Z5W-31263-11415
4 vaccinations
5 coded responses
24 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 300 / GA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Dose 1 — Pfizer-BioNTech
-
2021-01-21
Registered in v-safe
- 2021-01-21
- 2021-01-22
- 2021-02-05
-
2021-02-09
Dose 2 — Pfizer-BioNTech
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Fever · Fatigue or tirednessFree text: Slight tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Site: Pain · Fever · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Fair · Fever · Fatigue or tiredness, NauseaFree text: tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Fatigue or tirednessAdult check-in
- 2021-02-26
- 2021-03-04
- 2021-03-09
- 2021-03-17
- 2021-03-26
-
2021-09-29
Dose 3 — Pfizer-BioNTech
-
2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Wife HAS had moderate chills & aches last night and today; gone this afternoon; moderate headache all day today; but no fever. She had her 3rd shot when I did. As I said below, all I have had so far is mild fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-05
- 2021-10-07
- 2021-10-13
- 2021-10-23
- 2021-10-27
- 2021-11-04
- 2021-11-10
- 2022-01-01
-
2022-04-15
Dose 4 — Pfizer-BioNTech
-
2022-05-17
Survey response — day 28, dose 4MedDRA: Nausea, Retching — Feeling: GoodFree text: Odd nausea that was VERY fast attack and had unusually extented into dry heaves-something very rare for me. Happened twice, but was a couple of weeks after the vaccination, and I really do not believe it was the cause. Hasn't happened again.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-14
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Pfizer-BioNTech | |
| 2 | 2021-02-09 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
| 4 | 2022-04-15 | Pfizer-BioNTech | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Slight tiredness
Systemic reaction (other): No
Systemic reaction (other): tired
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Wife HAS had moderate chills & aches last night and today; gone this afternoon; moderate headache all day today; but no fever. She had her 3rd shot when I did. As I said below, all I have had so far is mild fatigue.
Release 11 — day 28, dose 4
Symptoms: Odd nausea that was VERY fast attack and had unusually extented into dry heaves-something very rare for me. Happened twice, but was a couple of weeks after the vaccination, and I really do not believe it was the cause. Hasn't happened again.
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 | Nausea | · | · | ✓ |
| SD | Retching | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release