ZRM-17559-94816
3 vaccinations
13 coded responses
20 check-ins
13 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 56-60
- ZIP prefix
- 954 / CA
- Registered
- 2021-07-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-23
Dose 1 — Pfizer-BioNTech
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2021-07-16
Dose 2 — Pfizer-BioNTech
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2021-07-17
Registered in v-safe
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2021-07-17
Survey response — days 1–6 daily, dose 2MedDRA: Malaise, Pyrexia, Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: From the injection side up the neck and head around same ear. Temp around 100-101. Didnt not take Tylenol or nsaids. Definitely down for the count. Wow it kicked me aboutMedDRA releases: 2024-11 · check-in free text available
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2021-07-18
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Pre-existing disease — Feeling: Good · Site: Pain, Swelling · Chills, Headache, Joint painsFree text: I have Asbergers. And I have an allergy to methyl/ethyl compounds. This is highly common for those with autism spectrum disorder. I feel MUCH better this day. Yesterday was Seriousely rough.MedDRA releases: 2024-11 · check-in free text available
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2021-07-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-07-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-07-21
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: The lymph nodes in my breast in the same side of injection site got swollen last 3 days. I increased bitch with zinc to 2-3,000mg c per day and pushed fluids it helps. The pain is not really pain it is tenderness localized to injection site only.MedDRA releases: 2024-11 · check-in free text available
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2021-07-22
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Site still tendrer almost neglibleMedDRA releases: 2024-11 · check-in free text available
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2021-07-23
Survey response — day 7, dose 2MedDRA: Chills — Feeling: Fair · Chills, Headache, Rash, not including the immediate area around the injection siteFree text: Chills this morning early onlyMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-07-30
- 2021-08-06
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2021-08-13
Survey response — day 28, dose 2MedDRA: Condition aggravated, Musculoskeletal stiffness, Neuralgia, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Yesterday and last night extreme nerve pain especially in hands. Very painful. I have alott of muscle stiffness especially in neck. Overall week much more fibromyalgia systemic pain.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-20
Survey response — day 35, dose 2MedDRA: Rhinorrhoea — Feeling: FairFree text: Nasal discharge from exposure to .....MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-29
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2021-10-15
Survey response — 3 months, dose 2MedDRA: Arthralgia, Fibromyalgia, Headache, Hyperacusis, Nausea, Oropharyngeal pain, Pain, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: More sensitivities to chemicals that don't seem to bother others. Yesterday extreme sound sensitivity and nog feeling at all ok god 3 days. Lots of physical pain like arthritis, fibromyalgia. Headaches, disbarred, nausea. Sore throat.MedDRA releases: 2024-11 · check-in free text available
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2022-01-16
Survey response — 6 months, dose 2MedDRA: Acarodermatitis, Headache, Oropharyngeal pain, Rhinorrhoea, Sneezing — 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 · Outpatient clinic or urgent care clinic visitFree text: Recent scabies rash; the crisis house I am living in had 6 COVID Omnicron cases. I was NOT one of them !!!! Tested 3 times Monday, fri, fri. Lots of headaches, sore throat, runny nose, sneezing (I think my "scabies" is actually virus/pox. SwabbedMedDRA releases: 2024-11 · check-in free text available
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2022-01-16
Report sent to call center — 6 months, dose 2Be 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)
- 2022-01-18
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2022-01-19
Call successfulCompleted over the phone
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2022-04-22
Dose 3 — Moderna
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2022-04-30
Survey response — day 7, dose 3MedDRA: Asthenopia, Headache, Hyperhidrosis, Immediate post-injection reaction, Injection site erythema, Injection site pruritus, Injection site swelling, Pain, Pain in extremity, Pyrexia, Swelling — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Pfizer I had immediate reaction at injection site, itching redness swelling, eyes felt heavy. Moderna NO immediate reaction on site but that night lots of arm pain swelling, fever of 102, headache and 3 following days of sweats severe ache and severeMedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Survey response — day 14, dose 3MedDRA: Fatigue, Flank pain, Headache, Hydronephrosis, Lymph node pain, Lymphadenopathy, Postmenopause — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Severe flank pain left kidney retaining fluid. Also all lymph nodes swollen and tender especially in arms and breast area ( I am 58 post menopausel. Headaches frequent fatigue moderate to severeMedDRA releases: 2024-11 · check-in free text available
