Z3E-94223-21463
5 vaccinations
5 coded responses
66 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 982 / WA
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Registered in v-safe
-
2021-03-30
Dose 1 — Pfizer-BioNTech
- 2021-03-30
- 2021-03-31
- 2021-04-01
-
2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Slight sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
-
2021-04-20
Dose 2 — Pfizer-BioNTech
- 2021-04-20
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-29
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-07-20
- 2021-10-19
-
2021-10-21
Dose 3 — Pfizer-BioNTech
-
2021-10-21
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
-
2021-10-22
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-10-24
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
-
2021-11-04
Survey response — day 14, dose 3MedDRA: Joint stiffness, Mastication disorder, Masticatory pain, Muscle tightness, Oropharyngeal pain, Rhinorrhoea — Feeling: FairFree text: RH side Sore throat. Runny nose. Right jaw tightened making it painful and difficult to eat. Better today, but jaw still stiff and painful to chew. Last night I had to have soup so I didn't have ro chew. Im guessing this to be seasonal stuff.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
-
2022-01-20
Survey response — 3 months, dose 3MedDRA: Body temperature increased, Chills, Cough, Fatigue, Head discomfort, Headache, Oropharyngeal pain, Paranasal sinus hypersecretion — 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 · Outpatient clinic or urgent care clinic visitFree text: Headache,sore throat,coughing, very fatigued, extreme chills, slight fever...99.4. Feeling pressure in head. Sinus drainage.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-20
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-23
-
2022-04-20
Dose 4 — Pfizer-BioNTech
-
2022-04-20
Survey response — day 0, dose 4MedDRA: Flushing — Feeling: Fair · Site: Pain · HeadacheFree text: FlushnessMedDRA releases: 2024-11 · check-in free text available
-
2022-04-21
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2022-04-22
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness · HeadacheAdult check-in
-
2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2022-04-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Fever · Headache, Abdominal painAdult check-in
-
2022-04-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend schoolAdult check-in
- 2022-04-26
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-27
- 2022-06-03
- 2022-07-20
-
2022-09-28
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-28
-
2022-09-29
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-12
-
2022-10-19
Survey response — day 21, dose 5MedDRA: Cough, Eye irritation, Fatigue, Head discomfort, Oropharyngeal pain — Feeling: GoodFree text: Wild Fire smoke effect? Pressure in head, farigue, sore throat, slight cough. eyes burning.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-12-28
- 2023-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Pfizer-BioNTech | |
| 2 | 2021-04-20 | Pfizer-BioNTech | |
| 3 | 2021-10-21 | Pfizer-BioNTech | No |
| 4 | 2022-04-20 | Pfizer-BioNTech | No |
| 5 | 2022-09-28 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-20 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Slight sore throat
Release 10 — day 14, dose 3
Symptoms: RH side Sore throat. Runny nose. Right jaw tightened making it painful and difficult to eat. Better today, but jaw still stiff and painful to chew. Last night I had to have soup so I didn't have ro chew. Im guessing this to be seasonal stuff.
Release 10 — 3 months, dose 3
Symptoms: Headache,sore throat,coughing, very fatigued, extreme chills, slight fever...99.4. Feeling pressure in head. Sinus drainage.
Release 11 — day 0, dose 4
Systemic reaction (other): Flushness
Release 12 — day 21, dose 5
Symptoms: Wild Fire smoke effect? Pressure in head, farigue, sore throat, slight cough. eyes burning.
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 | Body temperature increased | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Eye irritation | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Head discomfort | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Joint stiffness | · | · | ✓ |
| SD | Mastication disorder | · | · | ✓ |
| SD | Masticatory pain | · | · | ✓ |
| SD | Muscle tightness | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Flushing | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release