ZZM-85212-31727
4 vaccinations
8 coded responses
38 check-ins
7 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 300 / GA
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- Native Hawaiian or other Pacific Islander
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-15
Dose 1 — Pfizer-BioNTech
-
2021-01-17
Registered in v-safe
- 2021-01-17
- 2021-01-19
- 2021-01-20
- 2021-01-21
- 2021-01-22
- 2021-01-29
-
2021-02-03
Dose 2 — Pfizer-BioNTech
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-26
-
2021-03-03
Survey response — day 28, dose 2MedDRA: Injection site reaction, Myalgia — Feeling: GoodFree text: Sore muscle on left arm injection site. It might be due to resuming exercise and use of arm again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-10
Survey response — day 35, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Continued pain in muscle at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
-
2021-05-05
Survey response — 3 months, dose 2MedDRA: Dizziness, Self-medication, Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have had dizziness for a month. Doctor said its vertigo and now taking meclizine. Im not sure it has anything to do with Pfizer vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-05
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-05
Survey response — 6 months, dose 2MedDRA: Bronchitis, Cough, Ear infection, Medical counselling, Oropharyngeal pain, Productive cough, Secretion discharge, Self-medication, Sinus disorder, Sneezing, Tonsillar hypertrophy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sore throat, enlarged tonsils, ear infection, sinus problems, coughing and sneezing, dry cough first then cough with mucus. Dr prescribed otc cough medicine and antibiotics for bronchitis. Symptoms lasted three weeks.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-05
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-23
Dose 3 — Moderna
-
2021-08-26
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-08-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-08-28
- 2021-08-29
- 2021-08-30
- 2021-09-06
-
2021-09-13
Survey response — day 21, dose 3MedDRA: Cough — Feeling: FairFree text: Dry coughingMedDRA releases: 2024-11 · check-in free text available
- 2021-09-21
- 2021-09-24
-
2021-09-27
Survey response — day 35, dose 3MedDRA: Cough, Oropharyngeal pain — Feeling: FairFree text: Sore throat, dry coughMedDRA releases: 2024-11 · check-in free text available
- 2021-09-29
-
2021-09-29
Call successfulParticipant prefers to complete VAERS report online
-
2021-09-29
Call successfulParticipant prefers to complete VAERS report online
- 2021-10-04
- 2021-11-24
- 2022-02-21
-
2022-04-01
Dose 4 — Moderna
- 2022-04-17
- 2022-04-22
- 2022-04-29
- 2022-05-08
- 2022-05-14
- 2022-07-01
-
2022-10-03
Survey response — 6 months, dose 4MedDRA: Arthralgia, Back pain, Dizziness, Fatigue, Office visit, Pain in extremity, Spinal pain, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I don't know that my lower spine, back hip and leg pain is related to my latest booster shot. I have also experienced dizziness and fatigue but it may be due to nerve ablation and epidurals. · Healthcare visit (other): Treatment by my I internest and pain management doctor.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-03
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-05
-
2022-10-05
Call successfulDoes not wish to fill out VAERS report
-
2023-04-01
Survey response — 12 months, dose 4MedDRA: Cough, Ear infection, Fatigue, Headache, Laboratory test abnormal, Office visit, Oropharyngeal pain, Sinusitis — Feeling: Good · 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 visitMedDRA releases: 2024-11
-
2023-04-01
Report sent to call center — 12 months, dose 4Be unable to do your normal daily activities · 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)
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Pfizer-BioNTech | |
| 2 | 2021-02-03 | Pfizer-BioNTech | |
| 3 | 2021-08-23 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
Call center
4 call center cases
3 successful · 1 unsuccessful
Free text
Release 4 — day 28, dose 2
Symptoms: Sore muscle on left arm injection site. It might be due to resuming exercise and use of arm again.
Release 5 — day 35, dose 2
Symptoms: Continued pain in muscle at injection site
Release 8 — 3 months, dose 2
Symptoms: I have had dizziness for a month. Doctor said its vertigo and now taking meclizine. Im not sure it has anything to do with Pfizer vaccine.
Release 9 — 6 months, dose 2
Symptoms: Sore throat, enlarged tonsils, ear infection, sinus problems, coughing and sneezing, dry cough first then cough with mucus. Dr prescribed otc cough medicine and antibiotics for bronchitis. Symptoms lasted three weeks.
Release 9 — day 21, dose 3
Symptoms: Dry coughing
Release 9 — day 35, dose 3
Symptoms: Sore throat, dry cough
Release 12 — 6 months, dose 4
Symptoms: I don't know that my lower spine, back hip and leg pain is related to my latest booster shot. I have also experienced dizziness and fatigue but it may be due to nerve ablation and epidurals.
Healthcare visit (other): Treatment by my I internest and pain management doctor.
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 | Office visit | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Bronchitis | ✓ | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Ear infection | ✓ | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Medical counselling | ✓ | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Productive cough | ✓ | · | ✓ |
| SD | Secretion discharge | ✓ | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sinus disorder | ✓ | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Sneezing | ✓ | · | ✓ |
| SD | Spinal pain | · | · | ✓ |
| SD | Tonsillar hypertrophy | ✓ | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release