ZTQ-16856-64991
1 vaccination
2 coded responses
3 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 603 / IL
- Registered
- 2021-05-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Dose 1 — Pfizer-BioNTech
-
2021-05-13
Registered in v-safe
-
2021-05-13
Survey response — day 42, dose 1MedDRA: Asthenia, Myalgia, Pyrexia, Rash — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: about 1.5 weeks after my dose 1 vaccine, I started with full body muscle aches. then I developed a splotchy rash on my front and back torso. My bloodwork - platelets dropped, immature red blood cells (blasts) and low grade fever, up to 101, weakness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Report sent to call center — day 42, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-30
Survey response — 3 months, dose 1MedDRA: Headache, Inflammation, Laboratory test abnormal, Pain, Pyrexia, Rash, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Ive had 8 wks of huge inflammatory response with abnormal blood work (very low and hi) hemoglobin, liver, kidney, platelets, red and white, full body rash, fever, aches and pain, headaches and never received a follow up from CDC. Im horrified. · Healthcare visit (other): Biopsies, CT scans!!!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-30
Report sent to call center — 3 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-02
- 2021-09-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-13 | Unsuccessful | |
| 2021-06-30 | Unsuccessful |
Free text
Release 8 — day 42, dose 1
Symptoms: about 1.5 weeks after my dose 1 vaccine, I started with full body muscle aches. then I developed a splotchy rash on my front and back torso. My bloodwork - platelets dropped, immature red blood cells (blasts) and low grade fever, up to 101, weakness. cut off by CDC
Release 9 — 3 months, dose 1
Symptoms: Ive had 8 wks of huge inflammatory response with abnormal blood work (very low and hi) hemoglobin, liver, kidney, platelets, red and white, full body rash, fever, aches and pain, headaches and never received a follow up from CDC. Im horrified.
Healthcare visit (other): Biopsies, CT scans!!!!
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Laboratory test abnormal | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release