ZS2-32134-51565
2 vaccinations
5 coded responses
14 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 917 / CA
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Registered in v-safe
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2021-01-20
Dose 1 — Pfizer-BioNTech
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2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Anxiety — Feeling: Fair · Fatigue or tirednessFree text: AnxietyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
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2021-01-27
Health check-in — day 7, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-03
Survey response — day 14, dose 1MedDRA: Gastric disorder — Feeling: FairFree text: Mild stomach issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Dose 2 — Pfizer-BioNTech
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2021-02-10
Health check-in — day 0, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Discharge, Haemorrhagic cyst, Pain — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Very large cyst under armpit/side of breast....leaking blood and thick yellow liquid very large and sore. Acquaintance who took same shot had similar thing after second dose. Mine was about ping pong ball size hard amd sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Survey response — day 7, dose 2MedDRA: Oedema peripheral — Feeling: Fair · Fatigue or tiredness, Abdominal painFree text: Large lump size of ping pong ball under arm on side of br ast filled with pus and blood.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
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2021-03-03
Survey response — day 21, dose 2MedDRA: Adverse reaction, Headache, Vision blurred — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Headache and blurry vision · Healthcare visit (other): Probably had nothing to do with vaccine but I should note anywayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-18
- 2021-03-25
- 2021-09-29
- 2021-10-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Pfizer-BioNTech | |
| 2 | 2021-02-10 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-03 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Anxiety
Release 3 — day 14, dose 1
Symptoms: Mild stomach issues
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Very large cyst under armpit/side of breast....leaking blood and thick yellow liquid very large and sore. Acquaintance who took same shot had similar thing after second dose. Mine was about ping pong ball size hard amd sore.
Release 4 — day 7, dose 2
Systemic reaction (other): Large lump size of ping pong ball under arm on side of br ast filled with pus and blood.
Release 5 — day 21, dose 2
Symptoms: Headache and blurry vision
Healthcare visit (other): Probably had nothing to do with vaccine but I should note anyway
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 | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Gastric disorder | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Discharge | ✓ | ✓ | ✓ |
| SRO | Haemorrhagic cyst | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release