ZP4-95004-28901
5 vaccinations
6 coded responses
49 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 782 / TX
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Dose 1 — Pfizer-BioNTech
-
2021-02-05
Registered in v-safe
- 2021-02-05
-
2021-02-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
-
2021-02-24
Dose 2 — Pfizer-BioNTech
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, Nausea, DiarrheaAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-03
- 2021-03-10
-
2021-03-17
Survey response — day 21, dose 2MedDRA: Condition aggravated, Gait disturbance, Pre-existing disease — Feeling: GoodFree text: My spinal stenosis is bad this week - difficult to walk. Nothing that could logically be related to covid vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-08-25
-
2021-10-05
Dose 3 — Pfizer-BioNTech
- 2021-10-05
-
2021-10-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-10-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling · Fever · Fatigue or tirednessAdult check-in
- 2021-10-08
- 2021-10-09
- 2021-10-10
-
2021-10-11
Survey response — days 1–6 daily, dose 3MedDRA: Pre-existing disease — Feeling: Good · Fatigue or tirednessFree text: Fatigue/ tiredness are not newMedDRA releases: 2024-11 · check-in free text available
- 2021-10-12
- 2021-10-19
- 2021-10-26
- 2021-11-02
-
2021-11-05
Dose 4 — Pfizer-BioNTech
-
2021-11-09
Survey response — day 35, dose 3MedDRA: Condition aggravated, Gait disturbance, Pre-existing disease, Vertigo — Feeling: Good · Be unable to do your normal daily activitiesFree text: Spinal stenosis has been acting up. Also vertigo. Makes walking difficult. Cannot say it is related to Covid vaccinationMedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
- 2022-01-04
-
2022-04-05
Survey response — 6 months, dose 3MedDRA: Body temperature increased, COVID-19, Cough, Fatigue, Meniscus injury, Pain, Respiratory tract congestion, Unevaluable event — Feeling: Good · 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: Symptoms: Covid. January 16. Cough, congestion , mild elevated temperature and very tired. Lasted about a week Torn miniscus - pain · Healthcare visit (other): Dr did not want me in the officeMedDRA releases: 2024-11 · check-in free text available
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2022-04-05
Report sent to call center — 6 months, dose 3Be 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)
- 2022-04-12
-
2022-05-06
Survey response — 6 months, dose 4MedDRA: Meniscus injury, Surgery — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Torn meniscus · Healthcare visit (other): SurgeryMedDRA releases: 2024-11 · check-in free text available
-
2022-05-06
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-05-09
- 2022-05-09
-
2022-05-11
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-05
Dose 5 — Pfizer-BioNTech
-
2022-10-08
Survey response — days 1–6 daily, dose 5MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Not unusual for me, May not be immunizationMedDRA releases: 2024-11 · check-in free text available
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-11-16
- 2023-01-04
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Pfizer-BioNTech | |
| 2 | 2021-02-24 | Pfizer-BioNTech | |
| 3 | 2021-10-05 | Pfizer-BioNTech | No |
| 4 | 2021-11-05 | Pfizer-BioNTech | No |
| 5 | 2022-10-05 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-05 | Successful | Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-05-06 | Successful 2022-05-11 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 5 — day 21, dose 2
Symptoms: My spinal stenosis is bad this week - difficult to walk. Nothing that could logically be related to covid vaccine
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Fatigue/ tiredness are not new
Release 10 — day 35, dose 3
Symptoms: Spinal stenosis has been acting up. Also vertigo. Makes walking difficult. Cannot say it is related to Covid vaccination
Release 11 — 6 months, dose 3
Symptoms: Covid. January 16. Cough, congestion , mild elevated temperature and very tired. Lasted about a week Torn miniscus - pain
Healthcare visit (other): Dr did not want me in the office
Release 11 — 6 months, dose 4
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Not unusual for me, May not be immunization
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 | Surgery | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gait disturbance | ✓ | ✓ | ✓ |
| SD | Meniscus injury | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release