ZDM-13118-20491
5 vaccinations
21 coded responses
64 check-ins
16 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 481 / MI
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
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2021-03-05
Dose 1 — Pfizer-BioNTech
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
-
2021-03-26
Dose 2 — Pfizer-BioNTech
- 2021-03-26
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2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Fatigue or tirednessAdult check-in
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
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2021-04-09
Survey response — day 14, dose 2MedDRA: Abdominal pain, Abdominal pain upper, Dyspepsia — Feeling: GoodFree text: Stomach & abdominal cramps & indigestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-23
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2021-04-30
Survey response — day 35, dose 2MedDRA: Pruritus — Feeling: GoodFree text: Very itchy toes, no apparent bites or rashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-06-25
- 2021-09-24
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2021-10-13
Dose 3 — Pfizer-BioNTech
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2021-10-14
Survey response — days 1–6 daily, dose 3MedDRA: Eye irritation — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Eyes burningMedDRA releases: 2024-11 · check-in free text available
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2021-10-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
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2021-10-16
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Tenderness — Feeling: Good · Joint painsFree text: Armpit area on the injection arm is very sore and tender. Not new today, started 1 or 2 days ago but I didn't pay it much attention. Is this a thing?MedDRA releases: 2024-11 · check-in free text available
- 2021-10-17
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2021-10-18
Survey response — days 1–6 daily, dose 3MedDRA: Depressed mood — Feeling: GoodFree text: DepressedMedDRA releases: 2024-11 · check-in free text available
- 2021-10-19
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2021-10-20
Survey response — day 7, dose 3MedDRA: Dizziness — Feeling: GoodFree text: Lightheadedness, mikdMedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
- 2021-11-03
- 2021-11-11
- 2021-11-17
- 2021-11-24
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2022-01-12
Survey response — 3 months, dose 3MedDRA: Asthenia, Fatigue, Tremor — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Extra tired, weak & shaky todayMedDRA releases: 2024-11 · check-in free text available
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2022-04-13
Survey response — 6 months, dose 3MedDRA: Influenza like illness, Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Flu- like symptoms in late January, cold in mid MarchMedDRA releases: 2024-11 · check-in free text available
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2022-07-21
Dose 4 — Moderna
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2022-07-23
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness, Vertigo — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Vertigo, lightheadednessMedDRA releases: 2024-11 · check-in free text available
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2022-07-24
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Fair · HeadacheFree text: LightheadednessMedDRA releases: 2024-11 · check-in free text available
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2022-07-25
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: FairFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
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2022-07-26
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Fair · HeadacheFree text: LightheadednessMedDRA releases: 2024-11 · check-in free text available
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2022-07-27
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: FairFree text: LightheadednessMedDRA releases: 2024-11 · check-in free text available
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2022-07-28
Survey response — day 7, dose 4MedDRA: Vertigo — Feeling: FairFree text: VertigoMedDRA releases: 2024-11 · check-in free text available
- 2022-08-04
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2022-08-11
Survey response — day 21, dose 4MedDRA: Dyspepsia — Feeling: FairFree text: HeartburnMedDRA releases: 2024-11 · check-in free text available
- 2022-08-19
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2022-08-25
Survey response — day 35, dose 4MedDRA: Vertigo — Feeling: FairFree text: VertigoMedDRA releases: 2024-11 · check-in free text available
- 2022-09-01
- 2022-10-20
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2022-12-14
Dose 5 — Pfizer-BioNTech
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2022-12-15
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-12-16
- 2022-12-17
- 2022-12-18
- 2022-12-19
- 2022-12-20
- 2022-12-21
- 2022-12-28
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2023-01-04
Survey response — day 21, dose 5MedDRA: Arthralgia, Back pain — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-01-11
- 2023-01-18
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2023-01-25
Survey response — day 42, dose 5MedDRA: Arthralgia, Fatigue — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
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2023-03-15
Survey response — 3 months, dose 5MedDRA: Arthralgia, Back pain, Nephrolithiasis, Vertigo positional — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-03-15
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2023-03-16
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2023-06-14
Survey response — 6 months, dose 5MedDRA: Anaemia, Muscle spasms, Nephrolithiasis, Office visit, Vertigo — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-06-14
Call case (no matching report) — SuccessfulParticipant prefers to complete VAERS report online
- 2023-06-15
- 2023-06-15
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2023-06-15
Call successfulParticipant prefers to complete VAERS report online
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2023-06-15
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Pfizer-BioNTech | |
| 2 | 2021-03-26 | Pfizer-BioNTech | |
| 3 | 2021-10-13 | Pfizer-BioNTech | No |
| 4 | 2022-07-21 | Moderna | No |
| 5 | 2022-12-14 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-03-15 | Successful 2023-06-15 |
Participant prefers to complete VAERS report online |
| 2023-06-14 | Successful 2023-06-15 |
Participant prefers to complete VAERS report online |
Free text
Release 7 — day 14, dose 2
Symptoms: Stomach & abdominal cramps & indigestion
Release 8 — day 35, dose 2
Symptoms: Very itchy toes, no apparent bites or rash
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Eyes burning
Systemic reaction (other): Armpit area on the injection arm is very sore and tender. Not new today, started 1 or 2 days ago but I didn't pay it much attention. Is this a thing?
Systemic reaction (other): Depressed
Release 10 — day 7, dose 3
Systemic reaction (other): Lightheadedness, mikd
Release 10 — 3 months, dose 3
Symptoms: Extra tired, weak & shaky today
Release 11 — 6 months, dose 3
Symptoms: Flu- like symptoms in late January, cold in mid March
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Vertigo, lightheadedness
Systemic reaction (other): Lightheadedness
Systemic reaction (other): Dizziness
Systemic reaction (other): Lightheadedness
Systemic reaction (other): Lightheadedness
Release 12 — day 7, dose 4
Systemic reaction (other): Vertigo
Release 12 — day 21, dose 4
Symptoms: Heartburn
Release 12 — day 35, dose 4
Symptoms: Vertigo
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 | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Anaemia | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Dyspepsia | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nephrolithiasis | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Tremor | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SD | Vertigo positional | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Depressed mood | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Eye irritation | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
| SRO | Vertigo | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release