ZKL-29191-04086
1 vaccination
11 coded responses
14 check-ins
11 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 010 / MA
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-14
Registered in v-safe
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2021-03-14
Dose 1 — Pfizer-BioNTech
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2021-03-14
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: GoodFree text: Nothing yet, but its only been 90 min.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Lethargy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: LethargyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My thinking has been fuzzy; I had not really noticed it on Monday, or it had not become noticeable, but Tuesday and yesterday, it became apparent. It persists and has been significant yesterday and today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Herpes zoster, Unevaluable event — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Its important that my records indicate that I took the 1st Shingrix on Jan. 22nd, and Ill be taking the 2nd Shingrix only after Ive had my 2nd C19 inoculation & 3 weeks have passed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to workFree text: Many of my symptoms arose, and worsened, on Tuesday, Wednesday and Thursday; they have begun to subside today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain, Dyspepsia — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: My abdominal pain has been an intense indigestion, for Thursday, Friday and today. That has not lessened, but the rest of the symptoms seem to be lessening.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — day 7, dose 1MedDRA: Dyspepsia, Gastrooesophageal reflux disease — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to workFree text: Most symptoms have lessened, but the indigestion and acid reflux has persisted.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
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2021-04-04
Survey response — day 21, dose 1MedDRA: Dyspnoea, Fatigue, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Friday & Yesterday, I developed tiredness, a sore throat, respiratory congestion, feverishness & shortness of breath. It has continued & I still have feverishness, tiredness and shortness of breath today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
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2021-06-13
Survey response — 3 months, dose 1MedDRA: Pre-existing disease — Feeling: GoodFree text: Ive had mild symptoms, starting in late Nov. with my flu shot, getting worse with the 1st & 2nd Shingrix and both C19 inoculations, all jammed too closely together, but Im starting to feel better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-14
Survey response — 6 months, dose 1MedDRA: Infection, Influenza like illness, Office visit, SARS-CoV-2 antibody test positive — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I have experienced flulike symptoms for the past 6-7 weeks - although sinus swabs came back negative, a blood test proved positive for COVID-19 antibodies from an infection. · Healthcare visit (other): I went to my G.P.s office twiceMedDRA releases: 2024-11 · check-in free text available
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2021-09-14
Report sent to call center — 6 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-16
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2022-03-16
Survey response — 12 months, dose 1MedDRA: Nasopharyngitis, Paranasal sinus hypersecretion, Respiratory tract congestion, Sinus congestion, Type 2 diabetes mellitus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have been informed that I have Type II diabetes. Just a few days ago, I picked up a cold; my sinuses are clogged & running and my chest is congested.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-14 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-14 | Unsuccessful |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Nothing yet, but its only been 90 min.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Lethargy
Systemic reaction (other): My thinking has been fuzzy; I had not really noticed it on Monday, or it had not become noticeable, but Tuesday and yesterday, it became apparent. It persists and has been significant yesterday and today.
Systemic reaction (other): Its important that my records indicate that I took the 1st Shingrix on Jan. 22nd, and Ill be taking the 2nd Shingrix only after Ive had my 2nd C19 inoculation & 3 weeks have passed.
Systemic reaction (other): Many of my symptoms arose, and worsened, on Tuesday, Wednesday and Thursday; they have begun to subside today.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): My abdominal pain has been an intense indigestion, for Thursday, Friday and today. That has not lessened, but the rest of the symptoms seem to be lessening.
Release 6 — day 7, dose 1
Systemic reaction (other): Most symptoms have lessened, but the indigestion and acid reflux has persisted.
Release 6 — day 21, dose 1
Symptoms: Friday & Yesterday, I developed tiredness, a sore throat, respiratory congestion, feverishness & shortness of breath. It has continued & I still have feverishness, tiredness and shortness of breath today.
Release 9 — 3 months, dose 1
Symptoms: Ive had mild symptoms, starting in late Nov. with my flu shot, getting worse with the 1st & 2nd Shingrix and both C19 inoculations, all jammed too closely together, but Im starting to feel better.
Release 9 — 6 months, dose 1
Symptoms: I have experienced flulike symptoms for the past 6-7 weeks - although sinus swabs came back negative, a blood test proved positive for COVID-19 antibodies from an infection.
Healthcare visit (other): I went to my G.P.s office twice
Release 11 — 12 months, dose 1
Symptoms: I have been informed that I have Type II diabetes. Just a few days ago, I picked up a cold; my sinuses are clogged & running and my chest is congested.
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Infection | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 antibody test positive | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Type 2 diabetes mellitus | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SRO | Herpes zoster | ✓ | ✓ | ○ |
| SRO | Lethargy | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release