ZEZ-17327-03911
4 vaccinations
12 coded responses
37 check-ins
11 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 318 / GA
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-08
Dose 1 — Pfizer-BioNTech
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2021-03-09
Registered in v-safe
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2021-03-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Irritability, Tremor — Feeling: Fair · Nausea, DiarrheaFree text: Irritable, shakyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
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2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Tremor — Feeling: GoodFree text: ShakyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Tremor — Feeling: GoodFree text: TremorsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — day 7, dose 1MedDRA: Tremor — Feeling: GoodFree text: Less tremorsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
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2021-03-29
Dose 2 — Pfizer-BioNTech
- 2021-03-29
- 2021-03-30
- 2021-03-31
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Sinus disorder — Feeling: GoodFree text: Sinus...but is probably pollen?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
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2021-04-12
Survey response — day 14, dose 2MedDRA: Diarrhoea, Fatigue, Headache, Oropharyngeal pain, Paranasal sinus hypersecretion — Feeling: FairFree text: Had sore throat, sinuses drainage, headache, diarrhea and tired yesterday...today all gone but sinus drainage.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — day 21, dose 2MedDRA: Abdominal pain, Diarrhoea, Flatulence — Feeling: GoodFree text: Diarrhea, gas, abd pain...not sure if related to vaccine...MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
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2021-05-04
Survey response — day 35, dose 2MedDRA: Diarrhoea — Feeling: FairFree text: DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
- 2021-06-28
- 2021-09-29
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2021-10-28
Dose 3 — Pfizer-BioNTech
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2022-03-31
Survey response — 12 months, dose 2MedDRA: Ageusia, Anxiety, COVID-19, Diarrhoea, Tremor — Feeling: Good · 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 visitFree text: had Covid a couple of times...afterwards... anxiety, shaky, loss of taste, diarrhea...MedDRA releases: 2024-11 · check-in free text available
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2022-03-31
Report sent to call center — 12 months, dose 2Be 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 · 1 call case(s)
- 2022-04-04
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2022-05-04
Dose 4 — Pfizer-BioNTech
- 2022-05-04
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2022-05-05
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2022-05-06
Health check-in — days 1–6 daily, dose 4Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-05-07
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2022-05-08
- 2022-05-09
- 2022-05-10
- 2022-05-13
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2022-05-18
Survey response — day 14, dose 4MedDRA: Anxiety, Back pain, Diarrhoea, Ear pain, Fatigue, Feeling of body temperature change, Neck pain, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: 9 days after shot had diarrhea..earache sore throat, back and neck ache, anxious, fatigue, felt cold the hot at same time but no fever....neg home testMedDRA releases: 2024-11 · check-in free text available
- 2022-05-27
- 2022-06-09
- 2022-06-17
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2022-08-05
Survey response — 3 months, dose 4MedDRA: Viral infection — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had virus beginning of July ..neg x2 w home tests...MedDRA releases: 2024-11 · check-in free text available
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2023-05-04
Survey response — 12 months, dose 4MedDRA: COVID-19, Chills, Cough, Exposure to SARS-CoV-2, Fatigue, Gastritis, Gastrointestinal disorder, Insomnia, SARS-CoV-2 test negative, Unevaluable event, Viral infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-05-04
Report sent to call center — 12 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2023-05-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-05-05
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Pfizer-BioNTech | |
| 2 | 2021-03-29 | Pfizer-BioNTech | |
| 3 | 2021-10-28 | Pfizer-BioNTech | No |
| 4 | 2022-05-04 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-31 | Successful 2023-05-05 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2023-05-04 | Successful 2023-05-05 |
Does not wish to fill out VAERS report |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Irritable, shaky
Systemic reaction (other): Shaky
Systemic reaction (other): Tremors
Release 5 — day 7, dose 1
Systemic reaction (other): Less tremors
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Sinus...but is probably pollen?
Release 7 — day 14, dose 2
Symptoms: Had sore throat, sinuses drainage, headache, diarrhea and tired yesterday...today all gone but sinus drainage.
Release 7 — day 21, dose 2
Symptoms: Diarrhea, gas, abd pain...not sure if related to vaccine...
Release 8 — day 35, dose 2
Symptoms: Diarrhea
Release 11 — 12 months, dose 2
Symptoms: had Covid a couple of times...afterwards... anxiety, shaky, loss of taste, diarrhea...
Release 11 — day 14, dose 4
Symptoms: 9 days after shot had diarrhea..earache sore throat, back and neck ache, anxious, fatigue, felt cold the hot at same time but no fever....neg home test
Release 12 — 3 months, dose 4
Symptoms: Had virus beginning of July ..neg x2 w home tests...
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 | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling of body temperature change | · | · | ✓ |
| SD | Flatulence | ✓ | ✓ | ✓ |
| SD | Gastritis | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Tremor | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Irritability | ✓ | ✓ | ✓ |
| SRO | Sinus disorder | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release