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ZTG-11129-14886

5 vaccinations 16 coded responses 55 check-ins 16 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
664 / KS
Registered
2021-02-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-15
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-18
    Registered in v-safe
  3. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  4. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  7. 2021-02-22
    Survey response — day 7, dose 1
    MedDRA: Skin irritation — Feeling: Good
    Free text: Skin irritation on the underside of my wrist maybe a rash.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-01
    Survey response — day 14, dose 1
    MedDRA: Pain in extremity, Vaccination site pain — Feeling: Good
    Free text: About the time you stopped asking daily I was having some pain in my arm and that lasted about 3 days aching arm& down into my hand sometimes a dull ache -sometimes it was a sharp jab I couldn't explain it any other way than the vaccine arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-08
    Dose 2 — Pfizer-BioNTech
  10. 2021-03-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Pyrexia — Feeling: Good · Fever · Fatigue or tiredness
    Free text: shot on Monday. Tuesday night fatigue&fever in night. Wednesday night again fatigue& fever in the night
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Headache, Hyperhidrosis — Feeling: Good · Fever · Fatigue or tiredness
    Free text: Fatigue at dinner time temperature 98.7 late evening night sweats headache in the night this temperature is high for me I run a degree to a degree and a half lower than normal people.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling hot, Headache — Feeling: Good · Fever · Headache
    Free text: Late afternoon headache. Night time period of warmness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Breast discomfort, Fibrocystic breast disease, Injection site nodule — Feeling: Good · Site: Swelling
    Free text: Knot where shot was. Breasts also "thick feeling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site nodule, Injection site pain — Feeling: Good · Site: Swelling
    Free text: Knot at shot sight on hip. Only feel it when lying on that hip at night
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-19
    Survey response — day 42, dose 2
    MedDRA: Abdominal pain, Asthenia, Body temperature increased, Head discomfort, Headache, Myalgia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: 5 days ago Headache Massive all day &sore into next day3&2 days ago no energy & head felt big ..thick.. yesterday and today felt like fever. registered one today. 99.3past 4 days left waist hurts. Hip muscle kidney? UnknownNeg Covid test 4 days ag
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-06-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-09-06
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-10-02
    Dose 3 — Pfizer-BioNTech
  24. 2021-10-02
    Health check-in — day 0, dose 3
    Feeling: Good · Joint pains
    Adult check-in
  25. 2021-10-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: Arthralgia, Pain, Self-medication — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches
    Free text: Left arm shot, left leg body ache, knee joint, shin.calf. ANKLE pain enough to get Tylenol
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-10-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pain in extremity — Feeling: Good · Muscle or body aches
    Free text: Much less than yesterday/Aches in left leg.
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-10-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  28. 2021-10-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-10-11
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-10-17
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-10-23
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-10-31
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-06
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-11-13
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-01-01
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-04-09
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-05-11
    Dose 4 — Moderna
  38. 2022-05-15
    Survey response — days 1–6 daily, dose 4
    MedDRA: Adverse reaction — Feeling: Good · Site: Itching
    Free text: Got this shot 4 days ago most of my symptoms and side effects are gone. It's a little late to be asking me about things
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-05-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  40. 2022-05-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  41. 2022-05-18
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  42. 2022-05-25
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-06-01
    Survey response — day 21, dose 4
    MedDRA: Intestinal operation, Nephrolithiasis — Feeling: Good
    Free text: Unrelated to vaccine as far as I'm concerned. Kidney stone and intestinal surgery two unrelated situations. I will answer the questions within this survey based on covid symptoms
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-06-08
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-06-15
    Survey response — day 35, dose 4
    MedDRA: Exposure to SARS-CoV-2, Fatigue, Surgery — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I had surgery so I'm not sure if it's from surgery or from covid but extreme fatigue is an issue. This survey no longer asks about people within our community and within my immediate circle that have covid. My husband has covid
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-06-22
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-08-10
    Survey response — 3 months, dose 4
    MedDRA: Abdominal operation, Adverse reaction, Exposure to SARS-CoV-2, Hospitalisation, Nephrolithiasis, Office visit, Surgery — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization
    Free text: Symptoms: Everything medical since May has been non-covid related. I attribute being current on my boosters for avoiding covid within my own house (husband) one week post surgery And not contracting covid from hospitalization and multiple doctor visits · Healthcare visit (other): abdominal surgery & unrelated kidney stone issue
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-08-10
    Report sent to call center — 3 months, dose 4
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  49. 2022-08-11
  50. 2022-08-11
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  51. 2022-10-11
    Dose 5 — Pfizer-BioNTech
    Co-administered: Flu
  52. 2022-10-11
    Survey response — day 0, dose 5
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain
    Free text: Mild acke in arm of shots
    MedDRA releases: 2024-11 · check-in free text available
  53. 2022-10-13
    Survey response — days 1–6 daily, dose 5
    MedDRA: Musculoskeletal stiffness — Feeling: Good · Site: Pain
    Free text: Stiff arm of shot
    MedDRA releases: 2024-11 · check-in free text available
  54. 2022-10-14
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  55. 2022-10-15
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  56. 2022-10-16
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  57. 2022-10-18
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  58. 2022-10-26
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  59. 2022-11-01
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  60. 2022-11-08
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  61. 2022-11-15
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  62. 2022-11-22
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  63. 2023-01-10
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  64. 2023-04-11
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-15Pfizer-BioNTech
22021-03-08Pfizer-BioNTech
32021-10-02Pfizer-BioNTech No
42022-05-11Moderna No
52022-10-11Pfizer-BioNTech Flu

