ZUK-31451-40419
3 vaccinations
7 coded responses
19 check-ins
7 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 974 / OR
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Dose 1 — Pfizer-BioNTech
-
2021-03-20
Registered in v-safe
-
2021-03-20
Dose 2 — Pfizer-BioNTech
- 2021-03-20
-
2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Malaise, Self-medication — Feeling: Good · Site: PainFree text: Malaise and took IbuprofenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
-
2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Malaise, Pain in extremity — Feeling: Good · Site: Pain, Redness, ItchingFree text: Malaise and erythema some pain distal to injection site on left upper armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
-
2021-05-01
Survey response — day 42, dose 2MedDRA: Back pain — Feeling: GoodFree text: Low back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-19
-
2021-09-18
Survey response — 6 months, dose 2MedDRA: Herpes zoster, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I got shingles from the SHINGRIX immunization · Healthcare visit (other): Communicated through online portal and got antiviral medication prescribedMedDRA releases: 2024-11 · check-in free text available
-
2021-09-18
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-23
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-12-26
Dose 3 — Moderna
-
2022-03-20
Survey response — 12 months, dose 2MedDRA: Malignant melanoma in situ — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Melanoma en situ right cheekMedDRA releases: 2024-11 · check-in free text available
-
2022-03-20
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)
-
2022-03-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-27
-
2022-06-26
Survey response — 6 months, dose 3MedDRA: Laryngitis, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: GoodFree text: I had an upper respiratory infection the end of May with laryngitis. I had 6 negative COVID tests during that time.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-26
Survey response — 12 months, dose 3MedDRA: Arthralgia — Feeling: GoodFree text: Pain in right shoulder from iPad useMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Pfizer-BioNTech | |
| 2 | 2021-03-20 | Pfizer-BioNTech | |
| 3 | 2021-12-26 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Malaise and took Ibuprofen
Systemic reaction (other): Malaise and erythema some pain distal to injection site on left upper arm
Release 8 — day 42, dose 2
Symptoms: Low back pain
Release 9 — 6 months, dose 2
Symptoms: I got shingles from the SHINGRIX immunization
Healthcare visit (other): Communicated through online portal and got antiviral medication prescribed
Release 11 — 12 months, dose 2
Symptoms: Melanoma en situ right cheek
Release 12 — 6 months, dose 3
Symptoms: I had an upper respiratory infection the end of May with laryngitis. I had 6 negative COVID tests during that time.
Release 12 — 12 months, dose 3
Symptoms: Pain in right shoulder from iPad use
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 | Medical counselling | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Herpes zoster | · | · | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Malignant melanoma in situ | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release