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ZTN-77865-10077

2 vaccinations 6 coded responses 14 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
173 / PA
Registered
2021-04-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-19
    Registered in v-safe
  2. 2021-04-19
    Dose 1 — Pfizer-BioNTech
  3. 2021-04-19
    Survey response — day 0, dose 1
    MedDRA: Burning sensation, Chills, Immediate post-injection reaction, Pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches
    Free text: Within 15 minutes after after receiving vaccine I got a burning sensation that effected the left side of my body. I had the first vaccine in the left arm. I received the vacine at 11:05 AM EST and the sensation has passed now at 5:09 PM EST. I feel a slight aching now on the left side of my body. I have had occasional intermittant chills which come and go.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  5. 2021-04-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-04-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rhinorrhoea — Feeling: Fair · Fever · Chills
    Free text: These occurred yesterday evening after I completed survey. Today I have runny nose only
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  9. 2021-04-27
    Survey response — day 7, dose 1
    MedDRA: Rhinorrhoea — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-10
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-05-12
    Dose 2 — Pfizer-BioNTech
  13. 2021-05-31
    Survey response — day 14, dose 2
    MedDRA: Cough, Rhinorrhoea — Feeling: Good
    Free text: Cough & runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-06-02
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-06-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-18
    Survey response — day 35, dose 2
    MedDRA: Respiratory tract congestion — Feeling: Fair
    Free text: Chest congestion only
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-08-13
    Survey response — 3 months, dose 2
    MedDRA: Headache, Office visit, Rash, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Rash appearing on both arms of unknown cause, headache, runny nose. · Healthcare visit (other): Dermatologist & PCP
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-08-13
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-08-21

Vaccinations

DoseDateManufacturerCo-administered
12021-04-19Pfizer-BioNTech
22021-05-12Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-08-13 Unsuccessful

Free text

Release 7 — day 0, dose 1

2021-04-19

Systemic reaction (other): Within 15 minutes after after receiving vaccine I got a burning sensation that effected the left side of my body. I had the first vaccine in the left arm. I received the vacine at 11:05 AM EST and the sensation has passed now at 5:09 PM EST. I feel a slight aching now on the left side of my body. I have had occasional intermittant chills which come and go.

Release 7 — days 1–6 daily, dose 1

2021-04-23

Systemic reaction (other): These occurred yesterday evening after I completed survey. Today I have runny nose only

Release 8 — day 7, dose 1

2021-04-27

Systemic reaction (other): Runny nose

Release 8 — day 14, dose 2

2021-05-31

Symptoms: Cough & runny nose

Release 9 — day 35, dose 2

2021-06-18

Symptoms: Chest congestion only

Release 9 — 3 months, dose 2

2021-08-13

Symptoms: Rash appearing on both arms of unknown cause, headache, runny nose.
Healthcare visit (other): Dermatologist & PCP

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
HCVOOffice visit ✓ · ✓
SDCough ✓ ✓ ✓
SDHeadache ✓ · ✓
SDRash ✓ · ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SROBurning sensation ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROPain · · ✓
SRORhinorrhoea ✓ ✓ ✓

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