XZK-11089-95792
5 vaccinations
4 coded responses
67 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 100 / NY
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Dose 1 — Pfizer-BioNTech
-
2021-01-31
Registered in v-safe
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
-
2021-02-19
Dose 2 — Pfizer-BioNTech
-
2021-02-19
Survey response — 0 day, dose 2MedDRA: Lipoma, Skin irritation — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
-
2021-03-05
Survey response — 14 day, dose 2MedDRA: Skin irritation, Vaccine positive rechallenge — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-05-21
- 2021-08-20
-
2021-10-01
Dose 3 — Pfizer-BioNTech
-
2021-10-01
Health check-in — 0 day, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-12-31
-
2022-04-01
Dose 4 — Pfizer-BioNTech
- 2022-04-01
-
2022-04-01
Survey response — 6 month, dose 3MedDRA: Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2022-04-01
Report sent to call center — 6 month, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-02
- 2022-04-03
- 2022-04-04
- 2022-04-05
- 2022-04-06
- 2022-04-07
- 2022-04-08
-
2022-04-12
Call successfulParticipant prefers to complete VAERS report online
- 2022-04-15
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-07-01
-
2022-09-30
Survey response — 6 month, dose 4MedDRA: Ageusia, Anosmia, COVID-19, Fatigue, Respiratory tract congestion, Sinus congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2022-10-10
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-14
- 2022-10-15
- 2022-10-16
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2022-11-21
- 2023-01-09
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Pfizer-BioNTech | |
| 2 | 2021-02-19 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-04-01 | Pfizer-BioNTech | No |
| 5 | 2022-10-10 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-01 | Successful 2022-04-12 |
Participant prefers to complete VAERS report online |
Free text
Release 4
Systemic reaction (other): None for today. However, I had not made the connection after my first vaccination to report, so am doing so here (applies to first dose). Approximately 24-48 hours after first dose, I developed armpit irritation and some lipomas only on the same side where I received my first dose shot. This resolved in ~ two weeks.
Release 5
Symptoms: Slight armpit irritation on the side where I got the vaccine. Had same response but more intense and started earlier for first dose. Second dose started later, lasted less time, and was less intense.
Release 11
Symptoms: Tinnitus
Release 12
Symptoms: COVID with mild symptoms in July (mild sinus and chest congestion, fatigue, loss of taste and smell for two weeks)
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 |
|---|---|---|---|---|
| SD | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Skin irritation | ✓ | ✓ | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SD | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
| SRO | Lipoma | ✓ | ✓ | ✓ |
| SRO | Skin irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release