ZQG-26346-47620
3 vaccinations
3 coded responses
29 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 847 / UT
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Pfizer-BioNTech
- 2021-03-05
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Condition aggravated, Limb discomfort, Oxygen saturation decreased, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Potential DVT release leading to PT. Six hours after shot, noticed sharp pain in back (same symptom I had in 2018 with PT). Measured drop in O2. Discomfort in left leg (sourced of 2018 DVTs). All symptoms normalized after 3 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-09
-
2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Discussed my day 1 reaction (mild DVT and PE) with my PCP. Prescribed blood thinner in advance of second injection. · Healthcare visit (other): See previous comment.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-10
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-12
- 2021-03-19
-
2021-03-26
Dose 2 — Pfizer-BioNTech
-
2021-03-26
Survey response — day 0, dose 2MedDRA: Limb discomfort — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Discomfort in my right leg. Had similar discomfort in left leg following first shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-19
- 2021-05-02
- 2021-05-07
-
2021-10-01
Dose 3 — Pfizer-BioNTech
- 2021-10-01
- 2021-10-03
- 2021-10-04
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
-
2021-12-05
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Pfizer-BioNTech | |
| 2 | 2021-03-26 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-10 | Successful 2021-12-05 |
Completed over the phone |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Potential DVT release leading to PT. Six hours after shot, noticed sharp pain in back (same symptom I had in 2018 with PT). Measured drop in O2. Discomfort in left leg (sourced of 2018 DVTs). All symptoms normalized after 3 hours.
Systemic reaction (other): Discussed my day 1 reaction (mild DVT and PE) with my PCP. Prescribed blood thinner in advance of second injection.
Healthcare visit (other): See previous comment.
Release 6 — day 0, dose 2
Systemic reaction (other): Discomfort in my right leg. Had similar discomfort in left leg following first shot.
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 | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Oxygen saturation decreased | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release