Z7A-33640-04991
4 vaccinations
6 coded responses
31 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 945 / CA
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Dose 1 — Pfizer-BioNTech
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 2 — Pfizer-BioNTech
-
2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, SwellingFree text: (b)(6) is recovering from a stroke. Its difficult to say how he is reacting but he doesnt seem to be having any symptoms so far.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-03-28
- 2021-03-29
- 2021-03-30
-
2021-04-06
Survey response — day 14, dose 2MedDRA: Cerebrovascular accident, Communication disorder, Diarrhoea — Feeling: FairFree text: Today (b)(6) has had some diarrhea. Because of his stroke its difficult for him to communicate symptoms other than the obvious.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-20
- 2021-09-21
-
2021-09-29
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-09-30
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-05
- 2021-10-07
- 2021-10-16
- 2021-10-20
-
2021-10-29
Survey response — day 28, dose 3MedDRA: Aphasia, Cerebrovascular accident, Musculoskeletal disorder, Nasopharyngitis — Feeling: FairFree text: He seems to have a cold. Recovering from stroke, can't speak or text.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-05
Survey response — day 35, dose 3MedDRA: Abdominal pain upper, Headache — Feeling: FairFree text: Headache, stomach ache.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-11
-
2021-12-29
Survey response — 3 months, dose 3MedDRA: Diarrhoea, Headache, SARS-CoV-2 test positive — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Diarrhea- just once today. Headache. · Healthcare visit (other): Covid testing. Our daughter tested positive on Christmas.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-29
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-04
-
2022-01-04
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-30
-
2022-04-13
Dose 4 — Pfizer-BioNTech
-
2022-04-14
Survey response — days 1–6 daily, dose 4MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain, RednessFree text: He is a stroke victim. He cannot speak so it's had to say. He seems ok.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-15
- 2022-04-16
- 2022-04-17
- 2022-04-19
- 2022-04-20
- 2022-04-29
- 2022-05-06
- 2022-05-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Pfizer-BioNTech | |
| 2 | 2021-03-23 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-13 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-29 | Successful 2022-01-04 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): (b)(6) is recovering from a stroke. Its difficult to say how he is reacting but he doesnt seem to be having any symptoms so far.
redacted (b)(6)
Release 7 — day 14, dose 2
Symptoms: Today (b)(6) has had some diarrhea. Because of his stroke its difficult for him to communicate symptoms other than the obvious.
redacted (b)(6)
Release 10 — day 28, dose 3
Symptoms: He seems to have a cold. Recovering from stroke, can't speak or text.
Release 10 — day 35, dose 3
Symptoms: Headache, stomach ache.
Release 10 — 3 months, dose 3
Symptoms: Diarrhea- just once today. Headache.
Healthcare visit (other): Covid testing. Our daughter tested positive on Christmas.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): He is a stroke victim. He cannot speak so it's had to say. He seems ok.
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 | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Aphasia | · | · | ✓ |
| SD | Cerebrovascular accident | ✓ | ✓ | ✓ |
| SD | Communication disorder | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Musculoskeletal disorder | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release