ZET-30156-35265
2 vaccinations
4 coded responses
23 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 532 / WI
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-02
Dose 1 — Pfizer-BioNTech
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2021-03-03
Registered in v-safe
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2021-03-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-05
- 2021-03-06
-
2021-03-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-03-09
- 2021-03-16
- 2021-03-23
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2021-03-24
Dose 2 — Pfizer-BioNTech
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2021-03-24
Survey response — day 0, dose 2MedDRA: Flushing, Hypoaesthesia, Medical observation, Myalgia, Pain in extremity — Feeling: Fair · Muscle or body aches · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Felt flush earlier in day. Muscle ache right side rib same side as injection. On injection arm I have pain and mild numbness down inner arm to pinkie and ring finger. · Healthcare visit (other): Remained at Vaccine site. Nurse took vitals. Remained about 45 minutes longer than required.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Report sent to call center — day 0, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Abdominal painAdult check-in
- 2021-03-28
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2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-30
- 2021-03-31
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2021-04-07
Survey response — day 14, dose 2MedDRA: Fibrin D dimer increased, Joint swelling, Pain in extremity — 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, Emergency room or emergency department visitFree text: Symptoms: Sudden Swollen ankle. Constant leg ache below left knee down to ankle. No injury. · Healthcare visit (other): Elevated D DimerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-14
Survey response — day 21, dose 2MedDRA: Arthralgia, Neck pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: pain on left side of neck and left hipMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
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2021-04-28
Survey response — day 35, dose 2MedDRA: Abdominal pain upper — Feeling: FairFree text: Stomach acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-06-23
- 2021-09-24
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2021-11-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Pfizer-BioNTech | |
| 2 | 2021-03-24 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-24 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-04-07 | Successful 2021-11-01 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): Felt flush earlier in day. Muscle ache right side rib same side as injection. On injection arm I have pain and mild numbness down inner arm to pinkie and ring finger.
Healthcare visit (other): Remained at Vaccine site. Nurse took vitals. Remained about 45 minutes longer than required.
Release 7 — day 14, dose 2
Symptoms: Sudden Swollen ankle. Constant leg ache below left knee down to ankle. No injury.
Healthcare visit (other): Elevated D Dimer
Release 7 — day 21, dose 2
Symptoms: pain on left side of neck and left hip
Release 8 — day 35, dose 2
Symptoms: Stomach ache
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 | Fibrin D dimer increased | ✓ | ✓ | ✓ |
| HCVO | Medical observation | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release