Z9S-16451-23531
4 vaccinations
6 coded responses
40 check-ins
6 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 145 / NY
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Dose 1 — Pfizer-BioNTech
-
2021-01-07
Registered in v-safe
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
-
2021-01-21
Survey response — day 14, dose 1MedDRA: Arthralgia, Fatigue, Feeling abnormal, Myalgia, Office visit, Pain — 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 consultationFree text: About a week in, I developed a lot of fatigue, achy, sore muscles, joints. For a day or two I really felt lousy. Could be entirely unrelated to the vaccination. It has improved. My PCP is checking some labs.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-21
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-27
Dose 2 — Pfizer-BioNTech
-
2021-01-27
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: The symptoms were much more significant starting 12hours after the dose and lasting about 12 hours almost gone at this pointMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-30
- 2021-01-31
-
2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: But I don't know this has anything to do with vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Not sure this has anything to do with the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
-
2021-02-10
Survey response — day 14, dose 2MedDRA: Asthenia, Dissociative disorder, Hyperhidrosis — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Yesterday I had the sudden onset of profuse sweating and a bit of a dissociative feeling that lasted about 30 minutes. Gradually resolving weakness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Report sent to call center — day 14, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-17
- 2021-02-26
- 2021-03-03
- 2021-03-10
- 2021-04-28
-
2021-05-17
Call successfulParticipant prefers to complete VAERS report online
- 2021-07-28
-
2021-09-25
Dose 3 — Pfizer-BioNTech
- 2021-10-01
- 2021-10-02
- 2021-10-09
- 2021-10-16
- 2021-10-23
- 2021-10-30
- 2021-11-06
- 2021-12-25
- 2022-03-26
-
2022-03-30
Dose 4 — Moderna
- 2022-04-15
- 2022-04-20
-
2022-04-27
Survey response — day 28, dose 4MedDRA: COVID-19, Nasopharyngitis — Feeling: Poor · Be unable to work or attend schoolFree text: I have Covid. A 5 star cold so far nothing worse.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
- 2022-05-11
- 2022-06-29
- 2022-09-28
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Pfizer-BioNTech | |
| 2 | 2021-01-27 | Pfizer-BioNTech | |
| 3 | 2021-09-25 | Pfizer-BioNTech | No |
| 4 | 2022-03-30 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-21 | Successful | Participant prefers to complete VAERS report online |
| 2021-02-10 | Successful 2021-05-17 |
Participant prefers to complete VAERS report online |
Free text
Release 2 — day 14, dose 1
Symptoms: About a week in, I developed a lot of fatigue, achy, sore muscles, joints. For a day or two I really felt lousy. Could be entirely unrelated to the vaccination. It has improved. My PCP is checking some labs.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): The symptoms were much more significant starting 12hours after the dose and lasting about 12 hours almost gone at this point
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): But I don't know this has anything to do with vaccination
Systemic reaction (other): Not sure this has anything to do with the vaccine
Release 4 — day 14, dose 2
Symptoms: Yesterday I had the sudden onset of profuse sweating and a bit of a dissociative feeling that lasted about 30 minutes. Gradually resolving weakness.
Release 11 — day 28, dose 4
Symptoms: I have Covid. A 5 star cold so far nothing worse.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dissociative disorder | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release