4TZ-17733-43612
4 vaccinations
5 coded responses
36 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 857 / AZ
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Pfizer-BioNTech
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
-
2021-03-26
Dose 2 — Pfizer-BioNTech
- 2021-03-26
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Dysuria, Pollakiuria — Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Frequent urination. Difficulty urinating.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-08
- 2021-06-25
-
2021-09-24
Survey response — 6 months, dose 2MedDRA: COVID-19, Malaise, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I tested positive for Covid-19 on 9/16/2021. I was symptomatic. I have been sick but am feeling much better today. I am isolating until 9/26/2021.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-01
Dose 3 — Moderna
-
2022-03-26
Survey response — 12 months, dose 2MedDRA: COVID-19, Chills, Fatigue, Influenza like illness, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had Covid mid September 2021. Flu like symptoms in head, chills, fever for 2-3 days, tired for a week. Not too bad.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-22
Dose 4 — Moderna
-
2022-06-26
Survey response — days 1–6 daily, dose 4MedDRA: Chills, Feeling abnormal, Pyrexia — Feeling: GoodFree text: I received vaccine afternoon of June 22, had six hours of severe chills with 101.9 fever afternoon of June 23. Very miserable and then it passed.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-07-06
- 2022-07-15
- 2022-07-20
- 2022-07-28
- 2022-08-03
-
2022-09-21
Survey response — 3 months, dose 4MedDRA: Nephrolithiasis, Vertigo — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Vertigo and kidney stonesMedDRA releases: 2024-11 · check-in free text available
-
2022-09-21
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-09-22
-
2022-09-22
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-12-21
- 2023-06-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Pfizer-BioNTech | |
| 2 | 2021-03-26 | Pfizer-BioNTech | |
| 3 | 2021-12-01 | Moderna | No |
| 4 | 2022-06-22 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Frequent urination. Difficulty urinating.
Release 9 — 6 months, dose 2
Symptoms: I tested positive for Covid-19 on 9/16/2021. I was symptomatic. I have been sick but am feeling much better today. I am isolating until 9/26/2021.
Release 11 — 12 months, dose 2
Symptoms: I had Covid mid September 2021. Flu like symptoms in head, chills, fever for 2-3 days, tired for a week. Not too bad.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I received vaccine afternoon of June 22, had six hours of severe chills with 101.9 fever afternoon of June 23. Very miserable and then it passed.
Release 12 — 3 months, dose 4
Symptoms: Vertigo and kidney stones
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 | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nephrolithiasis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Dysuria | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Pollakiuria | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release