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Z7Y-38382-78628

2 vaccinations 4 coded responses 16 check-ins 4 free-text entries 3 call cases
Sex
Male
Age at first dose
46-50
ZIP prefix
782 / TX
Registered
2021-01-13
Relationship
Self
Race
American Indian or Alaska Native
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-12
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-13
    Registered in v-safe
  3. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-01-13
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Vomiting · Be unable to work
    Adult check-in
  6. 2021-01-14
  7. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  12. 2021-01-26
    Survey response — day 14, dose 1
    MedDRA: Cough, Headache, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test — Feeling: Fair · Be unable to work
    Free text: Slight fever, headache, coughing, congestion for three days. Doctor had me take a Covid test today. Results in 48 hours
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-05
    Dose 2 — Pfizer-BioNTech
  15. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Pain · Headache
    Free text: Im only putting headache because it wouldnt let me fill this part out. The guy who gave me and my mom the shot pulled the shots out of his pocket. I think the dose was too warm for the dose to work. We felt ZERO symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Pain · Headache
    Free text: I dont have a headache. The man who gave me and my mom our shots pulled the shots out of his vest pocket. I believe they were too warm to be effective. We had ZERO side effects from the warm shots.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Headache · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: I think my dose was mishandled. The guy pulled it out of his pocket and I suffered ZERO symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-11
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-02-14
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities
    Adult check-in
  20. 2021-03-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-10
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-07-20
  23. 2021-08-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Pfizer-BioNTech
22021-02-05Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-01-13 priority 2/3
2021-01-14 priority 2/3
2021-02-11 Unsuccessful

Free text

Release 2 — day 14, dose 1

2021-01-26

Symptoms: Slight fever, headache, coughing, congestion for three days. Doctor had me take a Covid test today. Results in 48 hours

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Im only putting headache because it wouldnt let me fill this part out. The guy who gave me and my mom the shot pulled the shots out of his pocket. I think the dose was too warm for the dose to work. We felt ZERO symptoms.

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): I dont have a headache. The man who gave me and my mom our shots pulled the shots out of his vest pocket. I believe they were too warm to be effective. We had ZERO side effects from the warm shots.

2021-02-11

Systemic reaction (other): I think my dose was mishandled. The guy pulled it out of his pocket and I suffered ZERO symptoms.

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

FieldPreferred term2021-092023-042024-11
SDCough ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDSARS-CoV-2 test ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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