Z8E-52213-67050
5 vaccinations
9 coded responses
67 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 995 / AK
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Dose 1 — Pfizer-BioNTech
-
2021-02-05
Registered in v-safe
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
-
2021-02-11
Survey response — day 7, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Today had surgery but dont know why the infection site from vaccine is hurts feels deep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
-
2021-02-25
Dose 2 — Pfizer-BioNTech
- 2021-02-25
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Joint painsFree text: Rt arm onlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-02-28
- 2021-03-01
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: Doing great , outstanding ,thank you!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
-
2021-04-08
Survey response — day 42, dose 2MedDRA: Headache, Pre-existing disease, Somnolence — Feeling: Fair · Be unable to do your normal daily activitiesFree text: 3 days ago I had a very bad head ache with some runs and slept during most of the days but no fever noted. I want to let you know that I'm a CLL Leukemia patient.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-27
- 2021-08-26
-
2021-10-01
Dose 3 — Pfizer-BioNTech
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
-
2021-10-07
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Today I recived the flu shot pain in shoulder then the COVID-19 shot the other day.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-12-31
- 2022-04-01
-
2022-04-14
Dose 4 — Pfizer-BioNTech
- 2022-04-14
- 2022-04-15
- 2022-04-16
- 2022-04-17
- 2022-04-18
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-07-14
- 2022-10-13
-
2022-10-24
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-24
-
2022-10-25
Survey response — days 1–6 daily, dose 5MedDRA: Pre-existing disease, White blood cell count decreased — Feeling: Good · Site: Pain · Muscle or body achesFree text: Still a CLL , but my white cells are low.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-26
- 2022-10-27
- 2022-10-29
- 2022-10-30
- 2022-10-31
-
2022-11-07
Survey response — day 14, dose 5MedDRA: Arthritis, Pre-existing disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Arthritis on LT middle finger getting worse same for heels on both feet. · Healthcare visit (other): Appointment date is 21 Nov.MedDRA releases: 2024-11 · check-in free text available
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2022-11-07
Report sent to call center — day 14, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-11-08
Call successfulNot applicable - Accidental Reporting
- 2022-11-14
- 2022-11-21
- 2022-11-28
- 2022-12-05
-
2023-01-23
Survey response — 3 months, dose 5MedDRA: Influenza, Oropharyngeal pain, Pain, Rhinorrhoea, SARS-CoV-2 test negative, Self-medication — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-04-24
Survey response — 6 months, dose 5MedDRA: Office visit, Phlebectomy — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Pfizer-BioNTech | |
| 2 | 2021-02-25 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-04-14 | Pfizer-BioNTech | No |
| 5 | 2022-10-24 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-07 | Successful 2022-11-08 |
Not applicable - Accidental Reporting |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): Today had surgery but dont know why the infection site from vaccine is hurts feels deep.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Rt arm only
Systemic reaction (other): Doing great , outstanding ,thank you!!
Release 7 — day 42, dose 2
Symptoms: 3 days ago I had a very bad head ache with some runs and slept during most of the days but no fever noted. I want to let you know that I'm a CLL Leukemia patient.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Today I recived the flu shot pain in shoulder then the COVID-19 shot the other day.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Still a CLL , but my white cells are low.
Release 12 — day 14, dose 5
Symptoms: Arthritis on LT middle finger getting worse same for heels on both feet.
Healthcare visit (other): Appointment date is 21 Nov.
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 | Unevaluable event | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Phlebectomy | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | White blood cell count decreased | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release