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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

  1. 2021-03-31
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-13
    Registered in v-safe
  3. 2021-05-13
    Survey response — day 42, dose 1
    MedDRA: 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 visit
    Free 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
  4. 2021-05-13
    Report sent to call center — day 42, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-06-30
    Survey response — 3 months, dose 1
    MedDRA: 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 visit
    Free 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
  6. 2021-06-30
    Report sent to call center — 3 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  7. 2021-07-02
  8. 2021-09-29
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-05-13 Unsuccessful
2021-06-30 Unsuccessful

Free text

Release 8 — day 42, dose 1

2021-05-13

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

2021-06-30

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInflammation ✓ ✓ ✓
SDLaboratory test abnormal ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRash ✓ ✓ ✓

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