ZKZ-22963-75319
2 vaccinations
4 coded responses
22 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 782 / TX
- Registered
- 2021-04-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-13
Dose 1 — Pfizer-BioNTech
-
2021-04-14
Registered in v-safe
-
2021-04-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-15
-
2021-04-16
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Fatigue or tirednessFree text: Prickling skin but it had started before vaccine - its increased.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
-
2021-04-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2021-04-20
- 2021-04-27
-
2021-05-04
Dose 2 — Pfizer-BioNTech
-
2021-05-04
Survey response — day 0, dose 2MedDRA: Anxiety — Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessFree text: AnxietyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-14
- 2021-05-18
- 2021-06-02
- 2021-06-10
- 2021-06-15
-
2021-08-03
Survey response — 3 months, dose 2MedDRA: Arthritis, COVID-19, Cough, Diarrhoea, Fatigue, Inflammation, Migraine, Myositis, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Covid 19, diarrheal, migraine, fatigue, congestion, inflammation (muscle and joints), coughMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-04
-
2022-05-04
Survey response — 12 months, dose 2MedDRA: Abdominal discomfort, Blood triglycerides increased, Cough, Hypogeusia, Hyposmia, Increased upper airway secretion, Menopausal symptoms, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Blood tests High triglycerides, liver peptides Menopause symptoms A continual mild build up mucus at the back of my throat that I have to cough away.multiple times a day, not allergies. Upset stomach for a month Taste/smell not fully returned · Healthcare visit (other): PcpMedDRA releases: 2024-11 · check-in free text available
-
2022-05-04
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2022-05-05
Call successfulNot applicable - Accidental Reporting
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 |
|---|---|---|
| 2022-05-04 | Successful 2022-05-05 |
Not applicable - Accidental Reporting |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Prickling skin but it had started before vaccine - its increased.
Release 8 — day 0, dose 2
Systemic reaction (other): Anxiety
Release 9 — 3 months, dose 2
Symptoms: Covid 19, diarrheal, migraine, fatigue, congestion, inflammation (muscle and joints), cough
Release 11 — 12 months, dose 2
Symptoms: Blood tests High triglycerides, liver peptides Menopause symptoms A continual mild build up mucus at the back of my throat that I have to cough away.multiple times a day, not allergies. Upset stomach for a month Taste/smell not fully returned
Healthcare visit (other): Pcp
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 | Abdominal discomfort | · | · | ✓ |
| SD | Arthritis | ✓ | · | ✓ |
| SD | Blood triglycerides increased | · | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | COVID-19 | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Hypogeusia | · | · | ✓ |
| SD | Hyposmia | · | · | ✓ |
| SD | Increased upper airway secretion | · | · | ✓ |
| SD | Inflammation | ✓ | · | ✓ |
| SD | Menopausal symptoms | · | · | ✓ |
| SD | Migraine | ✓ | · | ✓ |
| SD | Myositis | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release