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
-
2021-07-14
Dose 1 — Pfizer-BioNTech
-
2021-07-15
Registered in v-safe
- 2021-07-15
- 2021-07-16
- 2021-07-17
-
2021-07-18
Survey response — days 1–6 daily, dose 1MedDRA: Sneezing — Feeling: GoodFree text: sneezed a few timesMedDRA releases: 2024-11 · check-in free text available
- 2021-07-19
- 2021-07-20
- 2021-07-21
- 2021-07-28
- 2021-08-04
-
2021-08-11
Survey response — day 28, dose 1MedDRA: 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 visitFree 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
-
2021-08-11
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-18
- 2021-08-18
- 2021-08-19
-
2021-08-20
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-08-25
-
2021-09-08
Dose 2 — Pfizer-BioNTech
- 2021-10-13
-
2021-11-03
Dose 3 — Moderna
- 2022-01-12
- 2022-02-02
-
2022-05-04
Survey response — 6 months, dose 3MedDRA: 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 consultationFree 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
-
2022-05-04
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-05-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-11-03
Survey response — 12 months, dose 3MedDRA: Eructation, Flatulence — Feeling: GoodFree text: Excessive gas - belching and flatulence - for the last 6 weeksMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-14 | Pfizer-BioNTech | No |
| 2 | 2021-09-08 | Pfizer-BioNTech | No |
| 3 | 2021-11-03 | Moderna | No |
Call center
| Reported | Outcome | VAERS-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
Systemic reaction (other): sneezed a few times
Release 9 — day 28, dose 1
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Back pain | ✓ | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Eructation | · | · | ✓ |
| SD | Flatulence | · | · | ✓ |
| SD | Herpes zoster | ✓ | · | ✓ |
| SD | Muscle spasms | ✓ | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pruritus | ✓ | · | ✓ |
| SD | Rash | ✓ | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release