XZ5-63371-58422
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 221 / VA
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 1 — Pfizer-BioNTech
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
-
2021-03-31
Dose 2 — Pfizer-BioNTech
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-05
- 2021-04-06
- 2021-04-07
-
2021-04-14
Survey response — 14 day, dose 2MedDRA: Muscle spasms — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-21
Survey response — 21 day, dose 2MedDRA: Back pain, Bronchitis, Dyspnoea, Fatigue, Headache, Office visit, Pain in extremity, Peripheral swelling, Thrombosis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-21
Report sent to call center — 21 day, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-06-30
-
2021-09-29
Survey response — 6 month, dose 2MedDRA: Bronchitis, Gastrointestinal disorder, Malaise, Positive airway pressure therapy — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2021-12-23
Call successfulParticipant prefers to complete VAERS report online
-
2022-03-31
Survey response — 12 month, dose 2MedDRA: Bronchitis, Nasopharyngitis, Pre-existing disease — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Pfizer-BioNTech | |
| 2 | 2021-03-31 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-21 | Successful 2021-12-23 |
Participant prefers to complete VAERS report online |
Free text
Release 7
Symptoms: Leg/calf (cramp). Able to walk gingerly. Easing during 3rd day.
Symptoms: Blood clot; and bronchitis.- DVT: Leg pain and swelling. - Shortness of breath, (back) pain.- Also, Fatigue and headache.
Healthcare visit (other): Ultrasound Test at hospital
Release 9
Symptoms: Salmonella type symptoms. Colonoscopy and anesthesia effects. Bronchitis type symptoms. Dry mouth from CPAP.Swollen (tonsils?)
Release 11
Symptoms: 1. What I will call Bronchitis. 2. What I will call head cold symptoms- likely from allergies.
Free-text releases are not linked to a specific 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 | Back pain | ✓ | ✓ | ✓ |
| SD | Bronchitis | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Positive airway pressure therapy | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Thrombosis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release