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
-
2021-01-31
Registered in v-safe
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2021-01-31
Dose 1 — Pfizer-BioNTech
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2021-01-31
Survey response — day 0, dose 1MedDRA: Bronchiectasis, Chronic obstructive pulmonary disease, Dyspnoea, Oxygen therapy, Pre-existing disease — Feeling: Fair · Site: Pain · ChillsFree text: Short of breath. I have severe COPD, Bronchiectasis...on oxygen at night while sleepingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tirednessFree text: Maybe a bit more shortness of breath.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fever · Fatigue or tirednessAdult check-in
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-14
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2021-02-21
Dose 2 — Pfizer-BioNTech
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Fatigue or tirednessAdult check-in
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Redness · Fatigue or tiredness · Be unable to do your normal daily activitiesFree 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
- 2021-02-26
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · Fatigue or tirednessAdult check-in
- 2021-03-14
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2021-03-21
Survey response — day 28, dose 2MedDRA: 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 visitFree 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
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2021-03-21
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-30
Survey response — day 35, dose 2MedDRA: 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 visitFree text: Pneumonia, Pleurisy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-04
- 2021-12-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-31 | Pfizer-BioNTech | |
| 2 | 2021-02-21 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-21 | Unsuccessful | |
| 2021-03-30 | Unsuccessful |
Free text
Release 3 — day 0, dose 1
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
Systemic reaction (other): Maybe a bit more shortness of breath.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Micrographic skin surgery | ✓ | ✓ | ✓ |
| SD | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SD | Pleurisy | ✓ | ✓ | ✓ |
| SD | Pneumonia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Bronchiectasis | ✓ | ✓ | ✓ |
| SRO | Chronic obstructive pulmonary disease | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Oxygen therapy | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release