ZWW-15445-85853
5 vaccinations
4 coded responses
50 check-ins
4 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 727 / AR
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 1 — Pfizer-BioNTech
- 2021-02-26
-
2021-02-27
Survey response — days 1–6 daily, dose 1MedDRA: Cold-stimulus headache, Headache — Feeling: Good · Site: Pain · Headache, Muscle or body achesFree text: Mild headache behind right eye similar to "brain freeze" from eating ice cream rapidlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
-
2021-03-19
Dose 2 — Pfizer-BioNTech
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-10
- 2021-04-16
- 2021-04-23
- 2021-05-01
-
2021-06-18
Survey response — 3 months, dose 2MedDRA: Muscle spasms, Office visit, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Muscle cramps in lower right leg. As yet undetermined cause. Undergoing testing.000 · Healthcare visit (other): Ultrasonic scans at diagnostic clinicMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-18
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-29
-
2021-09-17
Survey response — 6 months, dose 2MedDRA: Joint swelling, Muscle spasms, Peripheral swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Muscle cramps in lower right leg.Intermittent swelling in lower legs, feet, and ankles.I had ultrasound tests for clots and other circulation issues. All ok.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-17
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-20
Call successfulDoes not wish to fill out VAERS report
-
2021-10-01
Dose 3 — Pfizer-BioNTech
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-12-31
-
2022-04-01
Survey response — 6 months, dose 3MedDRA: Cataract operation, Office visit, Surgery — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Cataract surgery, which is unrelated to the vaccine series. · Healthcare visit (other): Scheduled Outpatient surgery, then a prescribed period of reduced activity. Procedure and follow up were successful.MedDRA 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 professionalHospitalization · 1 call case(s)
-
2022-04-05
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-07-11
Dose 4 — Pfizer-BioNTechCo-administered: Tetanus
- 2022-07-14
- 2022-07-15
- 2022-07-16
- 2022-07-18
- 2022-07-25
- 2022-08-01
- 2022-08-08
- 2022-08-15
- 2022-08-22
- 2022-10-11
-
2022-11-14
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2023-01-09
- 2023-05-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Pfizer-BioNTech | |
| 2 | 2021-03-19 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-07-11 | Pfizer-BioNTech | Tetanus |
| 5 | 2022-11-14 | Pfizer-BioNTech | Flu |
Call center
3 call center cases
3 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Mild headache behind right eye similar to "brain freeze" from eating ice cream rapidly
Release 9 — 3 months, dose 2
Symptoms: Muscle cramps in lower right leg. As yet undetermined cause. Undergoing testing.000
Healthcare visit (other): Ultrasonic scans at diagnostic clinic
Release 9 — 6 months, dose 2
Symptoms: Muscle cramps in lower right leg.Intermittent swelling in lower legs, feet, and ankles.I had ultrasound tests for clots and other circulation issues. All ok.
Release 11 — 6 months, dose 3
Symptoms: Cataract surgery, which is unrelated to the vaccine series.
Healthcare visit (other): Scheduled Outpatient surgery, then a prescribed period of reduced activity. Procedure and follow up were successful.
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 | ✓ | · | ✓ |
| HCVO | Surgery | · | · | ✓ |
| HCVO | Unevaluable event | ○ | ✓ | ○ |
| SD | Cataract operation | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SRO | Cold-stimulus headache | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release