ZTB-35765-24978
5 vaccinations
5 coded responses
62 check-ins
5 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 162 / PA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Pfizer-BioNTech
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Pfizer-BioNTech
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-02-14
- 2021-02-15
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia — Feeling: Poor · Muscle or body aches, Fatigue or tiredness · 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: Seen in (b)(6) facility, aches swelling related to fall on sat feb 13 and weakness is new today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia — Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Also weaknessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Health check-in — day 7, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-05-13
- 2021-08-06
- 2021-08-12
-
2021-09-25
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-10-01
- 2021-10-02
- 2021-10-09
- 2021-10-16
- 2021-10-23
- 2021-10-30
- 2021-11-06
- 2021-12-25
- 2022-03-26
-
2022-04-15
Dose 4 — Pfizer-BioNTech
- 2022-04-15
- 2022-04-16
- 2022-04-17
- 2022-04-18
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-22
- 2022-04-29
-
2022-05-06
Survey response — day 21, dose 4MedDRA: Bronchitis, Office visit, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Head and chest congestion. Treated by doctor with prescription for antibiotic and steroid medications for acute bronchitis. Chest xray neg for any acute abnormalityMedDRA releases: 2024-11 · check-in free text available
-
2022-05-06
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-05-10
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-13
- 2022-05-20
- 2022-05-27
-
2022-07-15
Survey response — 3 months, dose 4MedDRA: Cough, Dyspnoea, Dyspnoea exertional, Oxygen saturation decreased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Shortness of breath with dyspnea with activity. Reduced PO? saturation. Intermittant cough.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-15
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-07-19
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-14
Survey response — 6 months, dose 4MedDRA: Atrial fibrillation, Atrial flutter, Cardioversion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Diagnosis of atrial flutter, atrial fib on august 10th. · Healthcare visit (other): Electrocardioversion out patient procedureMedDRA releases: 2024-11 · check-in free text available
-
2022-10-14
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-10-17
-
2022-10-17
Call successfulNot applicable - Accidental Reporting
-
2022-10-20
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-20
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-25
- 2022-10-26
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2022-11-24
- 2022-12-01
- 2023-01-21
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Pfizer-BioNTech | |
| 2 | 2021-02-11 | Pfizer-BioNTech | |
| 3 | 2021-09-25 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-15 | Pfizer-BioNTech | No |
| 5 | 2022-10-20 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-16 | Successful | Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-05-06 | Successful 2022-05-10 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-07-15 | Successful 2022-07-19 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-10-14 | Successful 2022-10-17 |
Not applicable - Accidental Reporting |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Seen in (b)(6) facility, aches swelling related to fall on sat feb 13 and weakness is new today.
redacted (b)(6)
Systemic reaction (other): Also weakness
Release 11 — day 21, dose 4
Symptoms: Head and chest congestion. Treated by doctor with prescription for antibiotic and steroid medications for acute bronchitis. Chest xray neg for any acute abnormality
Release 12 — 3 months, dose 4
Symptoms: Shortness of breath with dyspnea with activity. Reduced PO? saturation. Intermittant cough.
Release 12 — 6 months, dose 4
Symptoms: Diagnosis of atrial flutter, atrial fib on august 10th.
Healthcare visit (other): Electrocardioversion out patient procedure
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 | Cardioversion | · | · | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Atrial flutter | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release