ZY9-20928-05322
4 vaccinations
4 coded responses
46 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 191 / PA
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Pfizer-BioNTech
- 2021-01-26
-
2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort — Feeling: GoodFree text: Slight chest tightness but still able to hold a deep breath for 60 secondsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
-
2021-02-12
Dose 2 — Pfizer-BioNTech
- 2021-02-16
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-05-14
- 2021-08-13
-
2021-10-10
Dose 3 — Pfizer-BioNTech
-
2021-10-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body achesAdult check-in
-
2021-10-12
Survey response — days 1–6 daily, dose 3MedDRA: Peripheral swelling, Tenderness — Feeling: Good · Site: Pain · Muscle or body achesFree text: Slight swelling & tenderness in the armpit of the arm where I received my shotMedDRA releases: 2024-11 · check-in free text available
- 2021-10-13
- 2021-10-14
- 2021-10-15
- 2021-10-16
- 2021-10-17
- 2021-10-24
- 2021-10-31
- 2021-11-07
- 2021-11-14
- 2021-11-21
-
2022-01-09
Survey response — 3 months, dose 3MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Tested positive for COVID-19 on Dec 14 2021MedDRA releases: 2024-11 · check-in free text available
-
2022-01-09
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-11
- 2022-04-10
-
2022-09-24
Dose 4 — ModernaCo-administered: Flu
-
2022-09-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-01
-
2022-10-08
Survey response — day 14, dose 4MedDRA: Night sweats, Oropharyngeal pain — Feeling: FairFree text: Sore throat and night sweatsMedDRA releases: 2024-11 · check-in free text available
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-11-05
- 2022-12-24
- 2023-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Pfizer-BioNTech | |
| 2 | 2021-02-12 | Pfizer-BioNTech | |
| 3 | 2021-10-10 | Pfizer-BioNTech | No |
| 4 | 2022-09-24 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-09 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Slight chest tightness but still able to hold a deep breath for 60 seconds
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Slight swelling & tenderness in the armpit of the arm where I received my shot
Release 10 — 3 months, dose 3
Symptoms: Tested positive for COVID-19 on Dec 14 2021
Release 12 — day 14, dose 4
Symptoms: Sore throat and night sweats
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 |
|---|---|---|---|---|
| SD | Night sweats | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release