ZRU-52561-09791
3 vaccinations
5 coded responses
30 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 373 / TN
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Pfizer-BioNTech
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
-
2021-04-07
Dose 2 — Pfizer-BioNTech
- 2021-04-07
- 2021-04-08
-
2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal painFree text: This all could be related to a stomach bug that is going aroundMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-23
- 2021-05-03
- 2021-05-07
- 2021-05-14
- 2021-05-19
-
2021-10-08
Dose 3 — Pfizer-BioNTech
- 2021-10-08
-
2021-10-09
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal discomfort — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Stomach UpsetMedDRA releases: 2024-11 · check-in free text available
- 2021-10-10
-
2021-10-11
Survey response — days 1–6 daily, dose 3MedDRA: Blood pressure decreased, Heart rate increased — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Elevated heart rate and lower blood pressureMedDRA releases: 2024-11 · check-in free text available
- 2021-10-14
- 2021-10-15
-
2021-10-22
Survey response — day 14, dose 3MedDRA: Burning sensation, Cough, Pain, Respiratory tract congestion — Feeling: FairFree text: Burning, stinging feeling in my back between my upper spine and right shoulder blade. Also significant conjestion and occasional dry cough going on for some time now.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-07
- 2021-11-14
-
2021-11-21
Survey response — day 42, dose 3MedDRA: Cardiac flutter, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Heart fluttering. Wearing a heart monitor for two weeks for further diagnosis. May not be related to the vaccine at all · Healthcare visit (other): Cardiologist appointmentMedDRA releases: 2024-11 · check-in free text available
-
2021-11-21
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-12-01
Call successfulDoes not wish to fill out VAERS report
- 2022-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Pfizer-BioNTech | |
| 2 | 2021-04-07 | Pfizer-BioNTech | |
| 3 | 2021-10-08 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-21 | Successful 2021-12-01 |
Does not wish to fill out VAERS report |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): This all could be related to a stomach bug that is going around
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Stomach Upset
Systemic reaction (other): Elevated heart rate and lower blood pressure
Release 10 — day 14, dose 3
Symptoms: Burning, stinging feeling in my back between my upper spine and right shoulder blade. Also significant conjestion and occasional dry cough going on for some time now.
Release 10 — day 42, dose 3
Symptoms: Heart fluttering. Wearing a heart monitor for two weeks for further diagnosis. May not be related to the vaccine at all
Healthcare visit (other): Cardiologist appointment
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 | Office visit | · | · | ✓ |
| SD | Burning sensation | · | · | ✓ |
| SD | Cardiac flutter | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Abdominal discomfort | · | · | ✓ |
| SRO | Blood pressure decreased | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release