2ZK-23953-92088
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 802 / CO
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-02-17
Registered in v-safe
-
2021-02-17
Dose 1 — Pfizer-BioNTech
-
2021-02-17
Health check-in — day 0, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, NauseaAdult check-in
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-23
- 2021-02-24
-
2021-03-03
Survey response — day 14, dose 1MedDRA: Pruritus — Feeling: GoodFree text: Actually, i have an itch from my head 2 my upper back, shoulders, neck, and chest from the day after 1st injection. No sign of rash, just itch. Still present.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Dose 2 — Pfizer-BioNTech
-
2021-03-19
Survey response — day 7, dose 2MedDRA: Arthralgia, Bone pain, Headache, Myalgia — Feeling: Good · HeadacheFree text: Muscle, bone, and joint pain 1st 3 days. Moderate headache 1st 3 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-31
- 2021-04-07
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2021-04-14
Survey response — day 35, dose 2MedDRA: Arthralgia, Back pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Severe lower back painSevere right hip painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — day 42, dose 2MedDRA: Pneumonia, SARS-CoV-2 test — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Pneumonia Is this condition related to the covid 19 shot? I don't know · Healthcare visit (other): Covid 19 test, 4-21-2021. Results not back yetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-09
- 2021-09-08
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2021-12-22
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-03-10
Survey response — 12 months, dose 2MedDRA: Pulmonary thrombosis — 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 · Emergency room or emergency department visitFree text: Blood clots in my lungsMedDRA releases: 2024-11 · check-in free text available
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2022-03-10
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
-
2022-03-11
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Pfizer-BioNTech | |
| 2 | 2021-03-10 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
Free text
Release 4 — day 14, dose 1
Symptoms: Actually, i have an itch from my head 2 my upper back, shoulders, neck, and chest from the day after 1st injection. No sign of rash, just itch. Still present.
Release 5 — day 7, dose 2
Systemic reaction (other): Muscle, bone, and joint pain 1st 3 days. Moderate headache 1st 3 days.
Release 7 — day 35, dose 2
Symptoms: Severe lower back painSevere right hip pain
Release 7 — day 42, dose 2
Symptoms: Pneumonia Is this condition related to the covid 19 shot? I don't know
Healthcare visit (other): Covid 19 test, 4-21-2021. Results not back yet
Release 11 — 12 months, dose 2
Symptoms: Blood clots in my lungs
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 | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Pneumonia | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Pulmonary thrombosis | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Bone pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release