ZF4-11485-35006
2 vaccinations
9 coded responses
22 check-ins
9 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 294 / SC
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-27
Dose 1 — Pfizer-BioNTech
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2021-01-28
Registered in v-safe
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2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
- 2021-02-01
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2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Muscle or body achesFree text: I have arthritisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Survey response — day 7, dose 1MedDRA: Pre-existing disease — Feeling: Good · Site: Itching · Muscle or body achesFree text: Left arm Covid injection site. I also have radiculopathy on that arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — day 14, dose 1MedDRA: Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: BauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Dose 2 — Pfizer-BioNTech
- 2021-02-17
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2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
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2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose decreased, Decreased appetite — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: Appetite poor. Blood sugar and to 69MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Medical counselling, Pre-existing disease, Radiculopathy, Reaction to previous exposure to any vaccine, Sciatica — Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesFree text: C3 Radiculopathy symptoms worse since Covid vaccine #1. Sciatic pain increaeed yesterday with medication needed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-02-24
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2021-03-03
Survey response — day 14, dose 2MedDRA: Condition aggravated, Muscle spasms, Neuralgia, Office visit, Pain management, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: My left aren spams and nerve pain from radiculopathy are worse. · Healthcare visit (other): Office visit and Lazard neck thraoyfir pain management. .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
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)
- 2021-03-10
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2021-03-17
Survey response — day 28, dose 2MedDRA: Sciatica — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sciatic pain worseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-24
- 2021-03-31
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2021-05-19
Survey response — 3 months, dose 2MedDRA: Vitreous disorder — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Post op discomfort from laser of vitreal tear.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-18
- 2021-12-22
- 2022-02-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Pfizer-BioNTech | |
| 2 | 2021-02-17 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-03 | Unsuccessful | |
| 2021-03-17 | Unsuccessful | |
| 2021-05-19 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): None
Systemic reaction (other): I have arthritis
Release 3 — day 7, dose 1
Systemic reaction (other): Left arm Covid injection site. I also have radiculopathy on that arm.
Release 4 — day 14, dose 1
Symptoms: Bausea
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Appetite poor. Blood sugar and to 69
Systemic reaction (other): C3 Radiculopathy symptoms worse since Covid vaccine #1. Sciatic pain increaeed yesterday with medication needed.
Release 5 — day 14, dose 2
Symptoms: My left aren spams and nerve pain from radiculopathy are worse.
Healthcare visit (other): Office visit and Lazard neck thraoyfir pain management. .
Release 5 — day 28, dose 2
Symptoms: Sciatic pain worse
Release 8 — 3 months, dose 2
Symptoms: Post op discomfort from laser of vitreal tear.
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 | ✓ | ✓ | ✓ |
| HCVO | Pain management | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Muscle spasticity | ○ | ○ | ○ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Neuralgia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Radiculopathy | ○ | ○ | ○ |
| SD | Sciatica | ✓ | ✓ | ✓ |
| SD | Vitreous disorder | ✓ | ✓ | ✓ |
| SRO | Blood glucose decreased | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Medical counselling | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Radiculopathy | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
| SRO | Sciatica | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release