Z9D-33599-23564
4 vaccinations
4 coded responses
15 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 941 / CA
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-14
Dose 1 — Pfizer-BioNTech
-
2021-03-07
Dose 2 — Pfizer-BioNTech
-
2021-03-10
Registered in v-safe
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-14
- 2021-03-21
- 2021-03-28
-
2021-04-05
Survey response — day 28, dose 2MedDRA: Fatigue, Paraesthesia — Feeling: GoodFree text: The past two weeks, I have noticed occasional tingling/slight numbness in my fingers, sometimes also hands. It is lessening.For the record, I have been tired since the vaccination - there are multiple possible causes - the vaccination might be one.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-20
- 2021-06-06
-
2021-09-07
Survey response — 6 months, dose 2MedDRA: Depression, Insomnia, Oropharyngeal pain, Paranasal sinus hypersecretion — Feeling: GoodFree text: Sore throat, running sinus, for two days, about 12 days ago. Likely due to depression, lack of sleep, over events in Afghanistan. I have come to terms with that situation and am better.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-15
Dose 3 — ModernaCo-administered: Flu
- 2022-03-07
-
2022-05-12
Dose 4 — Moderna
- 2022-06-24
-
2022-08-11
Survey response — 3 months, dose 4MedDRA: Anosmia, COVID-19, Fatigue, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had COVID. Cold like symptoms, sore throat and runny nose. Loss of smell for a couple days. Tired.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-12
Survey response — 6 months, dose 4MedDRA: Nerve compression — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Pinched nerve.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-12
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-11-14
-
2022-11-14
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-14 | Pfizer-BioNTech | |
| 2 | 2021-03-07 | Pfizer-BioNTech | |
| 3 | 2021-11-15 | Moderna | Flu |
| 4 | 2022-05-12 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-12 | Successful 2022-11-14 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 6 — day 28, dose 2
Symptoms: The past two weeks, I have noticed occasional tingling/slight numbness in my fingers, sometimes also hands. It is lessening.For the record, I have been tired since the vaccination - there are multiple possible causes - the vaccination might be one. cut off by CDC
Release 9 — 6 months, dose 2
Symptoms: Sore throat, running sinus, for two days, about 12 days ago. Likely due to depression, lack of sleep, over events in Afghanistan. I have come to terms with that situation and am better.
Release 12 — 3 months, dose 4
Symptoms: Had COVID. Cold like symptoms, sore throat and runny nose. Loss of smell for a couple days. Tired.
Release 12 — 6 months, dose 4
Symptoms: Pinched nerve.
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 | Anosmia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nerve compression | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release