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
-
2021-03-13
Dose 1 — Pfizer-BioNTech
-
2021-04-02
Registered in v-safe
-
2021-04-02
Dose 2 — Pfizer-BioNTech
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-11
- 2021-04-23
- 2021-07-04
-
2021-10-01
Survey response — 6 months, dose 2MedDRA: 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 professionalFree 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
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2021-10-01
Report sent to call center — 6 months, dose 2Be 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)
- 2021-11-22
-
2022-04-04
Survey response — 12 months, dose 2MedDRA: 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 visitFree 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
-
2022-04-04
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-04-05
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Pfizer-BioNTech | |
| 2 | 2021-04-02 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| HCVO | Pre-existing disease | · | · | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Conjunctivitis | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Urinary tract discomfort | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release