ZQ4-32258-24909
4 vaccinations
15 coded responses
37 check-ins
13 free-text entries
11 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 840 / UT
- Registered
- 2020-12-17
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-17
Registered in v-safe
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2020-12-17
Dose 1 — Pfizer-BioNTech
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2020-12-17
Survey response — day 0, dose 1MedDRA: Injection site paraesthesia, Paraesthesia — Feeling: GoodFree text: Tingling from injection site to fingertips to my back.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2020-12-19
- 2020-12-20
- 2020-12-21
- 2020-12-22
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2020-12-24
Survey response — day 7, dose 1MedDRA: Pruritus — Feeling: FairFree text: Itchy body , hands feetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-31
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2021-01-06
Dose 2 — Pfizer-BioNTech
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2021-01-06
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-01-06
Report sent to call center — day 0, dose 2Be unable to work · Be unable to do your normal daily activities2 call case(s)
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2021-01-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-01-07
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
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2021-01-08
Survey response — days 1–6 daily, dose 2MedDRA: Urticaria — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to workFree text: Hives scalp, hands. Legs, arms and face .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-08
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2021-01-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-01-13
Survey response — day 7, dose 2MedDRA: Menstrual disorder — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Haven't menstruated since 12/28/2020MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-20
Survey response — day 14, dose 2MedDRA: Menstruation delayed — Feeling: FairFree text: I havent had my periodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
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2021-02-03
Survey response — day 28, dose 2MedDRA: Migraine, Nausea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cluster migraine NauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-10
Survey response — day 35, dose 2MedDRA: Headache, Urticaria — Feeling: Fair · Be unable to workFree text: Severe Headaches and hivesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-04-07
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2021-05-24
Call successfulCompleted over the phone
- 2021-07-07
- 2022-01-06
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2022-04-25
Dose 3 — Moderna
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2022-05-04
Health check-in — day 7, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
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2022-05-04
Report sent to call center — day 7, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-05
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2022-05-09
Survey response — day 14, dose 3MedDRA: Pruritus — Feeling: FairFree text: Itchy face and bodyMedDRA releases: 2024-11 · check-in free text available
- 2022-05-16
- 2022-05-23
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2022-05-30
Survey response — day 35, dose 3MedDRA: Migraine, Rash — Feeling: FairFree text: Migraines, rash on chest and kneeMedDRA releases: 2024-11 · check-in free text available
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2022-06-06
Survey response — day 42, dose 3MedDRA: Arthralgia, Dizziness, Migraine — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Migraines. Joint pain · Healthcare visit (other): Had to get medicine for migraines and dizzinessMedDRA releases: 2024-11 · check-in free text available
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2022-06-06
Report sent to call center — day 42, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-07
- 2022-06-07
- 2022-06-07
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2022-06-07
Call successfulCompleted over the phone
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2022-06-07
Call successfulCompleted over the phone
- 2022-07-25
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2022-10-07
Dose 4 — Other-UnknownCo-administered: Flu
- 2022-10-24
- 2022-10-24
- 2022-10-28
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2022-11-04
Survey response — day 28, dose 4MedDRA: Rash, Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Rash and on legs. Vertigo ,MedDRA releases: 2024-11 · check-in free text available
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2022-11-04
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-07
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2022-11-11
Survey response — day 35, dose 4MedDRA: COVID-19 — Feeling: Poor · 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 consultation, Emergency room or emergency department visitFree text: COVID positiveMedDRA releases: 2024-11 · check-in free text available
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2022-11-11
Report sent to call center — day 35, dose 4Be 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 · Emergency room or emergency department visit · 1 call case(s)
- 2022-11-14
- 2022-11-14
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2022-11-18
Survey response — day 42, dose 4MedDRA: Back pain, COVID-19, Impaired work ability — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Back pain. Smell and taste I got COVID 19 11/09/222 still positive 11/18/2022 but at work now after my 5 days at home.MedDRA releases: 2024-11 · check-in free text available
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2023-01-06
Survey response — 3 months, dose 4MedDRA: Chest pain, Migraine — Feeling: Poor · 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 consultationMedDRA releases: 2024-11
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2023-01-06
Report sent to call center — 3 months, dose 4Be 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)
- 2023-01-09
- 2023-01-09
- 2023-01-09
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2023-04-07
Survey response — 6 months, dose 4MedDRA: Chest pain, Palpitations — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-04-07
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-10
- 2023-04-10
- 2023-04-10
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-17 | Pfizer-BioNTech | |
| 2 | 2021-01-06 | Pfizer-BioNTech | |
| 3 | 2022-04-25 | Moderna | No |
| 4 | 2022-10-07 | Other-Unknown | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-06 | priority 2/3 | |
| 2021-01-06 | priority 2/3 | |
| 2021-01-07 | priority 2/3 | |
| 2021-01-08 | priority 2/3 | |
| 2021-02-03 | Successful 2021-05-24 |
Completed over the phone |
| 2022-05-04 | Successful 2022-06-07 |
Completed over the phone |
| 2022-06-06 | Successful 2022-06-07 |
Completed over the phone |
| 2022-11-04 | Unsuccessful | |
| 2022-11-11 | Unsuccessful | |
| 2023-01-06 | Unsuccessful | |
| 2023-04-07 | Unsuccessful |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Tingling from injection site to fingertips to my back.
Release 1 — day 7, dose 1
Systemic reaction (other): Itchy body , hands feet
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Hives scalp, hands. Legs, arms and face .
Release 1 — day 7, dose 2
Systemic reaction (other): Haven't menstruated since 12/28/2020
Release 2 — day 14, dose 2
Symptoms: I havent had my period
Release 3 — day 28, dose 2
Symptoms: Cluster migraine Nausea
Release 4 — day 35, dose 2
Symptoms: Severe Headaches and hives
Release 11 — day 14, dose 3
Symptoms: Itchy face and body
Release 11 — day 35, dose 3
Symptoms: Migraines, rash on chest and knee
Release 11 — day 42, dose 3
Symptoms: Migraines. Joint pain
Healthcare visit (other): Had to get medicine for migraines and dizziness
Release 12 — day 28, dose 4
Symptoms: Rash and on legs. Vertigo ,
Release 12 — day 35, dose 4
Symptoms: COVID positive
Release 12 — day 42, dose 4
Symptoms: Back pain. Smell and taste I got COVID 19 11/09/222 still positive 11/18/2022 but at work now after my 5 days at home.
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 | Dizziness | · | · | ✓ |
| HCVO | Migraine | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Menstruation delayed | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Injection site paraesthesia | ✓ | ✓ | ✓ |
| SRO | Menstrual disorder | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release