Z3E-18953-03146
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 453 / OH
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Dose 1 — Pfizer-BioNTech
-
2021-04-02
Registered in v-safe
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2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body achesAdult check-in
-
2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
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2021-04-15
Survey response — day 14, dose 1MedDRA: Vertigo — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Having vertigo today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Dose 2 — Pfizer-BioNTech
- 2021-04-21
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-05-05
- 2021-05-12
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2021-05-19
Survey response — day 28, dose 2MedDRA: Emergency care, Office visit, Pleurisy, Thrombosis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: In the last week I've been sent to the ER by different doctors. I was see my orthopedic doctor for my right shoulder. He felt i may have a blood cot in my lung. He told me to go to the ER. They determined I had pleurisy and the bottom lobes of my lunMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
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2021-06-02
Survey response — day 42, dose 2MedDRA: Chest pain, Dyspnoea, Emergency care, Pneumothorax, Pulmonary hypertension — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Chest pain right side. Difficult breathing. Went to ER. Lower lobes of lung partially collapsed. Pulmonary hypertension. Waiting to see cardiologist.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-21
Survey response — 3 months, dose 2MedDRA: Cardiac disorder, Dizziness, Dyspnoea exertional, Office visit, Rash, Rash erythematous, Unevaluable event — Feeling: Fair · 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: Symptoms: Heart issues. I can't walk more than a block without being out of breath, dizzy and light headed. Seeing a cardiologist now. Currently have a rash of red round dot on my foot, abdomen and butt. Seeing my primary care doctor for it. Also the big toe a · Healthcare visit (other): Primary care doctor, ENT and cardiologist.MedDRA releases: 2024-11 · check-in free text available
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2021-07-21
Report sent to call center — 3 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 pr1 call case(s)
- 2021-07-27
- 2021-10-27
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2022-04-21
Survey response — 12 months, dose 2MedDRA: Asthma — Feeling: Fair · Be unable to work or attend schoolFree text: Asthma.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Pfizer-BioNTech | |
| 2 | 2021-04-21 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-21 | Unsuccessful |
Free text
Release 7 — day 14, dose 1
Symptoms: Having vertigo today.
Release 8 — day 28, dose 2
Symptoms: In the last week I've been sent to the ER by different doctors. I was see my orthopedic doctor for my right shoulder. He felt i may have a blood cot in my lung. He told me to go to the ER. They determined I had pleurisy and the bottom lobes of my lun cut off by CDC
Release 8 — day 42, dose 2
Symptoms: Chest pain right side. Difficult breathing. Went to ER. Lower lobes of lung partially collapsed. Pulmonary hypertension. Waiting to see cardiologist.
Release 9 — 3 months, dose 2
Symptoms: Heart issues. I can't walk more than a block without being out of breath, dizzy and light headed. Seeing a cardiologist now. Currently have a rash of red round dot on my foot, abdomen and butt. Seeing my primary care doctor for it. Also the big toe a cut off by CDC
Healthcare visit (other): Primary care doctor, ENT and cardiologist.
Release 11 — 12 months, dose 2
Symptoms: Asthma.
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 | Asthma | · | · | ✓ |
| SD | Cardiac disorder | · | · | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pleurisy | ✓ | ✓ | ✓ |
| SD | Pneumothorax | ✓ | ✓ | ✓ |
| SD | Pulmonary hypertension | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash erythematous | · | · | ✓ |
| SD | Thrombosis | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release