ZG9-18537-93264
3 vaccinations
5 coded responses
21 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 481 / MI
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Dose 1 — Pfizer-BioNTech
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2021-02-11
Dose 2 — Pfizer-BioNTech
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2021-02-16
Registered in v-safe
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2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: FeverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Coating in mouth, Taste disorder — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: My food didnt taste right, film like in mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-05-13
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2021-08-12
Survey response — 6 months, dose 2MedDRA: Alopecia — Feeling: GoodFree text: I didnt realize I could report this but after my second dose my hair was falling out. Not in clumps but everyday the drain is full and throughout the day it would come out a lot. So from about 2 weeks til the end of JulyMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-25
Dose 3 — Pfizer-BioNTech
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2021-09-30
Survey response — days 1–6 daily, dose 3MedDRA: Urinary tract infection — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I also got a UTI the evening of the shotMedDRA releases: 2024-11 · check-in free text available
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2021-09-30
Report sent to call center — days 1–6 daily, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Joint painsAdult check-in
- 2021-10-02
- 2021-10-05
- 2021-10-09
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2021-10-14
Call successfulDoes not wish to fill out VAERS report
- 2021-10-16
- 2021-10-23
- 2021-10-31
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2021-11-06
Survey response — day 42, dose 3MedDRA: Arthralgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Joint pain in my knees. It's been going on but seems to get worse every day · Healthcare visit (other): Appt also at the officeMedDRA releases: 2024-11 · check-in free text available
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2021-11-06
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2021-11-09
Call successfulParticipant prefers to complete VAERS report online
- 2021-12-25
- 2022-03-26
- 2022-09-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Pfizer-BioNTech | |
| 2 | 2021-02-11 | Pfizer-BioNTech | |
| 3 | 2021-09-25 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-30 | Successful 2021-10-14 |
Does not wish to fill out VAERS report |
| 2021-11-06 | Successful 2021-11-09 |
Participant prefers to complete VAERS report online |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Fever
Systemic reaction (other): My food didnt taste right, film like in mouth
Release 9 — 6 months, dose 2
Symptoms: I didnt realize I could report this but after my second dose my hair was falling out. Not in clumps but everyday the drain is full and throughout the day it would come out a lot. So from about 2 weeks til the end of July
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): I also got a UTI the evening of the shot
Release 10 — day 42, dose 3
Symptoms: Joint pain in my knees. It's been going on but seems to get worse every day
Healthcare visit (other): Appt also at the office
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 | · | · | ✓ |
| SD | Alopecia | ✓ | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SRO | Coating in mouth | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
| SRO | Urinary tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release