ZRX-21490-53099
5 vaccinations
11 coded responses
65 check-ins
11 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 968 / HI
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-10
Registered in v-safe
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2021-03-10
Dose 1 — Pfizer-BioNTech
- 2021-03-10
- 2021-03-11
- 2021-03-12
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2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Gastrooesophageal reflux disease — Feeling: GoodFree text: Small cough probably due to refluxMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
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2021-03-24
Survey response — day 14, dose 1MedDRA: Nausea — Feeling: GoodFree text: Nausea probably from having a mc chicken sandwich for lunch. Was feeling nauseous till about 9pm. No vomiting although the urge was thereMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Dose 2 — Pfizer-BioNTech
- 2021-03-31
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2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to workAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
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2021-04-14
Survey response — day 14, dose 2MedDRA: Vision blurred — Feeling: GoodFree text: Intermittent blurry visionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-05-01
- 2021-05-05
- 2021-05-12
- 2021-06-30
- 2021-09-29
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2021-10-08
Dose 3 — Pfizer-BioNTech
- 2021-10-08
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2021-10-09
Survey response — days 1–6 daily, dose 3MedDRA: Dyspnoea exertional, Skin warm — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Shortness of breath when walking or exherting myself, sensation of hot skinMedDRA releases: 2024-11 · check-in free text available
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2021-10-10
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2021-10-11
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue — Feeling: Good · Site: Pain · Muscle or body achesFree text: A little tired stillMedDRA releases: 2024-11 · check-in free text available
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2021-10-12
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-10-13
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-14
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
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2021-11-12
Survey response — day 35, dose 3MedDRA: Myalgia — Feeling: GoodFree text: Muscle achesMedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
- 2022-01-09
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2022-04-08
Survey response — 6 months, dose 3MedDRA: Bursitis, Myalgia, Office visit, Pain in extremity, Physiotherapy, Sinusitis, Tendonitis, Vertigo — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sinus infection, vertigo, muscle and sharp pains in thighs , bursitis in hips, tendonitis in elbows · Healthcare visit (other): Drs. Office, physical therapy and physical therapy for vertigoMedDRA releases: 2024-11 · check-in free text available
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2022-04-08
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2022-04-15
Dose 4 — Pfizer-BioNTech
- 2022-04-15
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2022-04-16
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-04-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-04-18
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
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2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
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2022-04-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
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2022-04-21
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
- 2022-04-22
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2022-04-29
Call successfulParticipant prefers to complete VAERS report online
- 2022-05-01
- 2022-05-06
- 2022-05-14
- 2022-05-20
- 2022-05-27
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2022-07-16
Survey response — 3 months, dose 4MedDRA: SARS-CoV-2 test negative, Viral infection — Feeling: Good · Be unable to work or attend schoolFree text: Viral infection. Negative covid and strepMedDRA releases: 2024-11 · check-in free text available
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2022-10-04
Dose 5 — Pfizer-BioNTech
- 2022-10-04
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2022-10-05
Survey response — days 1–6 daily, dose 5MedDRA: Photophobia — Feeling: Poor · Site: Pain · 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: Sensitivity to lightMedDRA releases: 2024-11 · check-in free text available
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2022-10-07
Survey response — days 1–6 daily, dose 5MedDRA: Photophobia — Feeling: Poor · Site: Pain · Headache, Joint pains, Fatigue or tiredness · 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 visit, Emergency room or emergency department visitFree text: Sensitivity to lightMedDRA releases: 2024-11 · check-in free text available
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2022-10-07
Report sent to call center — days 1–6 daily, dose 5Be 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 · Emergency room or emergency department visit · 1 call case(s)
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2022-10-08
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-09
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-11
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-18
- 2022-10-25
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2022-11-01
Survey response — day 28, dose 5MedDRA: Injection site pain — Feeling: GoodFree text: Sore arm again where the injection was given intermittentlyMedDRA releases: 2024-11 · check-in free text available
- 2022-11-08
- 2022-11-15
- 2023-01-03
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Pfizer-BioNTech | |
| 2 | 2021-03-31 | Pfizer-BioNTech | |
| 3 | 2021-10-08 | Pfizer-BioNTech | No |
| 4 | 2022-04-15 | Pfizer-BioNTech | No |
| 5 | 2022-10-04 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-08 | Successful 2022-04-29 |
Participant prefers to complete VAERS report online |
| 2022-10-07 | Successful 2022-10-11 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Small cough probably due to reflux
Release 6 — day 14, dose 1
Symptoms: Nausea probably from having a mc chicken sandwich for lunch. Was feeling nauseous till about 9pm. No vomiting although the urge was there
Release 7 — day 14, dose 2
Symptoms: Intermittent blurry vision
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Shortness of breath when walking or exherting myself, sensation of hot skin
Systemic reaction (other): A little tired still
Release 10 — day 35, dose 3
Symptoms: Muscle aches
Release 11 — 6 months, dose 3
Symptoms: Sinus infection, vertigo, muscle and sharp pains in thighs , bursitis in hips, tendonitis in elbows
Healthcare visit (other): Drs. Office, physical therapy and physical therapy for vertigo
Release 12 — 3 months, dose 4
Symptoms: Viral infection. Negative covid and strep
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Sensitivity to light
Systemic reaction (other): Sensitivity to light
Release 12 — day 28, dose 5
Symptoms: Sore arm again where the injection was given intermittently
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 | Office visit | · | · | ✓ |
| HCVO | Physiotherapy | · | · | ✓ |
| HCVO | Vertigo | · | · | ✓ |
| SD | Bursitis | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Tendonitis | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dyspnoea exertional | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SRO | Photophobia | · | · | ✓ |
| SRO | Skin warm | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release