ZGM-17498-66896
4 vaccinations
10 coded responses
23 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 850 / AZ
- Registered
- 2021-09-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-15
Dose 1 — Pfizer-BioNTech
-
2021-03-25
Dose 2 — Pfizer-BioNTech
-
2021-09-28
Dose 3 — Pfizer-BioNTech
-
2021-09-29
Registered in v-safe
-
2021-09-29
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Fever · ChillsFree text: SlowishMedDRA releases: 2024-11 · check-in free text available
-
2021-09-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Pain — Feeling: Good · Site: Itching · Muscle or body achesFree text: Yesterday I had body aches today feeling betterMedDRA releases: 2024-11 · check-in free text available
- 2021-10-03
-
2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral, Pruritus — Feeling: Good · Site: ItchingFree text: My left underarm was a bit swollen and it was itching for a couple of daysMedDRA releases: 2024-11 · check-in free text available
- 2021-10-05
-
2021-10-12
Survey response — day 14, dose 3MedDRA: Headache — Feeling: GoodFree text: HeadachesMedDRA releases: 2024-11 · check-in free text available
- 2021-10-19
-
2021-10-26
Survey response — day 28, dose 3MedDRA: Headache — Feeling: GoodFree text: I rarely get headaches sin vaccine I've been getting on and off headaches not intense it comes and goes.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-09
- 2021-12-28
- 2022-03-29
-
2022-04-15
Dose 4 — Pfizer-BioNTech
- 2022-04-18
- 2022-04-19
- 2022-04-21
- 2022-04-22
-
2022-04-29
Survey response — day 14, dose 4MedDRA: Oedema peripheral, Pain — Feeling: FairFree text: Body pain and I didn't mention previously that I've had swelling swelling under my left arm from the day of vaccination IMedDRA releases: 2024-11 · check-in free text available
-
2022-05-06
Survey response — day 21, dose 4MedDRA: Immediate post-injection reaction, Malaise, Urinary tract infection — Feeling: FairFree text: Since the vaccine I immediately got a urine infection I'm still not feeling to well from that. I don't know if the vaccine had anything to do with the vaccine.MedDRA releases: 2024-11 · check-in free text available
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2022-05-15
Survey response — day 28, dose 4MedDRA: Myalgia, Urinary tract disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still dealing with urine issues and muscle achesMedDRA releases: 2024-11 · check-in free text available
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2022-05-20
Survey response — day 35, dose 4MedDRA: Adverse reaction, Myalgia, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: Since last vaccine shot Iva experience health issues I had not experienced before. Since Friday I've experienced severe muscle pain. · Healthcare visit (other): Primary careMedDRA releases: 2024-11 · check-in free text available
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2022-05-20
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-24
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2022-05-24
Call successfulCompleted over the phone
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2022-07-15
Survey response — 3 months, dose 4MedDRA: Bladder hypertrophy, Emergency care, Gait disturbance, Herpes zoster, Hospitalisation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Was hospitalized due to enlarged bladder. Also been in the emergency 2 times something happened and I was having serious walking issues. Las emergency room visit I was told I had shingles in my right eye behind the eyeball.MedDRA releases: 2024-11 · check-in free text available
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2022-07-15
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-07-19
- 2022-07-19
-
2022-07-20
Callback requested for12:00PM ET
-
2022-07-20
Call successfulCompleted over the phone
- 2022-10-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Pfizer-BioNTech | No |
| 2 | 2021-03-25 | Pfizer-BioNTech | No |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
| 4 | 2022-04-15 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-20 | Successful 2022-05-24 |
Completed over the phone |
| 2022-07-15 | Successful 2022-07-20 |
Completed over the phone |
Free text
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Slowish
Systemic reaction (other): Yesterday I had body aches today feeling better
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): My left underarm was a bit swollen and it was itching for a couple of days
Release 10 — day 14, dose 3
Symptoms: Headaches
Release 10 — day 28, dose 3
Symptoms: I rarely get headaches sin vaccine I've been getting on and off headaches not intense it comes and goes.
Release 11 — day 14, dose 4
Symptoms: Body pain and I didn't mention previously that I've had swelling swelling under my left arm from the day of vaccination I
Release 11 — day 21, dose 4
Symptoms: Since the vaccine I immediately got a urine infection I'm still not feeling to well from that. I don't know if the vaccine had anything to do with the vaccine.
Release 11 — day 28, dose 4
Symptoms: Still dealing with urine issues and muscle aches
Release 11 — day 35, dose 4
Symptoms: Since last vaccine shot Iva experience health issues I had not experienced before. Since Friday I've experienced severe muscle pain.
Healthcare visit (other): Primary care
Release 12 — 3 months, dose 4
Symptoms: Was hospitalized due to enlarged bladder. Also been in the emergency 2 times something happened and I was having serious walking issues. Las emergency room visit I was told I had shingles in my right eye behind the eyeball.
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 | Adverse reaction | · | · | ✓ |
| SD | Bladder hypertrophy | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Herpes zoster | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Immediate post-injection reaction | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Oedema peripheral | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Urinary tract disorder | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release