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ZDM-27367-58147

4 vaccinations 7 coded responses 49 check-ins 7 free-text entries 3 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
657 / MO
Registered
2021-03-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-16
    Registered in v-safe
  2. 2021-03-16
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-16
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Abdominal pain
    Adult check-in
  5. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-06
    Dose 2 — Pfizer-BioNTech
  13. 2021-04-06
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  17. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oropharyngeal pain — Feeling: Good · Headache
    Free text: Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-13
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-29
    Survey response — day 21, dose 2
    MedDRA: Osteomyelitis — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Infection of left olecranon
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-29
    Report sent to call center — day 21, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-05-04
    Survey response — day 28, dose 2
    MedDRA: Joint swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Left olecranon became swollen again (although not as severe) and I go see the orthopedic again on Friday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-05-04
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-05-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-05
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-12
    Dose 3 — Pfizer-BioNTech
  30. 2021-10-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches
    Adult check-in
  31. 2021-10-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  32. 2021-10-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Abdominal pain
    Adult check-in
  33. 2021-10-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  34. 2021-10-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  35. 2021-10-18
    Survey response — days 1–6 daily, dose 3
    MedDRA: Back pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Severe lower back pain; from heavy lifting of items while working in the garage this weekend!
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-10-19
    Survey response — day 7, dose 3
    MedDRA: Back pain — Feeling: Fair · Be unable to work or attend school
    Free text: Lower back pain from heavy lifting
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-10-27
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  38. 2021-11-02
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-09
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-16
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-11-23
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-01-11
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-04-12
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-04-12
  45. 2022-05-09
    Dose 4 — Pfizer-BioNTech
  46. 2022-05-09
    Survey response — day 0, dose 4
    MedDRA: Headache, Nasal congestion — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness
    Free text: A bit of a stuffy nose and a slight headache
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-05-11
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  48. 2022-05-12
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  49. 2022-05-13
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  50. 2022-05-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  51. 2022-05-15
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  52. 2022-05-16
    Health check-in — day 7, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  53. 2022-05-25
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-05-30
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-06-13
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-06-21
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-08-10
    Survey response — 3 months, dose 4
    MedDRA: Hypersensitivity, Pre-existing disease, Viral infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Allergies flared up after an outdoor event and of June. And i also had a virus that required a 10-day round of antibiotics.
    MedDRA releases: 2024-11 · check-in free text available
  58. 2022-08-10
    Report sent to call center — 3 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  59. 2022-08-11
  60. 2022-08-11
  61. 2022-08-11

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Pfizer-BioNTech
22021-04-06Pfizer-BioNTech
32021-10-12Pfizer-BioNTech No
42022-05-09Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-04-29 Unsuccessful
2021-05-04 Unsuccessful
2022-08-10 Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): Sore throat

Release 8 — day 21, dose 2

2021-04-29

Symptoms: Infection of left olecranon

Release 8 — day 28, dose 2

2021-05-04

Symptoms: Left olecranon became swollen again (although not as severe) and I go see the orthopedic again on Friday.

Release 10 — days 1–6 daily, dose 3

2021-10-18

Systemic reaction (other): Severe lower back pain; from heavy lifting of items while working in the garage this weekend!

Release 10 — day 7, dose 3

2021-10-19

Systemic reaction (other): Lower back pain from heavy lifting

Release 11 — day 0, dose 4

2022-05-09

Systemic reaction (other): A bit of a stuffy nose and a slight headache

Release 12 — 3 months, dose 4

2022-08-10

Symptoms: Allergies flared up after an outdoor event and of June. And i also had a virus that required a 10-day round of antibiotics.

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
SDHypersensitivity · · ✓
SDJoint swelling ✓ ✓ ✓
SDOsteomyelitis ✓ ✓ ✓
SDPre-existing disease · · ✓
SDViral infection · · ✓
SROBack pain · · ✓
SROHeadache · · ✓
SRONasal congestion · · ✓
SROOropharyngeal pain ✓ ✓ ✓

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

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