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ZDC-49816-34957

3 vaccinations 6 coded responses 14 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
063 / CT
Registered
2021-12-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-23
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-10
    Dose 2 — Pfizer-BioNTech
  3. 2021-12-10
    Registered in v-safe
  4. 2021-12-10
    Dose 3 — Moderna
  5. 2021-12-10
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  6. 2021-12-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-12-13
    Survey response — days 1–6 daily, dose 3
    MedDRA: Night sweats, Oral herpes, Poor quality sleep, Pyrexia — Feeling: Fair · Site: Pain · Fever · Headache
    Free text: I woke up with a cold sore on my mouth (very rare, maybe 4x in my life)? After a night of poor sleep & per husband night sweats & fever (also unheard of)
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-12-14
    Survey response — days 1–6 daily, dose 3
    MedDRA: Oral herpes — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness
    Free text: Cold sore (continuing)
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-12-15
    Survey response — days 1–6 daily, dose 3
    MedDRA: Oral herpes, Pain — Feeling: Fair
    Free text: Continued pain re cold sores
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-12-16
    Survey response — days 1–6 daily, dose 3
    MedDRA: Oral herpes, Pain — Feeling: Good
    Free text: Cold sore pain continues
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-12-17
    Survey response — day 7, dose 3
    MedDRA: Oral herpes, Unevaluable event — Feeling: Good
    Free text: Cold sores argh!
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-12-26
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  13. 2022-01-09
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  14. 2022-01-14
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  15. 2022-01-21
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-03-11
    Survey response — 3 months, dose 3
    MedDRA: Neuropathy peripheral, Office visit, Renal disorder — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I received a diagnosis of neuropathy (the symptoms of which preceded pandemic, though they have gotten increasingly worse) plus I've been experiencing kidney issues which are new. I do not see either as tied to Covid, frankly, but mention bc you ask. · Healthcare visit (other): In person normal appts
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-03-11
    Report sent to call center — 3 months, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2022-03-15
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  19. 2022-06-12
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-12-10
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-23Pfizer-BioNTech No
22021-04-10Pfizer-BioNTech No
32021-12-10Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-03-11 Successful
2022-03-15
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-13

Systemic reaction (other): I woke up with a cold sore on my mouth (very rare, maybe 4x in my life)? After a night of poor sleep & per husband night sweats & fever (also unheard of)

2021-12-14

Systemic reaction (other): Cold sore (continuing)

2021-12-15

Systemic reaction (other): Continued pain re cold sores

2021-12-16

Systemic reaction (other): Cold sore pain continues

Release 10 — day 7, dose 3

2021-12-17

Systemic reaction (other): Cold sores argh!

Release 11 — 3 months, dose 3

2022-03-11

Symptoms: I received a diagnosis of neuropathy (the symptoms of which preceded pandemic, though they have gotten increasingly worse) plus I've been experiencing kidney issues which are new. I do not see either as tied to Covid, frankly, but mention bc you ask. cut off by CDC
Healthcare visit (other): In person normal appts

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
HCVOOffice visit · · ✓
SDNeuropathy peripheral · · ✓
SDRenal disorder · · ✓
SRONight sweats · · ✓
SROOral herpes · · ✓
SROPain · · ✓
SROPoor quality sleep · · ✓
SROPyrexia · · ✓
SROUnevaluable event · · ✓

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