ZNR-11351-35841
3 vaccinations
5 coded responses
30 check-ins
5 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 838 / ID
- Registered
- 2020-12-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-19
Registered in v-safe
-
2020-12-19
Dose 1 — Pfizer-BioNTech
- 2020-12-19
-
2020-12-20
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: Pain in arm that received the shot. Started 12 hours afte4 injection and last about 12 hrsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-20
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2020-12-21
- 2020-12-22
- 2020-12-27
- 2021-01-03
-
2021-01-09
Dose 2 — Pfizer-BioNTech
- 2021-01-10
- 2021-01-11
- 2021-01-12
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2021-01-14
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Office visit — Feeling: Good · Headache · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have had a headache since 4 days after receiving my first shot on 12/19/20. Not sure it its related. Started out as pain in left forehead and over time has followed the nerve to the top of my scalp. Went to doctor yesterday and he didnt know what is was.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-16
Survey response — day 7, dose 2MedDRA: Office visit, Pain of skin, Pruritus — Feeling: Fair · Site: Pain, Itching · Headache · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ive had itching and pain in my scalp since a few days following my first shot. Didnt pay much attention to it at first but its getting worse. Went to doctor who prescribed gab spent on and to wait and see. Its very painful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-23
Survey response — day 14, dose 2MedDRA: Headache — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Headache is still with me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-23
Report sent to call center — day 14, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-30
- 2021-02-07
- 2021-02-13
- 2021-02-20
-
2021-03-04
Call successfulCompleted over the phone
- 2021-04-10
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2021-09-28
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-09-28
- 2021-09-29
- 2021-09-30
- 2021-10-01
- 2021-10-03
- 2021-10-04
- 2021-10-08
- 2021-10-21
- 2021-10-26
- 2021-11-04
- 2021-11-11
- 2021-12-28
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2022-09-30
Survey response — 12 months, dose 3MedDRA: Nasopharyngitis — 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: Bad head colderMedDRA releases: 2024-11 · check-in free text available
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2022-09-30
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)
- 2022-10-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-19 | Pfizer-BioNTech | |
| 2 | 2021-01-09 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-20 | Successful | Completed over the phone |
| 2021-01-14 | Successful | Completed over the phone |
| 2021-01-16 | Successful 2021-03-04 |
Completed over the phone |
| 2021-01-23 | Successful | Completed over the phone |
| 2022-09-30 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Pain in arm that received the shot. Started 12 hours afte4 injection and last about 12 hrs
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): I have had a headache since 4 days after receiving my first shot on 12/19/20. Not sure it its related. Started out as pain in left forehead and over time has followed the nerve to the top of my scalp. Went to doctor yesterday and he didnt know what is was.
Release 2 — day 7, dose 2
Systemic reaction (other): Ive had itching and pain in my scalp since a few days following my first shot. Didnt pay much attention to it at first but its getting worse. Went to doctor who prescribed gab spent on and to wait and see. Its very painful.
Release 2 — day 14, dose 2
Symptoms: Headache is still with me.
Release 12 — 12 months, dose 3
Symptoms: Bad head colder
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 | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release