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ZGF-25885-62008

3 vaccinations 8 coded responses 39 check-ins 8 free-text entries 1 call case
Sex
Male
Age at first dose
16-20
ZIP prefix
782 / TX
Registered
2021-03-30
Relationship
Self
Race
Asian
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-30
    Registered in v-safe
  2. 2021-03-30
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-30
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain, Breast pain — Feeling: Good · Muscle or body aches
    Free text: Pain left side intermittent axillary and under breast area if you will left side. No breathing issues etc.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-27
    Dose 2 — Pfizer-BioNTech
  13. 2021-04-27
    Survey response — day 0, dose 2
    MedDRA: Pre-existing disease — Feeling: Good
    Free text: I started Plaquenil 3 days ago for autoimmune condition.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-04-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-27
    Survey response — 3 months, dose 2
    MedDRA: COVID-19, Respiratory symptom, Streptococcus test negative — Feeling: Good · Be unable to do your normal daily activities
    Free text: upper respiratory symptoms but at the time was determined to be covid and strep negative. Placed on a short course of prednisone to help get better.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  27. 2021-08-19
    Dose 3 — Pfizer-BioNTech
  28. 2021-08-19
    Survey response — day 0, dose 3
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: soreness at left arm injection site
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  29. 2021-08-20
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: pain at injection site (soreness)
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  30. 2021-08-21
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: left axillary pain and swelling
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  31. 2021-08-22
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain, Swelling
    Free text: left axillary swelling and pain
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  32. 2021-08-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-08-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-08-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-08-26
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-09-02
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-09-09
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-09-16
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-09-23
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-09-30
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-11-18
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-02-17
    Survey response — 6 months, dose 3
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: covid 19
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-02-17
    Report sent to call center — 6 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  44. 2022-02-21
  45. 2022-08-19
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-30Pfizer-BioNTech
22021-04-27Pfizer-BioNTech
32021-08-19Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2022-02-17 Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-31

Systemic reaction (other): Pain left side intermittent axillary and under breast area if you will left side. No breathing issues etc.

Release 8 — day 0, dose 2

2021-04-27

Systemic reaction (other): I started Plaquenil 3 days ago for autoimmune condition.

Release 9 — 3 months, dose 2

2021-07-27

Symptoms: upper respiratory symptoms but at the time was determined to be covid and strep negative. Placed on a short course of prednisone to help get better.

Release 9 — day 0, dose 3

2021-08-19

Systemic reaction (other): soreness at left arm injection site

Release 9 — days 1–6 daily, dose 3

2021-08-20

Systemic reaction (other): pain at injection site (soreness)

2021-08-21

Systemic reaction (other): left axillary pain and swelling

2021-08-22

Systemic reaction (other): left axillary swelling and pain

Release 11 — 6 months, dose 3

2022-02-17

Symptoms: covid 19

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
SDCOVID-19 ✓ · ✓
SDRespiratory symptom ✓ · ✓
SDStreptococcus test negative ✓ · ✓
SROAxillary pain ✓ ✓ ✓
SROBreast pain ✓ ✓ ✓
SROInjection site pain ✓ · ✓
SROOedema peripheral ✓ · ✓
SROPre-existing disease ✓ ✓ ✓

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

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