ZJS-30301-67683
2 vaccinations
7 coded responses
13 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 958 / CA
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Registered in v-safe
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2021-03-19
Dose 1 — Pfizer-BioNTech
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2021-03-19
Health check-in — day 0, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-24
- 2021-03-28
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2021-04-02
Survey response — day 14, dose 1MedDRA: Fatigue, Somnolence — Feeling: FairFree text: More fatigue and wanting to sleep a lot more.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Dose 2 — Pfizer-BioNTech
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2021-04-16
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-23
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2021-04-30
Survey response — day 21, dose 2MedDRA: Cough variant asthma — Feeling: GoodFree text: Asthmatic cough has been happening a little more throughout the day/night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Survey response — day 28, dose 2MedDRA: Systemic lupus erythematosus, Urinary tract infection — Feeling: Poor · 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: Lupus aches, and UTI infection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-14
Survey response — day 35, dose 2MedDRA: Hospitalisation, Office visit, Urinary tract infection — Feeling: Good · Be unable to work, 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: Had UTI, went to urgent care for medication and treatment.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-21
Survey response — day 42, dose 2MedDRA: Depression, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My depression has been worse for the past two weeks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-10
Survey response — 3 months, dose 2MedDRA: Injection site bruising — Feeling: FairFree text: I have a dark mark on my arm where I received my shot. Its approximately 2-21/2wide and about 1 3/4high. It doesnt hurt and its starting to get lighter.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2022-01-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Pfizer-BioNTech | |
| 2 | 2021-04-09 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-07 | Unsuccessful | |
| 2021-05-14 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): None
Release 6 — day 14, dose 1
Symptoms: More fatigue and wanting to sleep a lot more.
Release 8 — day 21, dose 2
Symptoms: Asthmatic cough has been happening a little more throughout the day/night.
Release 8 — day 28, dose 2
Symptoms: Lupus aches, and UTI infection.
Release 8 — day 35, dose 2
Symptoms: Had UTI, went to urgent care for medication and treatment.
Release 8 — day 42, dose 2
Symptoms: My depression has been worse for the past two weeks.
Release 9 — 3 months, dose 2
Symptoms: I have a dark mark on my arm where I received my shot. Its approximately 2-21/2wide and about 1 3/4high. It doesnt hurt and its starting to get lighter.
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 |
|---|---|---|---|---|
| SD | Cough variant asthma | ✓ | ✓ | ✓ |
| SD | Depression | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ○ |
| SD | Injection site bruising | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SD | Systemic lupus erythematosus | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release