.
Release 7 — day 7, dose 1
Systemic reaction (other): Turns out my mouth sores are not shot related, but rather I have hand foot and mouth. Woohoo, at least the shot didnt do it.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday I forgot to report but I had fever/cold chills for about 12 hours straight
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Hand-foot-and-mouth disease | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ○ | ✓ | ○ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Oral pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Stomatitis | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Tongue eruption | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release