ZJQ-29035-44362
5 vaccinations
5 coded responses
52 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 208 / MD
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 1 — Pfizer-BioNTech
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
-
2021-03-19
Dose 2 — Pfizer-BioNTech
-
2021-03-19
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-06-18
- 2021-09-17
-
2021-09-28
Dose 3 — Pfizer-BioNTech
- 2021-10-02
-
2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature increased, Chills, Fatigue, Headache, Pain — Feeling: Good · Headache, Joint painsFree text: Rx to the vaccine 24 hours after receiving it...99.8 fever, very tired, chills, body aches, headache...lasted 24 hrs and then symptoms diminished sporatically on Friday.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-04
- 2021-10-05
- 2021-10-12
- 2021-10-19
- 2021-10-26
- 2021-11-04
- 2021-11-09
- 2021-12-29
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2022-03-31
Survey response — 6 months, dose 3MedDRA: Office visit, Precancerous condition, Skin lesion removal, Tenosynovitis stenosans — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: DeQuervains Tenosynovitis of left wrist, 2 small pre-cancerous spots on skin on chezt removed · Healthcare visit (other): Went to Care provider appts and hand specialist appt.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-31
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)
-
2022-04-07
Dose 4 — Moderna
- 2022-04-21
- 2022-05-15
-
2022-06-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-07-07
-
2022-10-06
Survey response — 6 months, dose 4MedDRA: Brain fog, COVID-19, Headache, Office visit, Pruritus, Somnolence — 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 consultationFree text: Very bad itching skin for which i have been to my family doctor & to dermatologist. They can't find a reason for it. It started after i had covid which started 7/22. Bad brain fog after covid. I was positive for 12 days & i slept ALOT!!!MedDRA releases: 2024-11 · check-in free text available
-
2022-10-06
Report sent to call center — 6 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)
-
2022-10-07
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-26
Dose 5 — Pfizer-BioNTech
- 2022-10-26
-
2022-10-27
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Swelling, Itching · Headache, Joint painsAdult check-in
-
2022-10-28
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Swelling · Chills, Joint pains, Muscle or body achesAdult check-in
-
2022-10-29
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body achesAdult check-in
-
2022-10-30
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Swelling, Itching · Joint painsAdult check-in
-
2022-10-31
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2022-11-02
Survey response — day 7, dose 5MedDRA: Brain fog — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Brain fogMedDRA releases: 2024-11 · check-in free text available
- 2022-11-09
- 2022-11-16
- 2022-11-23
-
2022-11-30
Survey response — day 35, dose 5MedDRA: Alopecia, COVID-19, Pruritus — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I've been having significant hair loss. I've met others who know of family members having the same problem. I was told it will take 5 months to go through this cycle after having covid. I also have had significant scalp itching.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-30
Report sent to call center — day 35, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-12-01
Call successfulParticipant prefers to complete VAERS report online
- 2022-12-08
- 2023-01-27
- 2023-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Pfizer-BioNTech | |
| 2 | 2021-03-19 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
| 4 | 2022-04-07 | Moderna | No |
| 5 | 2022-10-26 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-31 | Successful 2022-06-21 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-10-06 | Successful 2022-10-07 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-11-30 | Successful 2022-12-01 |
Participant prefers to complete VAERS report online |
Free text
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Rx to the vaccine 24 hours after receiving it...99.8 fever, very tired, chills, body aches, headache...lasted 24 hrs and then symptoms diminished sporatically on Friday.
Release 11 — 6 months, dose 3
Symptoms: DeQuervains Tenosynovitis of left wrist, 2 small pre-cancerous spots on skin on chezt removed
Healthcare visit (other): Went to Care provider appts and hand specialist appt.
Release 12 — 6 months, dose 4
Symptoms: Very bad itching skin for which i have been to my family doctor & to dermatologist. They can't find a reason for it. It started after i had covid which started 7/22. Bad brain fog after covid. I was positive for 12 days & i slept ALOT!!!
Release 12 — day 7, dose 5
Systemic reaction (other): Brain fog
Release 12 — day 35, dose 5
Symptoms: I've been having significant hair loss. I've met others who know of family members having the same problem. I was told it will take 5 months to go through this cycle after having covid. I also have had significant scalp itching.
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 | Brain fog | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Precancerous condition | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Skin lesion removal | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Tenosynovitis stenosans | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release