ZK4-15675-80378
3 vaccinations
5 coded responses
31 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 640 / MO
- Registered
- 2021-02-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-25
Dose 1 — Pfizer-BioNTech
-
2021-02-28
Registered in v-safe
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
-
2021-03-18
Dose 2 — Pfizer-BioNTech
- 2021-03-18
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-20
-
2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: FairFree text: My lymph nodes are swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
-
2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · FeverFree text: Swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-06-17
- 2021-09-16
-
2021-09-28
Dose 3 — Pfizer-BioNTech
- 2021-10-01
- 2021-10-02
-
2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Chills — Feeling: GoodFree text: I want to.report that my first v-safe check was a couple of days after my booster when my side effects were already over. I experienced side effects almost exactly 12 hours after my 3rd shot - teeth chattering chills that subsided after about 4 hrsMedDRA releases: 2024-11 · check-in free text available
- 2021-10-05
- 2021-10-12
- 2021-10-26
- 2021-11-04
- 2021-11-11
- 2021-12-28
-
2022-03-29
Survey response — 6 months, dose 3MedDRA: Chills, Nausea, SARS-CoV-2 test, Vertigo, Vomiting — 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: Symptoms: Onset of symptoms - Vertigo followed by Nausea and vomiting with chills -this lasted for about 6 or 7 hours · Healthcare visit (other): Took rapid and PCR Covid testMedDRA releases: 2024-11 · check-in free text available
-
2022-03-29
Report sent to call center — 6 months, dose 3Be 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)
- 2022-03-31
-
2022-09-28
Survey response — 12 months, dose 3MedDRA: COVID-19, Chills, Headache, Night sweats, Pyrexia, Rash, Throat irritation — Feeling: Good · Be unable to work or attend school, 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: I had Covid. I experienced a headache, scratchy throat, chills, night sweats/feverish, rash on appendagesMedDRA releases: 2024-11 · check-in free text available
-
2022-09-28
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-09-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Pfizer-BioNTech | |
| 2 | 2021-03-18 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-29 | Successful 2022-09-29 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-09-28 | Successful 2022-09-29 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): My lymph nodes are swollen
Systemic reaction (other): Swollen lymph nodes
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): I want to.report that my first v-safe check was a couple of days after my booster when my side effects were already over. I experienced side effects almost exactly 12 hours after my 3rd shot - teeth chattering chills that subsided after about 4 hrs cut off by CDC
Release 11 — 6 months, dose 3
Symptoms: Onset of symptoms - Vertigo followed by Nausea and vomiting with chills -this lasted for about 6 or 7 hours
Healthcare visit (other): Took rapid and PCR Covid test
Release 12 — 12 months, dose 3
Symptoms: I had Covid. I experienced a headache, scratchy throat, chills, night sweats/feverish, rash on appendages
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 | SARS-CoV-2 test | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Night sweats | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release