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ZE9-30496-94954

4 vaccinations 4 coded responses 44 check-ins 4 free-text entries 1 call case
Sex
Male
Age at first dose
56-60
ZIP prefix
945 / CA
Registered
2020-12-31
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2020-12-31
    Registered in v-safe
  2. 2020-12-31
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-31
    Health check-in — day 0, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  4. 2021-01-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: None.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-07
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-14
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-21
    Dose 2 — Pfizer-BioNTech
  13. 2021-01-28
    Survey response — day 7, dose 2
    MedDRA: Headache, Injection site discomfort, Pyrexia — Feeling: Good · Site: Pain · Headache
    Free text: I had injection site discomfort, headache, and low grade fever for a day and a half after my 2nd injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-02-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-02-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-02-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-22
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia, Back pain — Feeling: Fair
    Free text: Knee pain and LBP with no known cause of origin. It just happened spontaneously.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-07-23
    Survey response — 6 months, dose 2
    MedDRA: Office visit, Pain, Stress — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Body pain. All over my body. Full work up by my MD. It lasted about 6 weeks and the mysteriously disappeared.My doctor and I decided it was a psychosomatic response to stress from the past year and having a family members pass away from COVID. · Healthcare visit (other): Lab work, X-rays
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  21. 2021-07-23
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-08-02
  23. 2021-08-04
  24. 2021-10-03
    Dose 3 — Pfizer-BioNTech
  25. 2021-10-03
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  26. 2021-10-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  27. 2021-10-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-10-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-10-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-10-10
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-10-17
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-10-24
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-10-31
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-11-07
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-14
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-01-02
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-04-03
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-04-13
    Dose 4 — Pfizer-BioNTech
  39. 2022-04-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  40. 2022-04-15
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  41. 2022-04-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  42. 2022-04-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  43. 2022-04-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  44. 2022-04-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  45. 2022-04-20
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  46. 2022-04-27
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-05-04
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-05-11
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-05-18
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-05-25
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-07-13
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-10-12
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-31Pfizer-BioNTech
22021-01-21Pfizer-BioNTech
32021-10-03Pfizer-BioNTech No
42022-04-13Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-07-23 Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): None.

Release 3 — day 7, dose 2

2021-01-28

Systemic reaction (other): I had injection site discomfort, headache, and low grade fever for a day and a half after my 2nd injection.

Release 7 — 3 months, dose 2

2021-04-22

Symptoms: Knee pain and LBP with no known cause of origin. It just happened spontaneously.

Release 9 — 6 months, dose 2

2021-07-23

Symptoms: Body pain. All over my body. Full work up by my MD. It lasted about 6 weeks and the mysteriously disappeared.My doctor and I decided it was a psychosomatic response to stress from the past year and having a family members pass away from COVID.
Healthcare visit (other): Lab work, X-rays

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
HCVOOffice visit ✓ · ✓
SDArthralgia ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDOffice visit ✓ · ✓
SDPain ✓ · ✓
SDStress ✓ · ✓
SROHeadache ✓ ✓ ✓
SROInjection site discomfort ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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

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