ZMR-24971-34526
5 vaccinations
6 coded responses
47 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 945 / CA
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Registered in v-safe
-
2021-02-16
Dose 1 — Pfizer-BioNTech
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-23
- 2021-03-02
-
2021-03-09
Dose 2 — Pfizer-BioNTech
- 2021-03-09
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, NauseaAdult check-in
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
-
2021-03-30
Survey response — day 21, dose 2MedDRA: Eye haemorrhage — Feeling: GoodFree text: Issue with right eye blood vessels - burstingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-13
-
2021-04-20
Survey response — day 42, dose 2MedDRA: Eye haemorrhage, Hypersensitivity, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: I think it is allergies. Broken blood vessels in left eye. · Healthcare visit (other): Talked to an advice nurse.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-20
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-08
Survey response — 3 months, dose 2MedDRA: Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Allergies to olive trees · Healthcare visit (other): Went to clinicMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-08
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-04
-
2021-09-07
Survey response — 6 months, dose 2MedDRA: Medical observation, Neurological symptom — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: I had what they thought might be a stroke and was hospitalized for observation 24 hours or so at the end of June. After a million dollar work up they found no evidence of a stroke but postulated that it may have been migraine. Still inclusive.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-07
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-12
- 2021-09-14
-
2021-09-14
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-09-27
Dose 3 — Pfizer-BioNTech
-
2021-09-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-12
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-12-29
- 2022-03-28
-
2022-04-06
Dose 4 — Pfizer-BioNTechCo-administered: Pneumonia
-
2022-04-14
Health check-in — day 7, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2022-04-20
-
2022-04-27
Survey response — day 21, dose 4MedDRA: Cough, Erythema of eyelid, Eyelids pruritus, Fatigue, Nasal congestion, Sneezing, Swelling of eyelid — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Allergy, I think. Swollen, itchy, red eye lids, nasal congestion, tiredness, some sneezing and coughing.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
-
2022-05-11
Survey response — day 35, dose 4MedDRA: Pre-existing disease — Feeling: GoodFree text: AllergiesMedDRA releases: 2024-11 · check-in free text available
- 2022-05-18
- 2022-07-06
-
2022-09-10
Dose 5 — Moderna
- 2022-10-05
- 2022-10-17
- 2022-10-22
- 2022-12-10
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Pfizer-BioNTech | |
| 2 | 2021-03-09 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-04-06 | Pfizer-BioNTech | Pneumonia |
| 5 | 2022-09-10 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-20 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-06-08 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-09-07 | Successful 2021-09-14 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 6 — day 21, dose 2
Symptoms: Issue with right eye blood vessels - bursting
Release 7 — day 42, dose 2
Symptoms: I think it is allergies. Broken blood vessels in left eye.
Healthcare visit (other): Talked to an advice nurse.
Release 8 — 3 months, dose 2
Release 9 — 6 months, dose 2
Symptoms: I had what they thought might be a stroke and was hospitalized for observation 24 hours or so at the end of June. After a million dollar work up they found no evidence of a stroke but postulated that it may have been migraine. Still inclusive.
Release 11 — day 21, dose 4
Symptoms: Allergy, I think. Swollen, itchy, red eye lids, nasal congestion, tiredness, some sneezing and coughing.
Release 11 — day 35, dose 4
Symptoms: Allergies
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 | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Erythema of eyelid | · | · | ✓ |
| SD | Eye haemorrhage | ✓ | ✓ | ✓ |
| SD | Eyelids pruritus | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Medical observation | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Neurological symptom | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Swelling of eyelid | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release