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
-
2021-03-23
Dose 1 — Pfizer-BioNTech
-
2021-04-10
Dose 2 — Pfizer-BioNTech
-
2021-12-10
Registered in v-safe
-
2021-12-10
Dose 3 — Moderna
- 2021-12-10
-
2021-12-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-13
Survey response — days 1–6 daily, dose 3MedDRA: Night sweats, Oral herpes, Poor quality sleep, Pyrexia — Feeling: Fair · Site: Pain · Fever · HeadacheFree 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
-
2021-12-14
Survey response — days 1–6 daily, dose 3MedDRA: Oral herpes — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tirednessFree text: Cold sore (continuing)MedDRA releases: 2024-11 · check-in free text available
-
2021-12-15
Survey response — days 1–6 daily, dose 3MedDRA: Oral herpes, Pain — Feeling: FairFree text: Continued pain re cold soresMedDRA releases: 2024-11 · check-in free text available
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2021-12-16
Survey response — days 1–6 daily, dose 3MedDRA: Oral herpes, Pain — Feeling: GoodFree text: Cold sore pain continuesMedDRA releases: 2024-11 · check-in free text available
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2021-12-17
Survey response — day 7, dose 3MedDRA: Oral herpes, Unevaluable event — Feeling: GoodFree text: Cold sores argh!MedDRA releases: 2024-11 · check-in free text available
- 2021-12-26
- 2022-01-09
- 2022-01-14
- 2022-01-21
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2022-03-11
Survey response — 3 months, dose 3MedDRA: Neuropathy peripheral, Office visit, Renal disorder — Feeling: Good · Get care from a doctor or other healthcare professionalFree 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 apptsMedDRA releases: 2024-11 · check-in free text available
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2022-03-11
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-03-15
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-06-12
- 2022-12-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Pfizer-BioNTech | No |
| 2 | 2021-04-10 | Pfizer-BioNTech | No |
| 3 | 2021-12-10 | Moderna | No |
Call center
| Reported | Outcome | VAERS-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
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)
Systemic reaction (other): Cold sore (continuing)
Systemic reaction (other): Continued pain re cold sores
Systemic reaction (other): Cold sore pain continues
Release 10 — day 7, dose 3
Systemic reaction (other): Cold sores argh!
Release 11 — 3 months, dose 3
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Neuropathy peripheral | · | · | ✓ |
| SD | Renal disorder | · | · | ✓ |
| SRO | Night sweats | · | · | ✓ |
| SRO | Oral herpes | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Poor quality sleep | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release