ZTK-17935-73928
5 vaccinations
13 coded responses
60 check-ins
13 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 959 / CA
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Registered in v-safe
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2021-03-22
Dose 1 — Moderna
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
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2021-04-05
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pain, Injection site warmth, Pain in extremity — Feeling: FairFree text: I have covid arm! About 10 days after my vaccine I woke up in the middle of the night with pain to the injection site. Since then my upper arm is warm to touch and today it is redder and more achy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — day 21, dose 1MedDRA: Erythema, Immunisation reaction, Skin warm — Feeling: GoodFree text: its not new, but I STILL have covid arm. it has faded, and for the most part is not as warm, but just when I think its better, it starts getting warm and redder again. Today it is less red, so I am hopeful it will go away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Dose 2 — Moderna
- 2021-04-19
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2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Injection site warmth, Pruritus — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: my arm which had covid arm got hot and painful and itchy again last nite. its better nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Heart rate increased — Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessFree text: I had a weird bout of really rapid HR (134 on mt oximeter) and dizziness that I never had. Not sure if its related or not but it resolved.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
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2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-24
- 2021-04-25
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2021-04-26
Health check-in — day 7, dose 2Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
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2021-05-04
Survey response — day 14, dose 2MedDRA: Feeling hot, Pain in extremity, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: first, I had minor covid arm reaction this time (I had extensive covid arm for tree weeks last time) just increased pain, heat and very localized small rash for 2 days. But I have also noticed what appears to be LS. which is concerning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-12
Survey response — day 21, dose 2MedDRA: Autoimmune disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: 10 days after my second vaccine I have had a cascade of autoimmune issues. Whether or not related to the vaccine is a good question. Im pro vaccine but concernedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-19
- 2021-05-25
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2021-06-01
Survey response — day 42, dose 2MedDRA: Lichen sclerosus, Pre-existing disease, Proctitis, Skin disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: 9 days after receiving the second vaccine I got proctitis (had in past button for almost two years) and new onset lichen sclerosis. as my doctors have retired, I have a new GP and seeing new docs this month. also have a few other weird skin stuff.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-01
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-09
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2021-07-09
Call successfulCompleted over the phone
- 2021-07-21
- 2021-10-18
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2021-10-26
Dose 3 — Pfizer-BioNTech
- 2021-10-27
- 2021-10-28
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Eye pain, Reaction to previous exposure to any vaccine, Vision blurred — Feeling: Good · Site: Pain, Redness, ItchingFree text: Eight eye pain and blurry outer vision. Same problem after second Moderna that I reported to vers. It was just resolving but came back. Unsure if related but suspicious.MedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Eye symptom — Feeling: Good · Fatigue or tirednessFree text: R eye problem persists that I described yesterday. Not sure if it's related to vaccine or not.MedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Eye disorder — Feeling: GoodFree text: R eye issue remains.MedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Metamorphopsia — Feeling: GoodFree text: My r eye still has distortions but improving.( unsure if connected to vaccine or coincidental?!?)MedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Survey response — day 7, dose 3MedDRA: Eye disorder, Metamorphopsia — Feeling: GoodFree text: Eye much improved but sone distortion .MedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-16
- 2021-11-23
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2021-11-30
Survey response — day 35, dose 3MedDRA: Arthropathy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Unrelated to vaccine joint issues in knees .MedDRA releases: 2024-11 · check-in free text available
- 2021-12-09
- 2022-01-25
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2022-04-08
Dose 4 — Pfizer-BioNTech
- 2022-04-17
- 2022-04-24
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-07-08
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2022-10-03
Dose 5 — Pfizer-BioNTech
- 2022-10-03
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2022-10-04
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Abdominal painAdult check-in
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2023-01-02
- 2023-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-19 | Moderna | |
| 3 | 2021-10-26 | Pfizer-BioNTech | No |
| 4 | 2022-04-08 | Pfizer-BioNTech | No |
| 5 | 2022-10-03 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-04 | Successful | Completed over the phone |
| 2021-05-12 | Successful | Completed over the phone |
| 2021-06-01 | Successful 2021-07-09 |
Completed over the phone |
Free text
Release 6 — day 14, dose 1
Symptoms: I have covid arm! About 10 days after my vaccine I woke up in the middle of the night with pain to the injection site. Since then my upper arm is warm to touch and today it is redder and more achy.
Release 7 — day 21, dose 1
Symptoms: its not new, but I STILL have covid arm. it has faded, and for the most part is not as warm, but just when I think its better, it starts getting warm and redder again. Today it is less red, so I am hopeful it will go away.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): my arm which had covid arm got hot and painful and itchy again last nite. its better now
Systemic reaction (other): I had a weird bout of really rapid HR (134 on mt oximeter) and dizziness that I never had. Not sure if its related or not but it resolved.
Release 8 — day 14, dose 2
Symptoms: first, I had minor covid arm reaction this time (I had extensive covid arm for tree weeks last time) just increased pain, heat and very localized small rash for 2 days. But I have also noticed what appears to be LS. which is concerning.
Release 8 — day 21, dose 2
Symptoms: 10 days after my second vaccine I have had a cascade of autoimmune issues. Whether or not related to the vaccine is a good question. Im pro vaccine but concerned
Release 8 — day 42, dose 2
Symptoms: 9 days after receiving the second vaccine I got proctitis (had in past button for almost two years) and new onset lichen sclerosis. as my doctors have retired, I have a new GP and seeing new docs this month. also have a few other weird skin stuff. cut off by CDC
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Eight eye pain and blurry outer vision. Same problem after second Moderna that I reported to vers. It was just resolving but came back. Unsure if related but suspicious.
Systemic reaction (other): R eye problem persists that I described yesterday. Not sure if it's related to vaccine or not.
Systemic reaction (other): R eye issue remains.
Systemic reaction (other): My r eye still has distortions but improving.( unsure if connected to vaccine or coincidental?!?)
Release 10 — day 7, dose 3
Systemic reaction (other): Eye much improved but sone distortion .
Release 10 — day 35, dose 3
Symptoms: Unrelated to vaccine joint issues in knees .
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 | Arthropathy | · | · | ✓ |
| SD | Autoimmune disorder | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Lichen sclerosus | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Proctitis | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Skin disorder | ✓ | ✓ | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Eye disorder | · | · | ✓ |
| SRO | Eye pain | · | · | ✓ |
| SRO | Eye symptom | · | · | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Metamorphopsia | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Vision blurred | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release