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Z52-17682-32954

3 vaccinations 4 coded responses 17 check-ins 4 free-text entries 2 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
752 / TX
Registered
2021-07-15
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-07-14
    Dose 1 — Pfizer-BioNTech
  2. 2021-07-15
    Registered in v-safe
  3. 2021-07-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-07-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-07-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-07-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Sneezing — Feeling: Good
    Free text: sneezed a few times
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-07-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-07-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-07-21
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-07-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-08-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-08-11
    Survey response — day 28, dose 1
    MedDRA: Back pain, Herpes zoster, Muscle spasms, Pruritus, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Itchiness and skin rash. Diagnosed as Shingles. Itchiness began in right armpit before the first vaccine but has spread to other armpit, upper arms, back, testicle sac, and chest. Feel slight ache spasms in area of kidneys on my back.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-08-11
    Report sent to call center — day 28, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-08-18
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-08-18
  16. 2021-08-19
  17. 2021-08-20
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  18. 2021-08-25
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  19. 2021-09-08
    Dose 2 — Pfizer-BioNTech
  20. 2021-10-13
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  21. 2021-11-03
    Dose 3 — Moderna
  22. 2022-01-12
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  23. 2022-02-02
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-05-04
    Survey response — 6 months, dose 3
    MedDRA: Cough, Pre-existing disease, Respiratory tract congestion, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Allergies that led to chest congestion and cough that lasted for nearly 4 weeks. Also had sinus infection. Zpac lessened symptoms but then came back when I finished course. 3000 units daily of Vit D seems to have helped of late.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-05-04
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  26. 2022-05-05
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  27. 2022-11-03
    Survey response — 12 months, dose 3
    MedDRA: Eructation, Flatulence — Feeling: Good
    Free text: Excessive gas - belching and flatulence - for the last 6 weeks
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-07-14Pfizer-BioNTech No
22021-09-08Pfizer-BioNTech No
32021-11-03Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-08-11 Successful
2021-08-20
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-05-04 Successful
2022-05-05
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-18

Systemic reaction (other): sneezed a few times

Release 9 — day 28, dose 1

2021-08-11

Symptoms: Itchiness and skin rash. Diagnosed as Shingles. Itchiness began in right armpit before the first vaccine but has spread to other armpit, upper arms, back, testicle sac, and chest. Feel slight ache spasms in area of kidneys on my back.

Release 11 — 6 months, dose 3

2022-05-04

Symptoms: Allergies that led to chest congestion and cough that lasted for nearly 4 weeks. Also had sinus infection. Zpac lessened symptoms but then came back when I finished course. 3000 units daily of Vit D seems to have helped of late.

Release 12 — 12 months, dose 3

2022-11-03

Symptoms: Excessive gas - belching and flatulence - for the last 6 weeks

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
SDBack pain ✓ · ✓
SDCough · · ✓
SDEructation · · ✓
SDFlatulence · · ✓
SDHerpes zoster ✓ · ✓
SDMuscle spasms ✓ · ✓
SDPre-existing disease · · ✓
SDPruritus ✓ · ✓
SDRash ✓ · ✓
SDRespiratory tract congestion · · ✓
SDSinusitis · · ✓
SROSneezing · · ✓

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