ZL2-29042-35224
3 vaccinations
7 coded responses
32 check-ins
7 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 934 / CA
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-20
Registered in v-safe
-
2021-02-20
Dose 1 — Pfizer-BioNTech
- 2021-02-20
- 2021-02-21
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-03-06
-
2021-03-13
Dose 2 — Pfizer-BioNTech
- 2021-03-13
-
2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: SleeplessnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-16
-
2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Eye haemorrhage — Feeling: FairFree text: Bleed in right eyeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
-
2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Ocular hyperaemia — Feeling: GoodFree text: Bloodshot eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
-
2021-06-16
Survey response — 3 months, dose 2MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Ecoli infectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-11
Survey response — 6 months, dose 2MedDRA: Cystitis, Escherichia infection, Office visit, Pneumonia, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Symptoms: I had an Ecoli infection the a lung infection but not COVID. Then a urinary tract or bladder infection · Healthcare visit (other): Doctor visit and blood urine testsMedDRA releases: 2024-11 · check-in free text available
-
2021-09-11
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-16
-
2021-09-20
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-09-24
Dose 3 — Pfizer-BioNTech
-
2021-10-01
Health check-in — day 7, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
-
2021-11-05
Survey response — day 42, dose 3MedDRA: Asthenia, Dyspnoea, Exercise tolerance decreased, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Short of breath. Tired and too weak to walk my normal distancesMedDRA releases: 2024-11 · check-in free text available
- 2021-12-24
- 2022-03-25
-
2022-09-24
Survey response — 12 months, dose 3MedDRA: COVID-19, Diarrhoea, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: diarrhea every 2-3 days I don't remember when I last checked in but I had covid on 7/13/22 and was treated with paxlovid · Healthcare visit (other): primary care doctorMedDRA releases: 2024-11 · check-in free text available
-
2022-09-24
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-09-26
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Pfizer-BioNTech | |
| 2 | 2021-03-13 | Pfizer-BioNTech | |
| 3 | 2021-09-24 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-11 | Successful 2021-09-20 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-09-24 | Successful 2022-09-26 |
Not applicable - Accidental Reporting |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Sleeplessness
Systemic reaction (other): Bleed in right eye
Systemic reaction (other): Bloodshot eyes
Release 9 — 3 months, dose 2
Symptoms: Ecoli infection
Release 9 — 6 months, dose 2
Symptoms: I had an Ecoli infection the a lung infection but not COVID. Then a urinary tract or bladder infection
Healthcare visit (other): Doctor visit and blood urine tests
Release 10 — day 42, dose 3
Symptoms: Short of breath. Tired and too weak to walk my normal distances
Release 12 — 12 months, dose 3
Symptoms: diarrhea every 2-3 days I don't remember when I last checked in but I had covid on 7/13/22 and was treated with paxlovid
Healthcare visit (other): primary care doctor
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 | Asthenia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Cystitis | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Escherichia infection | · | · | ✓ |
| SD | Exercise tolerance decreased | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Eye haemorrhage | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Ocular hyperaemia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release