ZQR-20613-76446
2 vaccinations
4 coded responses
19 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 200 / DC
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Pfizer-BioNTech
-
2021-01-14
Registered in v-safe
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-18
- 2021-01-22
- 2021-01-29
-
2021-02-03
Dose 2 — Pfizer-BioNTech
- 2021-02-03
- 2021-02-04
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Good · Site: Redness, Itching · Fatigue or tirednessFree text: Prolonged coughing fitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-08
- 2021-02-12
- 2021-02-17
-
2021-02-24
Survey response — day 21, dose 2MedDRA: Abdominal pain upper, Back pain, Cough, Diarrhoea, Fatigue, Headache, Nausea — Feeling: Fair · 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: Stomach cramps, diarrhea, feelings of nausea, fatigue for three days. On the fourth day began having back pain headache, coughing, continued fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-03
Survey response — day 28, dose 2MedDRA: Abdominal pain upper, Back pain, Diarrhoea, Lethargy — 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: Stomach cramps and diarrhea followed by backache and lethargy. The lethargy and back cramps lasted for about 10 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-10
- 2021-03-17
-
2021-05-06
Survey response — 3 months, dose 2MedDRA: Cough, Pneumonia, Sputum discoloured — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Deep chest cough with yellow phlegm. Began two weeks after last vaccination, lasted 2 mos, finally diagnosed as pneumoniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-06
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-05
- 2021-12-05
- 2021-12-21
- 2021-12-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Pfizer-BioNTech | |
| 2 | 2021-02-03 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-24 | Unsuccessful | |
| 2021-03-03 | Unsuccessful | |
| 2021-05-06 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Prolonged coughing fit
Release 4 — day 21, dose 2
Symptoms: Stomach cramps, diarrhea, feelings of nausea, fatigue for three days. On the fourth day began having back pain headache, coughing, continued fatigue
Release 4 — day 28, dose 2
Symptoms: Stomach cramps and diarrhea followed by backache and lethargy. The lethargy and back cramps lasted for about 10 days.
Release 8 — 3 months, dose 2
Symptoms: Deep chest cough with yellow phlegm. Began two weeks after last vaccination, lasted 2 mos, finally diagnosed as pneumonia
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lethargy | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pneumonia | ✓ | ✓ | ✓ |
| SD | Sputum discoloured | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release