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ZPG-12111-34906

5 vaccinations 10 coded responses 69 check-ins 9 free-text entries 3 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
566 / MN
Registered
2021-03-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-10
    Registered in v-safe
  2. 2021-03-10
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-10
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Joint pains
    Adult check-in
  5. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains, Fatigue or tiredness
    Adult check-in
  6. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-31
    Dose 2 — Pfizer-BioNTech
  13. 2021-03-31
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  15. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  18. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-30
    Survey response — 3 months, dose 2
    MedDRA: Axillary mass — Feeling: Good
    Free text: I have a small lump under my arm. I dont know if it is from the shot. It has been there a month or so. It just started to bother me some. I thought my sleeve was rubbing, but there is a lump. I have not been to doctor yet.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-09-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-04
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  29. 2021-10-04
    Survey response — day 0, dose 3
    MedDRA: Musculoskeletal stiffness — Feeling: Good · Site: Pain
    Free text: Slight stiffness in arm/shoulder.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-10-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site discolouration — Feeling: Good · Site: Pain, Redness
    Free text: Black & blue at injection site.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  32. 2021-10-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-10-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site discolouration — Feeling: Good
    Free text: Still black and blue at injection site.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-10-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-10-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-10-11
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-10-20
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-10-25
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-01
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-08
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-11-15
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-01-03
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-04-06
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-04-18
    Dose 4 — Pfizer-BioNTech
  45. 2022-04-18
    Survey response — day 0, dose 4
    MedDRA: Pre-existing disease — Feeling: Good
    Free text: I had diarrhea this morning before my shot.
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-04-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  47. 2022-04-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  48. 2022-04-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Joint pains, Muscle or body aches
    Adult check-in
  49. 2022-04-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Joint pains
    Adult check-in
  50. 2022-04-23
    Survey response — days 1–6 daily, dose 4
    MedDRA: Postmenopausal haemorrhage — Feeling: Fair
    Free text: Post menopausal spotting. I will follow up with my Dr.
    MedDRA releases: 2024-11 · check-in free text available
  51. 2022-04-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  52. 2022-04-25
    Survey response — day 7, dose 4
    MedDRA: Postmenopausal haemorrhage — Feeling: Fair
    Free text: Still having some post menopausal spotting. Have Appt with GYN in June.
    MedDRA releases: 2024-11 · check-in free text available
  53. 2022-05-02
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-05-09
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-05-16
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-05-23
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-05-30
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  58. 2022-07-18
    Survey response — 3 months, dose 4
    MedDRA: Intermenstrual bleeding, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I had break through bleeding about three days after shot. I did report this. I saw my gynecologist, had tests done. I have uterine cancer and I am being treated for it.
    MedDRA releases: 2024-11 · check-in free text available
  59. 2022-07-18
    Report sent to call center — 3 months, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  60. 2022-07-19
    Call successful
    Participant prefers to complete VAERS report online
  61. 2022-10-17
    Survey response — 6 months, dose 4
    MedDRA: Cancer surgery, Endometrial cancer — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Surgery for endometrial cancer.
    MedDRA releases: 2024-11 · check-in free text available
  62. 2022-10-17
    Report sent to call center — 6 months, dose 4
    Get care from a doctor or other healthcare professional
    Hospitalization · 1 call case(s)
  63. 2022-10-18
  64. 2022-10-21
  65. 2022-10-24
    Dose 5 — Pfizer-BioNTech
    Co-administered: Flu
  66. 2022-10-24
    Health check-in — day 0, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  67. 2022-10-25
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  68. 2022-10-26
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  69. 2022-10-27
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  70. 2022-10-28
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  71. 2022-10-29
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  72. 2022-10-30
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  73. 2022-10-31
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  74. 2022-11-07
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  75. 2022-11-14
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  76. 2022-11-21
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  77. 2022-11-28
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  78. 2022-12-05
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  79. 2023-01-23
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  80. 2023-04-24
    Survey response — 6 months, dose 5
    MedDRA: Emergency care, Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    MedDRA releases: 2024-11
  81. 2023-04-24
    Report sent to call center — 6 months, dose 5
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  82. 2023-04-25
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  83. 2023-04-25
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Pfizer-BioNTech
22021-03-31Pfizer-BioNTech
32021-10-04Pfizer-BioNTech Flu
42022-04-18Pfizer-BioNTech No
52022-10-24Pfizer-BioNTech Flu

Call center

ReportedOutcomeVAERS-related outcome
2022-07-18 Successful
2022-07-19
Participant prefers to complete VAERS report online
2022-10-17 Successful
2023-04-25
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-24 Successful
2023-04-25
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 9 — 3 months, dose 2

2021-06-30

Symptoms: I have a small lump under my arm. I dont know if it is from the shot. It has been there a month or so. It just started to bother me some. I thought my sleeve was rubbing, but there is a lump. I have not been to doctor yet.

Release 10 — day 0, dose 3

2021-10-04

Systemic reaction (other): Slight stiffness in arm/shoulder.

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): Black & blue at injection site.

2021-10-08

Systemic reaction (other): Still black and blue at injection site.

Release 11 — day 0, dose 4

2022-04-18

Systemic reaction (other): I had diarrhea this morning before my shot.

Release 11 — days 1–6 daily, dose 4

2022-04-23

Systemic reaction (other): Post menopausal spotting. I will follow up with my Dr.

Release 11 — day 7, dose 4

2022-04-25

Systemic reaction (other): Still having some post menopausal spotting. Have Appt with GYN in June.

Release 12 — 3 months, dose 4

2022-07-18

Symptoms: I had break through bleeding about three days after shot. I did report this. I saw my gynecologist, had tests done. I have uterine cancer and I am being treated for it.

Release 12 — 6 months, dose 4

2022-10-17

Symptoms: Surgery for endometrial cancer.

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
SDAxillary mass ✓ ✓ ✓
SDCancer surgery · · ✓
SDEmergency care · · ✓
SDEndometrial cancer · · ✓
SDHypertension · · ✓
SDIntermenstrual bleeding · · ✓
SDOffice visit · · ✓
SDPre-existing disease · · ✓
SROInjection site discolouration · · ✓
SROMusculoskeletal stiffness · · ✓
SROPostmenopausal haemorrhage · · ✓
SROPre-existing disease · · ✓

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