ZLM-10980-80493
5 vaccinations
10 coded responses
50 check-ins
10 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 658 / MO
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Dose 1 — Pfizer-BioNTech
-
2021-01-25
Registered in v-safe
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-06
-
2021-02-13
Dose 2 — Pfizer-BioNTech
- 2021-02-13
- 2021-02-14
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-05-15
-
2021-09-29
Dose 3 — Pfizer-BioNTech
-
2021-09-30
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Self-medication — Feeling: Good · Site: PainFree text: Very mild headache. Took acetaminophen twice and headache goneMedDRA releases: 2024-11 · check-in free text available
-
2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
-
2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2021-10-06
Survey response — day 7, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2021-10-13
- 2021-10-20
- 2021-10-27
- 2021-11-03
- 2021-11-11
- 2021-12-29
- 2022-03-30
-
2022-03-31
Dose 4 — Pfizer-BioNTech
- 2022-04-15
- 2022-04-22
- 2022-04-28
-
2022-05-05
Survey response — day 35, dose 4MedDRA: Chills, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Stuffy nose, mild sore throat and chills, but no fever or difficulty breathing. Came on all of a sudden this past Sunday. Because I had just recentlystopped wearing a mask, actually thought I had picked up Covid from someone or somewhere. Okay now · Healthcare visit (other): Rapid Covid test was negative as was strep throat test.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-05
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-06
-
2022-05-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-12
- 2022-06-30
-
2022-09-09
Dose 5 — Pfizer-BioNTech
-
2022-09-15
Survey response — days 1–6 daily, dose 5MedDRA: Arthralgia — Feeling: GoodFree text: Only the day after the 5th shot did my shoulder where I received the shot hurt just a little bit.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-16
Survey response — day 7, dose 5MedDRA: No adverse event — Feeling: GoodFree text:MedDRA releases: 2024-11 · check-in free text available
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-12-09
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Pfizer-BioNTech | |
| 2 | 2021-02-13 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
| 4 | 2022-03-31 | Pfizer-BioNTech | No |
| 5 | 2022-09-09 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-05 | Successful 2022-05-06 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Very mild headache. Took acetaminophen twice and headache gone
Systemic reaction (other): No
Systemic reaction (other): None
Systemic reaction (other): No
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): No
Systemic reaction (other): No
Release 10 — day 7, dose 3
Systemic reaction (other): No
Release 11 — day 35, dose 4
Symptoms: Stuffy nose, mild sore throat and chills, but no fever or difficulty breathing. Came on all of a sudden this past Sunday. Because I had just recentlystopped wearing a mask, actually thought I had picked up Covid from someone or somewhere. Okay now cut off by CDC
Healthcare visit (other): Rapid Covid test was negative as was strep throat test.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Only the day after the 5th shot did my shoulder where I received the shot hurt just a little bit.
Release 12 — day 7, dose 5
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 | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release