Z6Q-31613-28457
5 vaccinations
6 coded responses
50 check-ins
6 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 921 / CA
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Pfizer-BioNTech
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2021-03-11
Survey response — day 0, dose 1MedDRA: Dizziness, Immediate post-injection reaction — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: A little light-headed about 30 minutes after the inoculation, but it went away after an hour.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
-
2021-04-01
Dose 2 — Pfizer-BioNTech
- 2021-04-01
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
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2021-05-13
Survey response — day 42, dose 2MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-01
Survey response — 3 months, dose 2MedDRA: Headache, Self-medication — Feeling: GoodFree text: Headaches. They come in phases, once daily. A Tylenol usually helps. May be unrelated to vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-29
Dose 3 — Pfizer-BioNTech
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2021-09-30
Survey response — 6 months, dose 2MedDRA: Migraine, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Migraines · Healthcare visit (other): Had an MRI and MRA to ensure nothing else was going on due to familial history. Now taking prescription medication which seems to help.MedDRA releases: 2024-11 · check-in free text available
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2021-09-30
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-13
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2021-10-20
Survey response — day 21, dose 3MedDRA: Intervertebral disc protrusion, Muscle strain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Strained muscle or herniated disk in my lower back. Probably nothing to do with the vaccine.MedDRA releases: 2024-11 · check-in free text available
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2021-10-20
Report sent to call center — day 21, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-22
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2021-10-22
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2021-10-27
- 2021-11-03
- 2021-11-10
- 2021-12-29
-
2022-03-30
Dose 4 — Pfizer-BioNTech
- 2022-03-30
- 2022-04-14
- 2022-04-20
- 2022-04-27
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2022-05-04
Survey response — day 35, dose 4MedDRA: Body temperature increased, Decreased appetite, Fatigue, Headache, Medical counselling — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Yesterday I had a low grade fever, topping at 99.9°, a headache, and fatigue. I also had a minimal appetite. Today I feel much better. I took an at-home test. It came back negative. · Healthcare visit (other): I emailed my doctor. Haven't heard backMedDRA releases: 2024-11 · check-in free text available
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2022-05-04
Report sent to call center — day 35, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-05-05
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2022-05-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-11
- 2022-07-01
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2022-09-12
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-28
- 2022-10-01
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-26
- 2022-12-12
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Pfizer-BioNTech | |
| 2 | 2021-04-01 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
| 4 | 2022-03-30 | Pfizer-BioNTech | No |
| 5 | 2022-09-12 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-30 | Successful | Not applicable - Accidental Reporting |
| 2021-10-20 | Successful 2021-10-22 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 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 5 — day 0, dose 1
Systemic reaction (other): A little light-headed about 30 minutes after the inoculation, but it went away after an hour.
Release 8 — day 42, dose 2
Symptoms: Fatigue
Release 9 — 3 months, dose 2
Symptoms: Headaches. They come in phases, once daily. A Tylenol usually helps. May be unrelated to vaccination.
Release 9 — 6 months, dose 2
Symptoms: Migraines
Healthcare visit (other): Had an MRI and MRA to ensure nothing else was going on due to familial history. Now taking prescription medication which seems to help.
Release 10 — day 21, dose 3
Symptoms: Strained muscle or herniated disk in my lower back. Probably nothing to do with the vaccine.
Release 11 — day 35, dose 4
Symptoms: Yesterday I had a low grade fever, topping at 99.9°, a headache, and fatigue. I also had a minimal appetite. Today I feel much better. I took an at-home test. It came back negative.
Healthcare visit (other): I emailed my doctor. Haven't heard back
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 | Medical counselling | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Intervertebral disc protrusion | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Muscle strain | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release