ZXJ-17992-57563
4 vaccinations
14 coded responses
50 check-ins
12 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 894 / NV
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-05
Registered in v-safe
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2021-04-05
Dose 1 — Pfizer-BioNTech
- 2021-04-05
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2021-04-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-19
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2021-04-26
Dose 2 — Pfizer-BioNTech
- 2021-04-26
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2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
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2021-06-07
Survey response — day 42, dose 2MedDRA: Nasal congestion, Odynophagia — Feeling: GoodFree text: Briefly had nasal congestion and pain swallowing last week for about 3 days. No fever. Gone now. Did not require doctor visit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-26
Survey response — 3 months, dose 2MedDRA: Cough, Nasal congestion — Feeling: GoodFree text: Nasal congestion, cough (slight)MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-25
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2021-11-19
Dose 3 — Pfizer-BioNTech
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2021-11-23
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Body temperature increased, Fatigue — Feeling: Good · Site: Pain, SwellingFree text: The day after the booster: tiredness and fever of about 100.3 for day and a half; and sore armpit on injection side since day after shot. FYIMedDRA releases: 2024-11 · check-in free text available
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2021-11-24
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: GoodFree text: Have had armpit pain and swelling on injection side since day after; still there, but barely today.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-25
- 2021-11-26
- 2021-12-03
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2021-12-10
Survey response — day 21, dose 3MedDRA: Arthritis, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Inflamed pinky joint (top joint) - going to doctor next week. Not sure if any correlation, but that is one change in overall health. (Might be injury or age???) Just letting you know. · Healthcare visit (other): Scheduled for next week.MedDRA releases: 2024-11 · check-in free text available
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2021-12-10
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-13
- 2021-12-16
- 2021-12-17
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2021-12-24
Survey response — day 35, dose 3MedDRA: Sinus headache — Feeling: GoodFree text: Had sinus headache a week ago - lasted part of one night, then gone.MedDRA releases: 2024-11 · check-in free text available
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2021-12-31
Survey response — day 42, dose 3MedDRA: Headache, Nasal congestion — Feeling: GoodFree text: headache, stuffy noseMedDRA releases: 2024-11 · check-in free text available
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2022-02-18
Survey response — 3 months, dose 3MedDRA: Eye infection, Headache, Nasopharyngitis — Feeling: Good · Be unable to work or attend schoolFree text: Headache, sinus cold, eye infection (or symptoms from sinus cold)MedDRA releases: 2024-11 · check-in free text available
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2022-05-20
Survey response — 6 months, dose 3MedDRA: Nasopharyngitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: sinus coldsMedDRA releases: 2024-11 · check-in free text available
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2022-05-20
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-23
- 2022-05-23
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2022-11-10
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-10
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2022-11-11
Survey response — days 1–6 daily, dose 4MedDRA: Respiratory tract congestion — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: a little congestion - mildMedDRA releases: 2024-11 · check-in free text available
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2022-11-12
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Nasal congestion, Oropharyngeal pain, Palpitations — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Forgot to mention yesterday: heart palpitations (first 24 hours and today); also, nasal congestion, soar throat, and cough (all mild)MedDRA releases: 2024-11 · check-in free text available
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2022-11-13
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain — Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tirednessFree text: Since day after shot armpits sore (mild to moderate)MedDRA releases: 2024-11 · check-in free text available
- 2022-11-14
- 2022-11-15
- 2022-11-16
- 2022-11-17
- 2022-11-24
- 2022-12-03
- 2022-12-08
- 2022-12-15
- 2022-12-22
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2023-02-09
Survey response — 3 months, dose 4MedDRA: Brain fog, COVID-19, Cough, Fatigue, Headache, Office visit, Respiratory tract congestion, Sneezing, Upper-airway cough syndrome — Feeling: Good · 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 visitMedDRA releases: 2024-11
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2023-02-09
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-02-10
- 2023-02-10
- 2023-02-10
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2023-02-10
Call successfulDoes not wish to fill out VAERS report
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2023-02-10
Call successfulDoes not wish to fill out VAERS report
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2023-02-10
Call successfulCompleted over the phone
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2023-05-12
Survey response — 6 months, dose 4MedDRA: Asthma, Cough, Pre-existing disease — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Pfizer-BioNTech | |
| 2 | 2021-04-26 | Pfizer-BioNTech | |
| 3 | 2021-11-19 | Pfizer-BioNTech | No |
| 4 | 2022-11-10 | Pfizer-BioNTech | Flu |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 1
Free text
Release 8 — day 42, dose 2
Symptoms: Briefly had nasal congestion and pain swallowing last week for about 3 days. No fever. Gone now. Did not require doctor visit.
Release 9 — 3 months, dose 2
Symptoms: Nasal congestion, cough (slight)
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The day after the booster: tiredness and fever of about 100.3 for day and a half; and sore armpit on injection side since day after shot. FYI
Systemic reaction (other): Have had armpit pain and swelling on injection side since day after; still there, but barely today.
Release 10 — day 21, dose 3
Symptoms: Inflamed pinky joint (top joint) - going to doctor next week. Not sure if any correlation, but that is one change in overall health. (Might be injury or age???) Just letting you know.
Healthcare visit (other): Scheduled for next week.
Release 10 — day 35, dose 3
Symptoms: Had sinus headache a week ago - lasted part of one night, then gone.
Release 10 — day 42, dose 3
Symptoms: headache, stuffy nose
Release 11 — 3 months, dose 3
Symptoms: Headache, sinus cold, eye infection (or symptoms from sinus cold)
Release 11 — 6 months, dose 3
Symptoms: sinus colds
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): a little congestion - mild
Systemic reaction (other): Forgot to mention yesterday: heart palpitations (first 24 hours and today); also, nasal congestion, soar throat, and cough (all mild)
Systemic reaction (other): Since day after shot armpits sore (mild to moderate)
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 | Arthritis | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Eye infection | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Odynophagia | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Palpitations | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release