ZLX-29093-41812
2 vaccinations
6 coded responses
12 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 605 / IL
- Registered
- 2021-06-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-07
Registered in v-safe
-
2021-06-07
Dose 1 — Pfizer-BioNTech
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2021-06-07
Survey response — day 0, dose 1MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Hand feels like it is asleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-08
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Pulmonary pain — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body achesFree text: Pain in the lower part of the right lung in my backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Chills, HeadacheAdult check-in
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2021-06-10
Survey response — days 1–6 daily, dose 1MedDRA: Oedema peripheral — Feeling: GoodFree text: Swelling in the under arm pitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-11
- 2021-06-12
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2021-06-13
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia — Feeling: GoodFree text: Join paint in shoulder todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-14
- 2021-06-21
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2021-06-28
Dose 2 — Pfizer-BioNTech
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2021-07-06
Survey response — day 7, dose 2MedDRA: Abdominal discomfort, Diarrhoea, Malaise, Pain, Pain in extremity, Pyrexia, Somnolence — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: The week I got the vaccine I was very sick. Day of fever, arm hurt, lungs felt like they had water in them and very sleepy. Second day same as 1st day. 3rd day felt like death run over me, all of the same as days before plus upset stomach diareha.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-12
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2021-12-29
Survey response — 6 months, dose 2MedDRA: Cough, Headache, Hyperhidrosis, Medical counselling, Oropharyngeal pain, Pain, Somnolence — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Headache, sweats, body aches, sore throat, dry cough , very sleepy · Healthcare visit (other): Phone visitMedDRA releases: 2024-11 · check-in free text available
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2021-12-29
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-01-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-07 | Pfizer-BioNTech | |
| 2 | 2021-06-28 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-29 | Unsuccessful |
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): Hand feels like it is asleep
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Pain in the lower part of the right lung in my back
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Swelling in the under arm pit
Systemic reaction (other): Join paint in shoulder today
Release 9 — day 7, dose 2
Systemic reaction (other): The week I got the vaccine I was very sick. Day of fever, arm hurt, lungs felt like they had water in them and very sleepy. Second day same as 1st day. 3rd day felt like death run over me, all of the same as days before plus upset stomach diareha.
Release 10 — 6 months, dose 2
Symptoms: Headache, sweats, body aches, sore throat, dry cough , very sleepy
Healthcare visit (other): Phone visit
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 | Medical counselling | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pulmonary pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release