Z5F-41220-38006
2 vaccinations
9 coded responses
24 check-ins
9 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 208 / MD
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-13
Registered in v-safe
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2021-02-13
Dose 1 — Pfizer-BioNTech
- 2021-02-13
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2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia, Pre-existing disease, Unevaluable event — Feeling: Good · Muscle or body aches · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Systemic reaction (other): Calf muscle painnin one leg, probably unrelated · Healthcare visit (other): Had sonogram of leg due to PE history and blood thinners. Sonogram was negativeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia — Feeling: Good · Muscle or body achesFree text: Still have the left calf muscle ache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity, Unevaluable event — Feeling: Good · Muscle or body aches · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Still have calf pain. Hemonc/Onc doc hadbbloodbdraw for DDimer, CBC, etc. Still think it's a muscle pull. · Healthcare visit (other): Blood work. OV on Thursday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Muscle spasms — Feeling: Good · Muscle or body achesFree text: Still left leg cramps. Had blood draw yesterday and seeing hemonc/oncol doc tomorrow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Muscle or body achesFree text: Left calf pain persists. Have doppler tests scheduled for next week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Muscle or body achesFree text: Continued leg pain. Conferred with docs and test scheduled.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Survey response — day 7, dose 1MedDRA: Arthralgia — Feeling: Good · Muscle or body achesFree text: Continued left ankle "muscle" pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
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2021-03-06
Dose 2 — Pfizer-BioNTech
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-14
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
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2021-06-05
Survey response — 3 months, dose 2MedDRA: Herpes zoster — Feeling: GoodFree text: ShinglesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-30
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2021-07-30
Call successfulDoes not wish to fill out VAERS report
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2021-09-04
Survey response — 6 months, dose 2MedDRA: Peripheral artery thrombosis — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Blood clots and thrombosis in left popatile artery.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-04
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Pfizer-BioNTech | |
| 2 | 2021-03-06 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-14 | Successful 2021-07-30 |
|
| 2021-02-16 | Successful 2021-07-30 |
Does not wish to fill out VAERS report |
| 2021-09-04 | Successful | Participant prefers to complete VAERS report online |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Calf muscle painnin one leg, probably unrelated
Healthcare visit (other): Had sonogram of leg due to PE history and blood thinners. Sonogram was negative
Systemic reaction (other): Still have the left calf muscle ache.
Systemic reaction (other): Still have calf pain. Hemonc/Onc doc hadbbloodbdraw for DDimer, CBC, etc. Still think it's a muscle pull.
Healthcare visit (other): Blood work. OV on Thursday.
Systemic reaction (other): Still left leg cramps. Had blood draw yesterday and seeing hemonc/oncol doc tomorrow.
Systemic reaction (other): Left calf pain persists. Have doppler tests scheduled for next week.
Systemic reaction (other): Continued leg pain. Conferred with docs and test scheduled.
Release 4 — day 7, dose 1
Systemic reaction (other): Continued left ankle "muscle" pain.
Release 8 — 3 months, dose 2
Symptoms: Shingles
Release 9 — 6 months, dose 2
Symptoms: Blood clots and thrombosis in left popatile artery.
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 |
|---|---|---|---|---|
| HCVO | Pre-existing disease | ✓ | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Peripheral artery thrombosis | ✓ | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release