ZQ9-26153-73011
2 vaccinations
7 coded responses
24 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 530 / WI
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-03-13
Registered in v-safe
-
2021-03-13
Dose 1 — Pfizer-BioNTech
- 2021-03-13
-
2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-15
- 2021-03-16
-
2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Feeling hot — Feeling: GoodFree text: Felt warm but not feverish , resolved right awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-27
- 2021-04-03
-
2021-04-10
Dose 2 — Pfizer-BioNTech
- 2021-04-10
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches, NauseaFree text: Mostly goodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-14
-
2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate decreased — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painFree text: Low heart rate during last workouts.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Survey response — day 7, dose 2MedDRA: Blood urine present — Feeling: GoodFree text: One-time blood in urine 40 hours agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
- 2021-05-01
- 2021-05-09
- 2021-05-15
- 2021-05-22
-
2021-07-10
Survey response — 3 months, dose 2MedDRA: Eye infection, Ocular hyperaemia, Visual impairment — Feeling: GoodFree text: I had an eye infection that resulted in bloodshoot that resolved itself. Not sure cause just woke up that way. However it left a slight visual shadow when viewing bright backgrounds is in my vision. Presuming its relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-09
Survey response — 6 months, dose 2MedDRA: Malaise, SARS-CoV-2 test positive — Feeling: FairFree text: Tested positive for covid. Had symptoms for a weekMedDRA releases: 2024-11 · check-in free text available
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2022-04-10
Survey response — 12 months, dose 2MedDRA: Cough — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2022-04-10
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-14
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Pfizer-BioNTech | |
| 2 | 2021-04-10 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-10 | Successful 2022-04-14 |
Not applicable - Accidental Reporting |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Felt warm but not feverish , resolved right away
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Mostly good
Systemic reaction (other): Low heart rate during last workouts.
Release 7 — day 7, dose 2
Systemic reaction (other): One-time blood in urine 40 hours ago
Release 9 — 3 months, dose 2
Symptoms: I had an eye infection that resulted in bloodshoot that resolved itself. Not sure cause just woke up that way. However it left a slight visual shadow when viewing bright backgrounds is in my vision. Presuming its related
Release 10 — 6 months, dose 2
Symptoms: Tested positive for covid. Had symptoms for a week
Release 11 — 12 months, dose 2
Symptoms: Cough
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 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Eye infection | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Ocular hyperaemia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
| SRO | Blood urine present | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Heart rate decreased | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release