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Z8L-30482-11301

2 vaccinations 6 coded responses 18 check-ins 6 free-text entries 2 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
452 / OH
Registered
2021-01-31
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-31
    Registered in v-safe
  2. 2021-01-31
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-31
    Survey response — day 0, dose 1
    MedDRA: Bronchiectasis, Chronic obstructive pulmonary disease, Dyspnoea, Oxygen therapy, Pre-existing disease — Feeling: Fair · Site: Pain · Chills
    Free text: Short of breath. I have severe COPD, Bronchiectasis...on oxygen at night while sleeping
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness
    Free text: Maybe a bit more shortness of breath.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · Fatigue or tiredness
    Adult check-in
  6. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-07
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-14
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-21
    Dose 2 — Pfizer-BioNTech
  13. 2021-02-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Free text: Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Joint pains, Fatigue or tiredness
    Adult check-in
  15. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Redness · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I had 2 severe reaction episodes to this 2nd injection, tried to tell you about them in this but not sure if you received them.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · Fatigue or tiredness
    Adult check-in
  18. 2021-03-14
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-21
    Survey response — day 28, dose 2
    MedDRA: Back pain, Micrographic skin surgery, Musculoskeletal chest pain, Pneumonia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Pain in left ribcage area, into my back, sometimes stabbing pain. .Pneumonia, finished levaquin today. Had mohs surgery in nose, on antibiotics for that, stitches come out 3/24.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-21
    Report sent to call center — day 28, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-03-30
    Survey response — day 35, dose 2
    MedDRA: Pleurisy, Pneumonia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit
    Free text: Pneumonia, Pleurisy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-30
    Report sent to call center — day 35, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-04-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-12-16

Vaccinations

DoseDateManufacturerCo-administered
12021-01-31Pfizer-BioNTech
22021-02-21Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-03-21 Unsuccessful
2021-03-30 Unsuccessful

Free text

Release 3 — day 0, dose 1

2021-01-31

Systemic reaction (other): Short of breath. I have severe COPD, Bronchiectasis...on oxygen at night while sleeping

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): Maybe a bit more shortness of breath.

Release 4 — days 1–6 daily, dose 2

2021-02-22

Systemic reaction (other): Sore throat

2021-02-25

Systemic reaction (other): I had 2 severe reaction episodes to this 2nd injection, tried to tell you about them in this but not sure if you received them.

Release 6 — day 28, dose 2

2021-03-21

Symptoms: Pain in left ribcage area, into my back, sometimes stabbing pain. .Pneumonia, finished levaquin today. Had mohs surgery in nose, on antibiotics for that, stitches come out 3/24.

Release 6 — day 35, dose 2

2021-03-30

Symptoms: Pneumonia, Pleurisy.

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
SDBack pain ✓ ✓ ✓
SDMicrographic skin surgery ✓ ✓ ✓
SDMusculoskeletal chest pain ✓ ✓ ✓
SDPleurisy ✓ ✓ ✓
SDPneumonia ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROBronchiectasis ✓ ✓ ✓
SROChronic obstructive pulmonary disease ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROOxygen therapy ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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