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2022-05-13
Survey response — day 21, dose 3MedDRA: Arthritis, Influenza like illness, Lymphadenopathy, Musculoskeletal stiffness, Pain, Pre-existing disease, Systemic lupus erythematosus — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Lymph nodes still swollen ancillary region, it's like I am having a systemic flare up. I have lupus and arthritis and I have chronic stiffness and flue like systems and my pain is 7-8 (10 being the worst). I Am on pain meds Vicodin 5 not helpingMedDRA releases: 2024-11 · check-in free text available
- 2022-05-20
- 2022-05-28
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2022-06-05
Survey response — day 42, dose 3MedDRA: Arthralgia, Dyspnoea, Fatigue, Fluid retention, Headache, Pain, Tremor — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Difficulty breathing; fluid retention, (espcially joint pain) pain , tremors, headache, fatigue This may not be related to vaccine. I shall not get another covid vaccine 3 is enoughMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-23 | Pfizer-BioNTech | No |
| 2 | 2021-07-16 | Pfizer-BioNTech | No |
| 3 | 2022-04-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-16 | Successful 2022-01-19 |
Completed over the phone |
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): From the injection side up the neck and head around same ear. Temp around 100-101. Didnt not take Tylenol or nsaids. Definitely down for the count. Wow it kicked me about
Systemic reaction (other): I have Asbergers. And I have an allergy to methyl/ethyl compounds. This is highly common for those with autism spectrum disorder. I feel MUCH better this day. Yesterday was Seriousely rough.
Systemic reaction (other): The lymph nodes in my breast in the same side of injection site got swollen last 3 days. I increased bitch with zinc to 2-3,000mg c per day and pushed fluids it helps. The pain is not really pain it is tenderness localized to injection site only.
Systemic reaction (other): Site still tendrer almost neglible
Release 9 — day 7, dose 2
Systemic reaction (other): Chills this morning early only
Release 9 — day 28, dose 2
Symptoms: Yesterday and last night extreme nerve pain especially in hands. Very painful. I have alott of muscle stiffness especially in neck. Overall week much more fibromyalgia systemic pain.
Release 9 — day 35, dose 2
Symptoms: Nasal discharge from exposure to .....
Release 10 — 3 months, dose 2
Symptoms: More sensitivities to chemicals that don't seem to bother others. Yesterday extreme sound sensitivity and nog feeling at all ok god 3 days. Lots of physical pain like arthritis, fibromyalgia. Headaches, disbarred, nausea. Sore throat.
Release 10 — 6 months, dose 2
Symptoms: Recent scabies rash; the crisis house I am living in had 6 COVID Omnicron cases. I was NOT one of them !!!! Tested 3 times Monday, fri, fri. Lots of headaches, sore throat, runny nose, sneezing (I think my "scabies" is actually virus/pox. Swabbed
Release 11 — day 7, dose 3
Systemic reaction (other): Pfizer I had immediate reaction at injection site, itching redness swelling, eyes felt heavy. Moderna NO immediate reaction on site but that night lots of arm pain swelling, fever of 102, headache and 3 following days of sweats severe ache and severe cut off by CDC
Release 11 — day 14, dose 3
Symptoms: Severe flank pain left kidney retaining fluid. Also all lymph nodes swollen and tender especially in arms and breast area ( I am 58 post menopausel. Headaches frequent fatigue moderate to severe
Release 11 — day 21, dose 3
Symptoms: Lymph nodes still swollen ancillary region, it's like I am having a systemic flare up. I have lupus and arthritis and I have chronic stiffness and flue like systems and my pain is 7-8 (10 being the worst). I Am on pain meds Vicodin 5 not helping
Release 11 — day 42, dose 3
Symptoms: Difficulty breathing; fluid retention, (espcially joint pain) pain , tremors, headache, fatigue This may not be related to vaccine. I shall not get another covid vaccine 3 is enough
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 | Acarodermatitis | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Condition aggravated | ✓ | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Fibromyalgia | · | · | ✓ |
| SD | Flank pain | · | · | ✓ |
| SD | Fluid retention | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hydronephrosis | · | · | ✓ |
| SD | Hyperacusis | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Musculoskeletal stiffness | ✓ | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Neuralgia | ✓ | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Postmenopause | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Systemic lupus erythematosus | · | · | ✓ |
| SD | Tremor | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Asthenopia | · | · | ✓ |
| SRO | Chills | ✓ | · | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site pruritus | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release