ZQD-35479-77729
4 vaccinations
9 coded responses
40 check-ins
9 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 904 / CA
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Dose 1 — Pfizer-BioNTech
-
2021-03-08
Registered in v-safe
- 2021-03-08
- 2021-03-09
- 2021-03-16
-
2021-03-23
Dose 2 — Pfizer-BioNTech
-
2021-03-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-27
- 2021-03-28
- 2021-04-01
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-28
- 2021-05-04
- 2021-06-22
- 2021-09-21
-
2021-09-30
Dose 3 — Pfizer-BioNTech
-
2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Most symptoms increased significantly 22 hours after injectionMedDRA releases: 2024-11 · check-in free text available
- 2021-10-03
-
2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I was also fatigued yesterday, but it may be hayfeverMedDRA releases: 2024-11 · check-in free text available
- 2021-10-05
- 2021-10-07
-
2021-10-14
Survey response — day 14, dose 3MedDRA: Hypersensitivity, Immunisation reaction, Lethargy, Pre-existing disease — Feeling: Fair · Be unable to work or attend schoolFree text: My allergies (ragweed) have been really bad, and I have be lethargic the last few days. I don't think I can attribute the symptoms to booster, but I certainly had "Covid brain" at court today. (Criminal defense appearances). Air quality bad tooMedDRA releases: 2024-11 · check-in free text available
-
2021-10-21
Survey response — day 21, dose 3MedDRA: Hypersensitivity, Pre-existing disease — Feeling: FairFree text: Allergies seem worseMedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
- 2021-11-06
- 2021-11-11
- 2021-12-30
-
2022-04-01
Survey response — 6 months, dose 3MedDRA: Asthma, Inflammation, Neck pain, SARS-CoV-2 test negative, Stenosis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Stenosis. Severe neck pain due t inflammation. Received Entyvio infusion a couple of weeks ago. Suffering from asthma related to high pollen counts.Having arthroscopic knee surgery in April 18th. Recent Covid test negative. will get 2nd boosteMedDRA releases: 2024-11 · check-in free text available
-
2022-04-01
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-05
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-11
Dose 4 — Pfizer-BioNTech
- 2022-04-13
-
2022-04-14
Survey response — days 1–6 daily, dose 4MedDRA: Hyperaesthesia teeth — Feeling: Good · Site: PainFree text: Lower tooth has become sensitive again a week after the 2nd boosterMedDRA releases: 2024-11 · check-in free text available
-
2022-04-15
Survey response — days 1–6 daily, dose 4MedDRA: Toothache — Feeling: GoodFree text: Tooth ache possibly caused by overactive immune system following booster?MedDRA releases: 2024-11 · check-in free text available
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2022-04-16
Survey response — days 1–6 daily, dose 4MedDRA: Toothache — Feeling: GoodFree text: Antibiotics helped my tooth acheMedDRA releases: 2024-11 · check-in free text available
- 2022-04-17
- 2022-04-18
- 2022-04-25
- 2022-05-02
- 2022-05-16
- 2022-05-23
- 2022-07-13
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2022-10-10
Survey response — 6 months, dose 4MedDRA: Laboratory test abnormal — Feeling: Fair · Be unable to work or attend schoolFree text: Tested positive w home test on Saturday 10/8/22MedDRA releases: 2024-11 · check-in free text available
- 2023-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Pfizer-BioNTech | |
| 2 | 2021-03-23 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
| 4 | 2022-04-11 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-01 | Successful 2022-04-05 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Most symptoms increased significantly 22 hours after injection
Systemic reaction (other): I was also fatigued yesterday, but it may be hayfever
Release 10 — day 14, dose 3
Symptoms: My allergies (ragweed) have been really bad, and I have be lethargic the last few days. I don't think I can attribute the symptoms to booster, but I certainly had "Covid brain" at court today. (Criminal defense appearances). Air quality bad too
Release 10 — day 21, dose 3
Symptoms: Allergies seem worse
Release 11 — 6 months, dose 3
Symptoms: Stenosis. Severe neck pain due t inflammation. Received Entyvio infusion a couple of weeks ago. Suffering from asthma related to high pollen counts.Having arthroscopic knee surgery in April 18th. Recent Covid test negative. will get 2nd booste
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Lower tooth has become sensitive again a week after the 2nd booster
Systemic reaction (other): Tooth ache possibly caused by overactive immune system following booster?
Systemic reaction (other): Antibiotics helped my tooth ache
Release 12 — 6 months, dose 4
Symptoms: Tested positive w home test on Saturday 10/8/22
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 | Asthma | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Immunisation reaction | · | · | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Stenosis | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Hyperaesthesia teeth | · | · | ✓ |
| SRO | Toothache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release