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Z88-22427-67784

2 vaccinations 2 coded responses 6 check-ins 2 free-text entries 2 call cases
Sex
Male
Age at first dose
36-40
ZIP prefix
151 / PA
Registered
2021-04-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-13
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-02
    Registered in v-safe
  3. 2021-04-02
    Dose 2 — Pfizer-BioNTech
  4. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-04-11
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-04-23
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-07-04
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-10-01
    Survey response — 6 months, dose 2
    MedDRA: Ageusia, Anosmia, Brain fog, COVID-19, Fatigue, Office visit, Pre-existing disease — 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 professional
    Free text: Symptoms: I had a positive result for covid. Typical symptoms, for about 5 days, loss of taste and smell lasted about 14 days. Severe fatigue and brain fog for roughly 6 weeks. Difficult to exert myself physically. · Healthcare visit (other): Followed up with my PCP who, because of a preexisting condition (pectus excavation and right bundle blockage), had me get an echo Cardiogram.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-10-01
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  10. 2021-11-22
  11. 2022-04-04
    Survey response — 12 months, dose 2
    MedDRA: Back pain, Conjunctivitis, Pain in extremity, Urinary tract discomfort — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Two things: foot pain in arch area, not caused by injury, not planter fasciitis. Recent severe back pain associated with urinary tract discomfort and conjunctivitis. Possible reactive arthritis (Reiters). Not related to chlamydia or salmonella.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-04-04
    Report sent to call center — 12 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  13. 2022-04-05
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-03-13Pfizer-BioNTech
22021-04-02Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-10-01 Successful Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-04 Successful
2022-04-05
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 9 — 6 months, dose 2

2021-10-01

Symptoms: I had a positive result for covid. Typical symptoms, for about 5 days, loss of taste and smell lasted about 14 days. Severe fatigue and brain fog for roughly 6 weeks. Difficult to exert myself physically.
Healthcare visit (other): Followed up with my PCP who, because of a preexisting condition (pectus excavation and right bundle blockage), had me get an echo Cardiogram.

Release 11 — 12 months, dose 2

2022-04-04

Symptoms: Two things: foot pain in arch area, not caused by injury, not planter fasciitis. Recent severe back pain associated with urinary tract discomfort and conjunctivitis. Possible reactive arthritis (Reiters). Not related to chlamydia or salmonella.

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
HCVOOffice visit · · ✓
HCVOPre-existing disease · · ✓
SDAgeusia · · ✓
SDAnosmia · · ✓
SDBack pain · · ✓
SDBrain fog · · ✓
SDConjunctivitis · · ✓
SDCOVID-19 · · ✓
SDFatigue · · ✓
SDPain in extremity · · ✓
SDUrinary tract discomfort · · ✓

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