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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

  1. 2021-04-06
    Registered in v-safe
  2. 2021-04-06
    Dose 1 — Pfizer-BioNTech
  3. 2021-04-06
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-04-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Head discomfort — Feeling: Good · Site: Pain
    Free 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
  6. 2021-04-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache — Feeling: Fair · Site: Pain
    Free 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
  7. 2021-04-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 consultation
    Free 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
  8. 2021-04-10
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-04-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Erythema, Oral pain, Swelling, Tongue eruption — Feeling: Good · Rash, not including the immediate area around the injection site
    Free 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
  10. 2021-04-13
    Survey response — day 7, dose 1
    MedDRA: Hand-foot-and-mouth disease, Stomatitis — Feeling: Good
    Free 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
  11. 2021-04-27
    Dose 2 — Pfizer-BioNTech
  12. 2021-04-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Nasopharyngitis, Pyrexia — Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Yesterday I forgot to report but I had fever/cold chills for about 12 hours straight
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-10-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-12-07
    Dose 3 — Pfizer-BioNTech
  17. 2022-02-15
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  18. 2022-12-09
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-06Pfizer-BioNTech
22021-04-27Pfizer-BioNTech
32021-12-07Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-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

2021-04-08

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.

2021-04-09

Systemic reaction (other): Headache, possibly alcohol related or amplified by alcohol from the night before.

2021-04-10

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.

2021-04-11

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

2021-04-13

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

2021-04-29

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ ✓ ✓
SROAdverse reaction ✓ · ✓
SROChills ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROHand-foot-and-mouth disease ✓ ✓ ✓
SROHead discomfort ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROImmunisation reaction ○ ✓ ○
SRONasopharyngitis ✓ ✓ ✓
SROOral pain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROStomatitis ✓ ✓ ✓
SROSwelling ✓ ✓ ✓
SROTongue eruption ✓ ✓ ✓

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