Z5G-96973-09386
4 vaccinations
8 coded responses
26 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 114 / NY
- Registered
- 2022-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-01-28
Dose 1 — Pfizer-BioNTech
-
2022-01-29
Registered in v-safe
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2022-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Discomfort, Headache, Lip dry — Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tirednessFree text: Dry lips....high pressure....sometimes severe headacheMedDRA releases: 2024-11 · check-in free text available
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2022-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Lip dry — Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tirednessFree text: Dry lips.. sometimes severe headaches..MedDRA releases: 2024-11 · check-in free text available
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2022-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Lip dry — Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tirednessFree text: Dry lips......sometimes severe headache......unhappy....MedDRA releases: 2024-11 · check-in free text available
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2022-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Depressed mood, Headache, Lip dry, Parosmia, Taste disorder — Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tirednessFree text: Sometimes severe headaches........dry lips......Unhappy......The taste problem seems to have decreased, but the smell problem remains.When I smell something,I am not sure and I strain my memory and try to remember the smell.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-11
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2022-02-23
Dose 2 — Pfizer-BioNTech
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2022-03-03
Survey response — day 7, dose 2MedDRA: Ankylosing spondylitis, Burning sensation, Eye irritation, Headache, Illness, Lip dry, Muscular weakness, Parosmia, Taste disorder — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaFree text: My eyes and feet burning...dry lips....Taste and smell problems still on going.....sometimes severe headache... I have weakness in my left arm....(inform) I have Ankylosing Spondylitis sickness.......Thank youMedDRA releases: 2024-11 · check-in free text available
- 2022-03-11
- 2022-03-17
- 2022-03-23
- 2022-03-30
- 2022-04-06
- 2022-05-25
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2022-08-15
Dose 3 — Pfizer-BioNTech
- 2022-08-29
- 2022-09-05
- 2022-09-19
- 2022-11-14
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2023-01-10
Dose 4 — Pfizer-BioNTech
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2023-01-11
Survey response — days 1–6 daily, dose 4MedDRA: Dry mouth, Injection site pain, Pain in extremity, Thermal burns of eye — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessMedDRA releases: 2024-11
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2023-01-13
Survey response — days 1–6 daily, dose 4MedDRA: Ageusia, Anosmia, Dry mouth, Eye irritation — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessMedDRA releases: 2024-11
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2023-01-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2023-01-17
Survey response — day 7, dose 4MedDRA: Depression, Dry mouth, Eye irritation, Parosmia, Taste disorder — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessMedDRA releases: 2024-11
- 2023-01-26
- 2023-02-01
- 2023-02-07
- 2023-02-14
- 2023-02-21
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-01-28 | Pfizer-BioNTech | No |
| 2 | 2022-02-23 | Pfizer-BioNTech | No |
| 3 | 2022-08-15 | Pfizer-BioNTech | No |
| 4 | 2023-01-10 | Pfizer-BioNTech | No |
Free text
Release 11 — days 1–6 daily, dose 1
Systemic reaction (other): Dry lips....high pressure....sometimes severe headache
Systemic reaction (other): Dry lips.. sometimes severe headaches..
Systemic reaction (other): Dry lips......sometimes severe headache......unhappy....
Systemic reaction (other): Sometimes severe headaches........dry lips......Unhappy......The taste problem seems to have decreased, but the smell problem remains.When I smell something,I am not sure and I strain my memory and try to remember the smell.
Release 11 — day 7, dose 2
Systemic reaction (other): My eyes and feet burning...dry lips....Taste and smell problems still on going.....sometimes severe headache... I have weakness in my left arm....(inform) I have Ankylosing Spondylitis sickness.......Thank you
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 |
|---|---|---|---|---|
| SRO | Ageusia | · | · | ✓ |
| SRO | Ankylosing spondylitis | · | · | ✓ |
| SRO | Anosmia | · | · | ✓ |
| SRO | Burning sensation | · | · | ✓ |
| SRO | Depressed mood | · | · | ✓ |
| SRO | Depression | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Dry mouth | · | · | ✓ |
| SRO | Eye irritation | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Illness | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Lip dry | · | · | ✓ |
| SRO | Muscular weakness | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Parosmia | · | · | ✓ |
| SRO | Taste disorder | · | · | ✓ |
| SRO | Thermal burns of eye | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release