ZLK-22229-67095
2 vaccinations
5 coded responses
15 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 774 / TX
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Pfizer-BioNTech
-
2021-01-27
Dose 2 — Pfizer-BioNTech
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Sputum discoloured — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Brownish sputumMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Bronchitis, Pre-existing disease, Unevaluable event — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: May have bronchitis; doctor appt. tomorrow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Bronchitis — Feeling: Good · Fatigue or tirednessFree text: Bronchitis; probably not related to vac.; treating with antibioticsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-10
- 2021-02-17
-
2021-02-24
Survey response — day 28, dose 2MedDRA: Eczema, Office visit, Rash — Feeling: FairFree text: I have developed a rash and eczema on by shoulders and upper back. Some of it is infected and my dermatologist is treating me with antibiotics and a special cream. The timing of this occurring coincides with my 2nd shot, so I think it may be related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-10
- 2021-04-28
-
2021-07-28
Survey response — 6 months, dose 2MedDRA: Dyspnoea, SARS-CoV-2 test negative, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Some shortness of breath. I have tested clear for Covid 19. My issue may be heart or pacemaker related. This will be tested next week. If there is a concern about a late term side effect of my Pfizer vaccination, I will report it. · Healthcare visit (other): Has not taken place yet.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-28
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Pfizer-BioNTech | |
| 2 | 2021-01-27 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-28 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Brownish sputum
Systemic reaction (other): May have bronchitis; doctor appt. tomorrow.
Systemic reaction (other): Bronchitis; probably not related to vac.; treating with antibiotics
Release 4 — day 28, dose 2
Symptoms: I have developed a rash and eczema on by shoulders and upper back. Some of it is infected and my dermatologist is treating me with antibiotics and a special cream. The timing of this occurring coincides with my 2nd shot, so I think it may be related. cut off by CDC
Release 9 — 6 months, dose 2
Symptoms: Some shortness of breath. I have tested clear for Covid 19. My issue may be heart or pacemaker related. This will be tested next week. If there is a concern about a late term side effect of my Pfizer vaccination, I will report it.
Healthcare visit (other): Has not taken place yet.
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 | Unevaluable event | ✓ | · | ✓ |
| SD | Dyspnoea | ✓ | · | ✓ |
| SD | Eczema | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SRO | Bronchitis | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ○ | ✓ | ○ |
| SRO | Sputum discoloured | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release