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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

  1. 2021-03-14
    Registered in v-safe
  2. 2021-03-14
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-14
    Survey response — day 0, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: Nothing yet, but its only been 90 min.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lethargy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Lethargy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  6. 2021-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free 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
  7. 2021-03-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free 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
  8. 2021-03-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work
    Free 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
  9. 2021-03-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free 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
  10. 2021-03-21
    Survey response — day 7, dose 1
    MedDRA: Dyspepsia, Gastrooesophageal reflux disease — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work
    Free 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
  11. 2021-03-28
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-04-04
    Survey response — day 21, dose 1
    MedDRA: Dyspnoea, Fatigue, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free 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
  13. 2021-04-12
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-06-13
    Survey response — 3 months, dose 1
    MedDRA: Pre-existing disease — Feeling: Good
    Free 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
  15. 2021-09-14
    Survey response — 6 months, dose 1
    MedDRA: 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 professional
    Free 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 twice
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-09-14
    Report sent to call center — 6 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-09-16
  18. 2022-03-16
    Survey response — 12 months, dose 1
    MedDRA: Nasopharyngitis, Paranasal sinus hypersecretion, Respiratory tract congestion, Sinus congestion, Type 2 diabetes mellitus — Feeling: Fair · Be unable to do your normal daily activities
    Free 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

DoseDateManufacturerCo-administered
12021-03-14Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-09-14 Unsuccessful

Free text

Release 5 — day 0, dose 1

2021-03-14

Systemic reaction (other): Nothing yet, but its only been 90 min.

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): Lethargy

2021-03-17

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.

2021-03-18

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.

2021-03-19

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

2021-03-20

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

2021-03-21

Systemic reaction (other): Most symptoms have lessened, but the indigestion and acid reflux has persisted.

Release 6 — day 21, dose 1

2021-04-04

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

2021-06-13

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

2021-09-14

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

2022-03-16

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDInfection · · ✓
SDInfluenza like illness · · ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDParanasal sinus hypersecretion · · ✓
SDPre-existing disease ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDSARS-CoV-2 antibody test positive · · ✓
SDSinus congestion · · ✓
SDType 2 diabetes mellitus · · ✓
SROAbdominal pain ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SRODyspepsia ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROGastrooesophageal reflux disease ✓ ✓ ✓
SROHerpes zoster ✓ ✓ ○
SROLethargy ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROUnevaluable event · · ✓

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