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ZTL-17577-58390

5 vaccinations 10 coded responses 43 check-ins 10 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
566 / MN
Registered
2021-01-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-26
    Registered in v-safe
  2. 2021-01-26
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-26
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  5. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-02
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-02-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-16
    Dose 2 — Pfizer-BioNTech
  12. 2021-02-16
    Survey response — day 0, dose 2
    MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea, Upper respiratory tract infection — Feeling: Fair · Fatigue or tiredness
    Free text: Upper respiratory infection. Runny nose, cough, chest congestion.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Fair · Fatigue or tiredness
    Free text: I have an upper respiratory infection, which accounts for the fatigue. A Covid test for this on 2/14 was negative.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  15. 2021-02-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Respiratory tract congestion, Rhinorrhoea, Upper respiratory tract infection — Feeling: Fair · Headache, Abdominal pain
    Free text: URI with coughing, chest congestion, and runny nose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness
    Free text: URI that began 4 days before the shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Rhinorrhoea, Upper respiratory tract infection — Feeling: Fair · Fatigue or tiredness
    Free text: URI that began before the shot. Cough, runny nose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Upper respiratory tract infection — Feeling: Fair · Fatigue or tiredness
    Free text: URI.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-26
    Survey response — day 7, dose 2
    MedDRA: Upper respiratory tract infection — Feeling: Good
    Free text: Upper Respiratory Infection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-23
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-30
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-20
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-09-14
    Dose 3 — Pfizer-BioNTech
  28. 2021-09-30
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-10-05
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-10-12
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-10-19
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-10-26
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-12-14
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-03-28
    Dose 4 — Pfizer-BioNTech
  35. 2022-04-14
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-04-18
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-04-25
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-05-02
    Survey response — day 35, dose 4
    MedDRA: Cough — Feeling: Good
    Free text: Mild cough.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-05-09
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-06-27
    Survey response — 3 months, dose 4
    MedDRA: SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Good · Be unable to do your normal daily activities
    Free text: Upper respiratory infection, wit three negative rapid Covid tests.
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-09-07
    Dose 5 — Moderna
  42. 2022-09-14
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  43. 2022-09-21
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  44. 2022-09-28
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  45. 2022-10-05
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  46. 2022-10-12
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  47. 2022-10-19
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  48. 2022-12-08
    Survey response — 3 months, dose 5
    MedDRA: Nephrolithiasis, Sepsis, Septic shock — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Kidney stone with sepsis and septic shock.
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-12-08
    Report sent to call center — 3 months, dose 5
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  50. 2022-12-09
    Call successful
    Not applicable - Accidental Reporting
  51. 2023-03-08
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Pfizer-BioNTech
22021-02-16Pfizer-BioNTech
32021-09-14Pfizer-BioNTech No
42022-03-28Pfizer-BioNTech No
52022-09-07Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-12-08 Successful
2022-12-09
 Not applicable - Accidental Reporting

Free text

Release 4 — day 0, dose 2

2021-02-16

Systemic reaction (other): Upper respiratory infection. Runny nose, cough, chest congestion.

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): I have an upper respiratory infection, which accounts for the fatigue. A Covid test for this on 2/14 was negative.

2021-02-19

Systemic reaction (other): URI with coughing, chest congestion, and runny nose.

2021-02-20

Systemic reaction (other): URI that began 4 days before the shot.

2021-02-21

Systemic reaction (other): URI that began before the shot. Cough, runny nose.

2021-02-22

Systemic reaction (other): URI.

Release 4 — day 7, dose 2

2021-02-26

Systemic reaction (other): Upper Respiratory Infection

Release 11 — day 35, dose 4

2022-05-02

Symptoms: Mild cough.

Release 12 — 3 months, dose 4

2022-06-27

Symptoms: Upper respiratory infection, wit three negative rapid Covid tests.

Release 12 — 3 months, dose 5

2022-12-08

Symptoms: Kidney stone with sepsis and septic shock.

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
SDCough · · ✓
SDNephrolithiasis · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSepsis · · ✓
SDSeptic shock · · ✓
SDUpper respiratory tract infection · · ✓
SROCough ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROSARS-CoV-2 test negative ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓
SROUpper respiratory tract infection ✓ ✓ ✓

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

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