ZFR-19074-93272
5 vaccinations
8 coded responses
45 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 543 / WI
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Registered in v-safe
-
2021-02-04
Dose 1 — Pfizer-BioNTech
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
-
2021-02-11
Survey response — day 7, dose 1MedDRA: Pre-existing disease — Feeling: GoodFree text: Ongoing depression re family problemsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
-
2021-02-25
Dose 2 — Pfizer-BioNTech
- 2021-02-25
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Emergency care, Stress — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Very stressful day; trip to ER for my sonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Good · Fatigue or tirednessFree text: But I didnt get much sleep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
-
2021-03-11
Survey response — day 14, dose 2MedDRA: Asthenia, Headache, Pain, Stress — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Hurt everywhere. Began about 4:45 pm today. Headache and weakness. Ate dinner and not worse. Could be all from stress. Unable to obtain medical help when needed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-27
- 2021-04-01
-
2021-04-08
Survey response — day 42, dose 2MedDRA: Infection, Office visit, Pain in extremity, Urinary tract infection, Varicella, Varicose vein, Vascular pain — 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 visit, Emergency room or emergency department visitFree text: Symptoms: Diagnosed Saturday that pain in my left calf is caused by varicose veins there. Three days ago diagnosed and treated with antibiotics for UTI. Diagnosed today by PCP with infection in painful varicose veins. · Healthcare visit (other): Also appointment with PCP today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-08
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-27
-
2021-08-17
Dose 3 — Pfizer-BioNTech
-
2021-08-26
Survey response — 6 months, dose 2MedDRA: Office visit, Synovial cyst — 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 visitFree text: Symptoms: Diagnosis Bakers Cyst left knee. · Healthcare visit (other): Appointment with my orthopedic md and ultrasound draining and steroid injection to be done tomorrow.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-26
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-27
- 2021-10-01
- 2021-11-16
-
2022-02-15
Survey response — 6 months, dose 3MedDRA: Knee arthroplasty, Rehabilitation therapy, SARS-CoV-2 test positive, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Tested positive for covid on December 5, five days after my transfer to a rehab facility. My left knee was replaced November 22, 2021. · Healthcare visit (other): Treated in nursing home with antibodies for Covid 19.MedDRA releases: 2024-11 · check-in free text available
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2022-02-15
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-16
-
2022-03-01
Call successfulCompleted over the phone
-
2022-04-14
Dose 4 — Pfizer-BioNTech
- 2022-04-14
- 2022-04-15
- 2022-04-16
- 2022-04-17
- 2022-04-19
- 2022-04-23
- 2022-04-28
- 2022-05-10
- 2022-05-13
- 2022-05-19
- 2022-05-26
- 2022-07-14
- 2022-10-13
-
2022-10-20
Dose 5 — Pfizer-BioNTech
-
2022-10-20
Health check-in — day 0, dose 5Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-23
Survey response — days 1–6 daily, dose 5MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had moderate headaches starting 1 week ago that continued for 6 days.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-24
- 2023-01-20
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Pfizer-BioNTech | |
| 2 | 2021-02-25 | Pfizer-BioNTech | |
| 3 | 2021-08-17 | Pfizer-BioNTech | No |
| 4 | 2022-04-14 | Pfizer-BioNTech | No |
| 5 | 2022-10-20 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-08 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-08-26 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-02-15 | Successful 2022-03-01 |
Completed over the phone |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): Ongoing depression re family problems
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Very stressful day; trip to ER for my son
Systemic reaction (other): But I didnt get much sleep.
Release 5 — day 14, dose 2
Symptoms: Hurt everywhere. Began about 4:45 pm today. Headache and weakness. Ate dinner and not worse. Could be all from stress. Unable to obtain medical help when needed.
Release 7 — day 42, dose 2
Symptoms: Diagnosed Saturday that pain in my left calf is caused by varicose veins there. Three days ago diagnosed and treated with antibiotics for UTI. Diagnosed today by PCP with infection in painful varicose veins.
Healthcare visit (other): Also appointment with PCP today.
Release 9 — 6 months, dose 2
Symptoms: Diagnosis Bakers Cyst left knee.
Healthcare visit (other): Appointment with my orthopedic md and ultrasound draining and steroid injection to be done tomorrow.
Release 11 — 6 months, dose 3
Symptoms: Tested positive for covid on December 5, five days after my transfer to a rehab facility. My left knee was replaced November 22, 2021.
Healthcare visit (other): Treated in nursing home with antibodies for Covid 19.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Had moderate headaches starting 1 week ago that continued for 6 days.
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 | Unevaluable event | · | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Infection | ✓ | ✓ | ✓ |
| SD | Knee arthroplasty | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rehabilitation therapy | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Stress | ✓ | ✓ | ✓ |
| SD | Synovial cyst | ✓ | · | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
| SD | Varicella | ○ | ✓ | ○ |
| SD | Varicose vein | ✓ | · | ✓ |
| SD | Vascular pain | ✓ | · | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Stress | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release