Z49-85954-40265
5 vaccinations
3 coded responses
41 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 296 / SC
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Dose 1 — Pfizer-BioNTech
-
2021-01-23
Registered in v-safe
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-27
-
2021-01-28
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: I have a question about your survey. Where it says have you had any of these symptoms should it read had you had any of these symptoms or should it read have you had any of these symptoms today? The tense of the verb could change my answer.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
-
2021-02-11
Dose 2 — Pfizer-BioNTech
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-20
- 2021-02-25
- 2021-03-04
- 2021-03-11
-
2021-03-18
Survey response — day 35, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: I received my second shingles vaccine on Sunday, March 14th. The next day, Monday, I had a headache, body aches, and a slight fever. On Tuesday, March 16th, I was fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-05-13
- 2021-08-14
-
2021-09-26
Dose 3 — Pfizer-BioNTech
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-10
- 2021-10-17
- 2021-10-24
- 2021-10-31
- 2021-11-08
- 2021-12-26
- 2022-03-27
-
2022-04-09
Dose 4 — Pfizer-BioNTech
- 2022-04-15
- 2022-04-16
- 2022-04-23
-
2022-04-30
Survey response — day 21, dose 4MedDRA: Cough, Pre-existing disease, SARS-CoV-2 test negative, Secretion discharge — Feeling: FairFree text: Cough and mucus, I believe due to my seasonal allergies. I took an at-home COVID 19 test. It was negative. My symptoms are improving.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-07-11
-
2022-09-10
Dose 5 — Pfizer-BioNTech
- 2022-10-08
- 2023-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Pfizer-BioNTech | |
| 2 | 2021-02-11 | Pfizer-BioNTech | |
| 3 | 2021-09-26 | Pfizer-BioNTech | No |
| 4 | 2022-04-09 | Pfizer-BioNTech | No |
| 5 | 2022-09-10 | Pfizer-BioNTech | No |
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): I have a question about your survey. Where it says have you had any of these symptoms should it read had you had any of these symptoms or should it read have you had any of these symptoms today? The tense of the verb could change my answer.
Release 5 — day 35, dose 2
Symptoms: I received my second shingles vaccine on Sunday, March 14th. The next day, Monday, I had a headache, body aches, and a slight fever. On Tuesday, March 16th, I was fine.
Release 11 — day 21, dose 4
Symptoms: Cough and mucus, I believe due to my seasonal allergies. I took an at-home COVID 19 test. It was negative. My symptoms are improving.
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 | Cough | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release