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ZPC-10460-17419

4 vaccinations 6 coded responses 38 check-ins 6 free-text entries 4 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
661 / KS
Registered
2021-03-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-26
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-11
    Registered in v-safe
  3. 2021-03-11
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-19
    Dose 2 — Pfizer-BioNTech
  6. 2021-03-19
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  7. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches
    Adult check-in
  8. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  9. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Eye pruritus, Sinus disorder — Feeling: Fair
    Free text: Itchy eyes, sinus -- believed to be seasonal allergies
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-23
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-30
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-18
    Survey response — 3 months, dose 2
    MedDRA: Influenza like illness, Malaise, Pre-existing disease, Tinnitus — Feeling: Good · Be unable to do your normal daily activities
    Free text: Rec'd the second Shingrix shot two months after the Covid shot and I got pretty sick with flu like symptoms. Also had tinnitus spike. No idea if related, just telling you. All but tinnitus is better.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-09-17
    Survey response — 6 months, dose 2
    MedDRA: Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Chronic sinus infection caused by allergies · Healthcare visit (other): My ENT
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-09-17
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-09-23
  23. 2021-09-28
    Call successful
    Not applicable - Accidental Reporting
  24. 2021-09-29
    Dose 3 — Pfizer-BioNTech
  25. 2021-10-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  26. 2021-10-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-10-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-10-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-10-06
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-10-13
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-10-20
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-10-27
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-11-11
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-12-29
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-03-30
    Survey response — 6 months, dose 3
    MedDRA: Biliary dyskinesia, Gallbladder disorder, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Biliary dyskinesia - gallbladder condition · Healthcare visit (other): My Dr and a surgical consult
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-03-30
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  38. 2022-03-31
    Call successful
    Not applicable - Accidental Reporting
  39. 2022-05-02
    Dose 4 — Pfizer-BioNTech
  40. 2022-05-15
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  41. 2022-05-16
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-05-23
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-05-30
    Survey response — day 28, dose 4
    MedDRA: Deafness unilateral, Eustachian tube dysfunction, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Eustachian tube dysfunction supposedly due to ALLERGIES. Unable to hear from left ear.
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-05-30
    Report sent to call center — day 28, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  45. 2022-05-31
  46. 2022-06-06
    Survey response — day 35, dose 4
    MedDRA: Office visit, Sudden hearing loss, Viral infection — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Sudden hearing loss in left ear, most likely due to a viral infection · Healthcare visit (other): ENT specialist
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-06-06
    Report sent to call center — day 35, dose 4
    Get care from a doctor or other healthcare professional
    1 call case(s)
  48. 2022-06-07
    Call successful
    Not applicable - Accidental Reporting
  49. 2022-06-07
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  50. 2022-06-13
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-08-01
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-10-31
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  53. 2023-05-02
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-26Pfizer-BioNTech
22021-03-19Pfizer-BioNTech
32021-09-29Pfizer-BioNTech No
42022-05-02Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-09-17 Successful
2021-09-28
 Not applicable - Accidental Reporting
2022-03-30 Successful
2022-03-31
 Not applicable - Accidental Reporting
2022-05-30 Successful
2022-06-07
 Not applicable - Accidental Reporting
2022-06-06 Successful
2022-06-07
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-24

Systemic reaction (other): Itchy eyes, sinus -- believed to be seasonal allergies

Release 9 — 3 months, dose 2

2021-06-18

Symptoms: Rec'd the second Shingrix shot two months after the Covid shot and I got pretty sick with flu like symptoms. Also had tinnitus spike. No idea if related, just telling you. All but tinnitus is better.

Release 9 — 6 months, dose 2

2021-09-17

Symptoms: Chronic sinus infection caused by allergies
Healthcare visit (other): My ENT

Release 11 — 6 months, dose 3

2022-03-30

Symptoms: Biliary dyskinesia - gallbladder condition
Healthcare visit (other): My Dr and a surgical consult

Release 11 — day 28, dose 4

2022-05-30

Symptoms: Eustachian tube dysfunction supposedly due to ALLERGIES. Unable to hear from left ear.

Release 11 — day 35, dose 4

2022-06-06

Symptoms: Sudden hearing loss in left ear, most likely due to a viral infection
Healthcare visit (other): ENT specialist

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDBiliary dyskinesia · · ✓
SDDeafness unilateral · · ✓
SDEustachian tube dysfunction · · ✓
SDGallbladder disorder · · ✓
SDInfluenza like illness ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDSudden hearing loss · · ✓
SDTinnitus ✓ ✓ ✓
SDViral infection · · ✓
SROEye pruritus ✓ ✓ ✓
SROSinus disorder ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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