Call center

ReportedOutcomeVAERS-related outcome
2022-08-10 Successful
2022-08-11
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 4 — day 7, dose 1

2021-02-22

Systemic reaction (other): Skin irritation on the underside of my wrist maybe a rash.

Release 4 — day 14, dose 1

2021-03-01

Symptoms: About the time you stopped asking daily I was having some pain in my arm and that lasted about 3 days aching arm& down into my hand sometimes a dull ache -sometimes it was a sharp jab I couldn't explain it any other way than the vaccine arm.

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): shot on Monday. Tuesday night fatigue&fever in night. Wednesday night again fatigue& fever in the night

2021-03-11

Systemic reaction (other): Fatigue at dinner time temperature 98.7 late evening night sweats headache in the night this temperature is high for me I run a degree to a degree and a half lower than normal people.

2021-03-12

Systemic reaction (other): Late afternoon headache. Night time period of warmness.

2021-03-13

Systemic reaction (other): Knot where shot was. Breasts also "thick feeling

2021-03-14

Systemic reaction (other): Knot at shot sight on hip. Only feel it when lying on that hip at night

Release 7 — day 42, dose 2

2021-04-19

Symptoms: 5 days ago Headache Massive all day &sore into next day3&2 days ago no energy & head felt big ..thick.. yesterday and today felt like fever. registered one today. 99.3past 4 days left waist hurts. Hip muscle kidney? UnknownNeg Covid test 4 days ag

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Left arm shot, left leg body ache, knee joint, shin.calf. ANKLE pain enough to get Tylenol

2021-10-05

Systemic reaction (other): Much less than yesterday/Aches in left leg.

Release 11 — days 1–6 daily, dose 4

2022-05-15

Systemic reaction (other): Got this shot 4 days ago most of my symptoms and side effects are gone. It's a little late to be asking me about things

Release 11 — day 21, dose 4

2022-06-01

Symptoms: Unrelated to vaccine as far as I'm concerned. Kidney stone and intestinal surgery two unrelated situations. I will answer the questions within this survey based on covid symptoms

Release 12 — day 35, dose 4

2022-06-15

Symptoms: I had surgery so I'm not sure if it's from surgery or from covid but extreme fatigue is an issue. This survey no longer asks about people within our community and within my immediate circle that have covid. My husband has covid

Release 12 — 3 months, dose 4

2022-08-10

Symptoms: Everything medical since May has been non-covid related. I attribute being current on my boosters for avoiding covid within my own house (husband) one week post surgery And not contracting covid from hospitalization and multiple doctor visits
Healthcare visit (other): abdominal surgery & unrelated kidney stone issue

Release 12 — day 0, dose 5

2022-10-11

Systemic reaction (other): Mild acke in arm of shots

Release 12 — days 1–6 daily, dose 5

2022-10-13

Systemic reaction (other): Stiff arm of shot

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

FieldPreferred term2021-092023-042024-11
HCVOAbdominal operation · · ✓
HCVONephrolithiasis · · ✓
SDAbdominal pain ✓ ✓ ✓
SDAdverse reaction · · ✓
SDAsthenia ✓ ✓ ✓
SDBody temperature increased ✓ ✓ ✓
SDExposure to SARS-CoV-2 · · ✓
SDFatigue · · ✓
SDHead discomfort ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHospitalisation · · ✓
SDIntestinal operation · · ✓
SDMyalgia ✓ ✓ ✓
SDNephrolithiasis · · ✓
SDOffice visit · · ✓
SDPain in extremity ✓ ✓ ✓
SDSurgery · · ✓
SDVaccination site pain ✓ ✓ ✓
SROAdverse reaction · · ✓
SROArthralgia · · ✓
SROBreast discomfort ○ ✓ ○
SROFatigue ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROFibrocystic breast disease ✓ · ✓
SROHeadache ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROInjection site nodule ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROMusculoskeletal stiffness · · ✓
SROPain · · ✓
SROPain in extremity · · ✓
SROPyrexia ✓ ✓ ✓
SROSelf-medication · · ✓
SROSkin irritation ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release