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Z4Z-27213-50547

2 vaccinations 4 coded responses 11 check-ins 4 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
207 / MD
Registered
2021-04-05
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-13
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-03
    Dose 2 — Pfizer-BioNTech
  3. 2021-04-05
    Registered in v-safe
  4. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-04-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-04-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-04-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-05-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-05-11
    Survey response — day 35, dose 2
    MedDRA: Dyspnoea — Feeling: Good
    Free text: Increased Shortness of Breath.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-15
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-07-04
    Survey response — 3 months, dose 2
    MedDRA: Asthenia, Dyspnoea, Emergency care, Gait inability, Hospitalisation, Intensive care — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Shortness of breath. Weak. Unable to walk. Blood level 2. Ambulance to Hospital. Admitted to ICMU.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-07-04
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-07-08
  15. 2021-10-03
    Survey response — 6 months, dose 2
    MedDRA: Full blood count abnormal, Hospitalisation, Intensive care, Transfusion — Feeling: Fair
    Free text: ICU 07/02 - 09. Blood levels were 2.5. Required 5 units of blood. On going diagnostics to determine cause. Blood levels at critical level again 09/09. Iron infusions. Results not determined.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-01-15
  17. 2022-04-03
    Survey response — 12 months, dose 2
    MedDRA: Fatigue, Pre-existing disease, Rotator cuff repair — Feeling: Fair
    Free text: Had rotator cuff surgery 03/18/2022. Recovery in progress. Some fatigue. Will see ONOCOLOGY Dr 04/19/2022 to check blood levels.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-13Pfizer-BioNTech
22021-04-03Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-07-04 Unsuccessful

Free text

Release 8 — day 35, dose 2

2021-05-11

Symptoms: Increased Shortness of Breath.

Release 9 — 3 months, dose 2

2021-07-04

Symptoms: Shortness of breath. Weak. Unable to walk. Blood level 2. Ambulance to Hospital. Admitted to ICMU.

Release 9 — 6 months, dose 2

2021-10-03

Symptoms: ICU 07/02 - 09. Blood levels were 2.5. Required 5 units of blood. On going diagnostics to determine cause. Blood levels at critical level again 09/09. Iron infusions. Results not determined.

Release 11 — 12 months, dose 2

2022-04-03

Symptoms: Had rotator cuff surgery 03/18/2022. Recovery in progress. Some fatigue. Will see ONOCOLOGY Dr 04/19/2022 to check blood levels.

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

FieldPreferred term2021-092023-042024-11
SDAsthenia ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDEmergency care ✓ ✓ ✓
SDFatigue · · ✓
SDFull blood count abnormal · · ✓
SDGait inability ✓ ✓ ✓
SDHospitalisation ✓ ✓ ✓
SDIntensive care ✓ ✓ ✓
SDPre-existing disease · · ✓
SDRotator cuff repair · · ✓
SDTransfusion · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release