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
-
2021-04-19
Registered in v-safe
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2021-04-19
Dose 1 — Pfizer-BioNTech
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2021-04-19
Survey response — day 0, dose 1MedDRA: Burning sensation, Chills, Immediate post-injection reaction, Pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body achesFree 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
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2021-04-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-04-21
- 2021-04-22
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2021-04-23
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: Fair · Fever · ChillsFree text: These occurred yesterday evening after I completed survey. Today I have runny nose onlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
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2021-04-27
Survey response — day 7, dose 1MedDRA: Rhinorrhoea — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
- 2021-05-10
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2021-05-12
Dose 2 — Pfizer-BioNTech
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2021-05-31
Survey response — day 14, dose 2MedDRA: Cough, Rhinorrhoea — Feeling: GoodFree text: Cough & runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-02
- 2021-06-09
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2021-06-18
Survey response — day 35, dose 2MedDRA: Respiratory tract congestion — Feeling: FairFree text: Chest congestion onlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-13
Survey response — 3 months, dose 2MedDRA: Headache, Office visit, Rash, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Rash appearing on both arms of unknown cause, headache, runny nose. · Healthcare visit (other): Dermatologist & PCPMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-13
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-19 | Pfizer-BioNTech | |
| 2 | 2021-05-12 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-13 | Unsuccessful |
Free text
Release 7 — day 0, dose 1
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
Systemic reaction (other): These occurred yesterday evening after I completed survey. Today I have runny nose only
Release 8 — day 7, dose 1
Systemic reaction (other): Runny nose
Release 8 — day 14, dose 2
Symptoms: Cough & runny nose
Release 9 — day 35, dose 2
Symptoms: Chest congestion only
Release 9 — 3 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Rash | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release