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ZV4-17589-81354

5 vaccinations 8 coded responses 47 check-ins 8 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
840 / UT
Registered
2021-02-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-18
    Registered in v-safe
  2. 2021-02-18
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-18
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fever · Chills
    Adult check-in
  5. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-02-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymph node pain, Nodule — Feeling: Good
    Free text: Tender nodes just above my elbow (anteromedial aspect) of left arm. I also have what feels like a chain of small, tender bumps extending up my arm from the larger nodes at my elbow. This is the arm where I was given the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain, Nodule — Feeling: Good
    Free text: Mildly tender nodes just above the elbow, anteromedial aspect, with additional small nodules palpable extending upward from there. This is on the arm that received the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-25
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-04
    Survey response — day 14, dose 1
    MedDRA: Injection site pain — Feeling: Good
    Free text: Ive had intermittent soreness in the arm where I got the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-11
    Dose 2 — Pfizer-BioNTech
  13. 2021-03-11
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness
    Adult check-in
  15. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fever · Fatigue or tiredness
    Adult check-in
  16. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia — Feeling: Good · Joint pains
    Free text: Some aching in the joints of my hands and my knees. Symptoms resolved by early afternoon
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Fatigue or tiredness
    Adult check-in
  19. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-18
    Health check-in — day 7, dose 2
    Feeling: Fair · Fever · Headache, Fatigue or tiredness
    Adult check-in
  21. 2021-03-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-09
    Survey response — 6 months, dose 2
    MedDRA: Lymph node pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: This occurred prior to the last check in but I didnt respond in time so the system wouldnt let me put the info in. I hadmultiple small tender lymph nodes along the great saphenous vein in both legs and some in the lateral aspects of both axilla
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-09-09
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-09-13
  29. 2021-09-13
    Call successful
    Does not wish to fill out VAERS report
  30. 2021-09-18
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  31. 2021-09-30
    Survey response — day 7, dose 3
    MedDRA: Adverse reaction — Feeling: Good
    Free text: I experienced some of these symptoms the day , and the day after, I got the Pfizer vaccine. I do not have symptoms today.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-10-02
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-10-09
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-10-16
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-10-23
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-10-30
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-18
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-03-19
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-04-08
    Dose 4 — Pfizer-BioNTech
  40. 2022-04-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  41. 2022-04-15
    Health check-in — day 7, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  42. 2022-04-22
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-04-29
    Survey response — day 21, dose 4
    MedDRA: Lymphadenopathy, Vaccine positive rechallenge — Feeling: Good
    Free text: Mildly swollen glands in my right leg. This has happened after previous COVID-19 doses.
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-05-06
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  45. 2022-05-13
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-05-20
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-07-08
    Survey response — 3 months, dose 4
    MedDRA: Obstructive sleep apnoea syndrome — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Diagnosed with obstructive sleep apnea.
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-07-08
    Report sent to call center — 3 months, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  49. 2022-07-11
    Call successful
    Not applicable - Accidental Reporting
  50. 2022-09-09
    Dose 5 — Pfizer-BioNTech
  51. 2022-09-19
    Health check-in — day 7, dose 5
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  52. 2022-09-23
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  53. 2022-09-30
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  54. 2022-10-07
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  55. 2022-10-14
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  56. 2022-10-21
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  57. 2022-12-09
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  58. 2023-03-10
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-18Pfizer-BioNTech
22021-03-11Pfizer-BioNTech
32021-09-18Pfizer-BioNTech Flu
42022-04-08Pfizer-BioNTech No
52022-09-09Pfizer-BioNTech No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-23

Systemic reaction (other): Tender nodes just above my elbow (anteromedial aspect) of left arm. I also have what feels like a chain of small, tender bumps extending up my arm from the larger nodes at my elbow. This is the arm where I was given the vaccine.

2021-02-24

Systemic reaction (other): Mildly tender nodes just above the elbow, anteromedial aspect, with additional small nodules palpable extending upward from there. This is on the arm that received the vaccine.

Release 5 — day 14, dose 1

2021-03-04

Symptoms: Ive had intermittent soreness in the arm where I got the vaccine.

Release 5 — days 1–6 daily, dose 2

2021-03-15

Systemic reaction (other): Some aching in the joints of my hands and my knees. Symptoms resolved by early afternoon

Release 9 — 6 months, dose 2

2021-09-09

Symptoms: This occurred prior to the last check in but I didnt respond in time so the system wouldnt let me put the info in. I hadmultiple small tender lymph nodes along the great saphenous vein in both legs and some in the lateral aspects of both axilla

Release 9 — day 7, dose 3

2021-09-30

Systemic reaction (other): I experienced some of these symptoms the day , and the day after, I got the Pfizer vaccine. I do not have symptoms today.

Release 11 — day 21, dose 4

2022-04-29

Symptoms: Mildly swollen glands in my right leg. This has happened after previous COVID-19 doses.

Release 12 — 3 months, dose 4

2022-07-08

Symptoms: Diagnosed with obstructive sleep apnea.

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
SDInjection site pain ✓ ✓ ✓
SDLymph node pain · · ✓
SDLymphadenopathy · · ✓
SDObstructive sleep apnoea syndrome · · ✓
SDVaccine positive rechallenge · · ✓
SROAdverse reaction · · ✓
SROArthralgia ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SRONodule ✓ ✓ ✓

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