ZKL-21829-21501
2 vaccinations
7 coded responses
16 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 241 / VA
- Registered
- 2021-05-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-13
Dose 1 — Pfizer-BioNTech
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2021-05-04
Registered in v-safe
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2021-05-04
Dose 2 — Pfizer-BioNTech
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2021-05-04
Survey response — day 0, dose 2MedDRA: Chest discomfort, Dysphagia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: Chest pressure. Difficulty swallowing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: Heat at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Heat at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-05-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Nausea, Abdominal painAdult check-in
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2021-05-11
Health check-in — day 7, dose 2Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-18
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2021-05-25
Survey response — day 21, dose 2MedDRA: Fatigue, Headache, Nausea, Pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Worsened nausea, body aches, headaches, and fatigue. Low grade fevers.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-01
- 2021-06-08
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2021-06-15
Survey response — day 42, dose 2MedDRA: Chest pain, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Radiating right side chest pain. Fatigue. Headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-03
Survey response — 3 months, dose 2MedDRA: Chest discomfort, Chest pain, Pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Chest pain. Chest tightness. Body pain. CongestionMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-02
Survey response — 6 months, dose 2MedDRA: Diarrhoea, Dizziness, Dyspnoea, Fatigue, Feeling hot, Headache, Nausea, Pain, Pain in extremity, Pyrexia, Quarantine, Respiratory tract congestion, Telemedicine, Vomiting — Feeling: Poor · 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: Diarrhea nausea fever body aches headaches dizziness shortness of breath congestion vomiting fatigue. Pain and heat in lower leg. Unable to go for covid testing. Televisit with doctor. Acting in accordance with Presumptive covid positive quarantineMedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Report sent to call center — 6 months, dose 2Be 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)
- 2021-11-04
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2021-11-05
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Pfizer-BioNTech | |
| 2 | 2021-05-04 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-02 | Successful 2021-11-05 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 8 — day 0, dose 2
Systemic reaction (other): Chest pressure. Difficulty swallowing.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Heat at injection site
Systemic reaction (other): Heat at injection site
Release 8 — day 21, dose 2
Symptoms: Worsened nausea, body aches, headaches, and fatigue. Low grade fevers.
Release 9 — day 42, dose 2
Symptoms: Radiating right side chest pain. Fatigue. Headache.
Release 9 — 3 months, dose 2
Symptoms: Chest pain. Chest tightness. Body pain. Congestion
Release 10 — 6 months, dose 2
Symptoms: Diarrhea nausea fever body aches headaches dizziness shortness of breath congestion vomiting fatigue. Pain and heat in lower leg. Unable to go for covid testing. Televisit with doctor. Acting in accordance with Presumptive covid positive quarantine cut off by CDC
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 | Chest discomfort | ✓ | · | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Telemedicine | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Dysphagia | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release