ZDD-76036-69860
4 vaccinations
7 coded responses
50 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 930 / CA
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Dose 1 — Pfizer-BioNTech
-
2021-01-09
Registered in v-safe
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-19
-
2021-01-26
Dose 2 — Pfizer-BioNTech
- 2021-01-26
-
2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus, Rash — Feeling: Good · Fever · Rash, not including the immediate area around the injection siteFree text: And itchy rash started pm yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-04
- 2021-03-09
- 2021-04-27
- 2021-07-27
-
2021-09-28
Dose 3 — Pfizer-BioNTech
- 2021-09-28
- 2021-09-29
- 2021-09-30
- 2021-10-01
- 2021-10-02
-
2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-10-04
- 2021-10-05
- 2021-10-12
-
2021-10-19
Survey response — day 21, dose 3MedDRA: Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: FairFree text: Cold with sneezing, runny nose and sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-10-26
- 2021-11-02
- 2021-11-09
-
2021-12-28
Survey response — 3 months, dose 3MedDRA: Exposure to SARS-CoV-2, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Being treated for UTI Also being tested wed as a direct exposure to covidMedDRA releases: 2024-11 · check-in free text available
-
2021-12-28
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-12-30
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-29
-
2022-04-29
Dose 4 — Pfizer-BioNTech
-
2022-04-30
Survey response — days 1–6 daily, dose 4MedDRA: Insomnia — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Sleeplessness last nightMedDRA releases: 2024-11 · check-in free text available
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-05
- 2022-05-07
- 2022-05-13
-
2022-05-20
Survey response — day 21, dose 4MedDRA: Cough, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sore throat, cough, head stuffiness, chest congestion slight fever Rapid Covid negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-27
- 2022-06-03
-
2022-06-10
Survey response — day 42, dose 4MedDRA: Choking, Cough, Dyspnoea exertional, Fatigue, Heart rate increased, Increased viscosity of upper respiratory secretion, Laboratory test abnormal, Nasopharyngitis, Office visit, Oropharyngeal pain, Rhinorrhoea, Secretion discharge — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Cold, sore throat, runny nose, coughing, choking on thick mucus, constant fatigue, increased pulse rate, feeling of SOB when moving around house, + rapid test Monday, PCr done at (b)(6) tuesdayMedDRA releases: 2024-11 · check-in free text available
- 2022-07-29
- 2022-10-28
- 2023-04-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Pfizer-BioNTech | |
| 2 | 2021-01-26 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
| 4 | 2022-04-29 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-28 | Successful 2021-12-30 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): And itchy rash started pm yesterday
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Sore throat
Release 10 — day 21, dose 3
Symptoms: Cold with sneezing, runny nose and sore throat
Release 10 — 3 months, dose 3
Symptoms: Being treated for UTI Also being tested wed as a direct exposure to covid
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Sleeplessness last night
Release 11 — day 21, dose 4
Symptoms: Sore throat, cough, head stuffiness, chest congestion slight fever Rapid Covid negative.
Release 12 — day 42, dose 4
Symptoms: Cold, sore throat, runny nose, coughing, choking on thick mucus, constant fatigue, increased pulse rate, feeling of SOB when moving around house, + rapid test Monday, PCr done at (b)(6) tuesday
redacted (b)(6)
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 |
|---|---|---|---|---|
| SD | Choking | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Increased viscosity of upper respiratory secretion | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release