ZXR-30554-02963
5 vaccinations
5 coded responses
26 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 201 / VA
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
9TZ-16334-80712
Child or adolescent in my care · Male · 2022-11-16
GDB-15689-43180
Child or adolescent in my care · Female · 2022-11-16
Timeline
-
2021-04-02
Registered in v-safe
-
2021-04-02
Dose 1 — Pfizer-BioNTech
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-08
- 2021-04-09
- 2021-04-16
-
2021-04-23
Dose 2 — Pfizer-BioNTech
- 2021-04-23
- 2021-04-24
- 2021-04-25
-
2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: GoodFree text: Aching throat. Not sore like a cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
- 2021-04-29
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
-
2021-07-23
Survey response — 3 months, dose 2MedDRA: Cough, Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to work or attend schoolFree text: I had what appeared to be a garden variety cold with sneezing, runny nose. No fever, mild cough.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-22
-
2021-12-02
Dose 3 — Janssen/Johnson & Johnson
- 2022-04-26
-
2022-07-09
Dose 4 — Moderna
-
2022-11-02
Dose 5 — Pfizer-BioNTech
-
2022-11-16
Survey response — day 14, dose 5MedDRA: Malaise, Nasopharyngitis, Pharyngeal disorder, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I have tested + COVID once May30&Jun9. My case was fairly mild but still worse than most respiratory illnesses I get. The worst was my throat, which had a hard to describe but distinct feel from others. Other minor colds. Form can't handle this data.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-23
Survey response — day 21, dose 5MedDRA: Cough, Fatigue, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend schoolFree text: General cold symptoms. Runny nose, sore throat, cough, mild fatigue. No fever, no chance in sense of smell. Negative COVID tests.MedDRA releases: 2024-11 · check-in free text available
-
2023-05-05
Survey response — 6 months, dose 5MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Pfizer-BioNTech | |
| 2 | 2021-04-23 | Pfizer-BioNTech | |
| 3 | 2021-12-02 | Janssen/Johnson & Johnson | No |
| 4 | 2022-07-09 | Moderna | No |
| 5 | 2022-11-02 | Pfizer-BioNTech | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Aching throat. Not sore like a cold.
Release 9 — 3 months, dose 2
Symptoms: I had what appeared to be a garden variety cold with sneezing, runny nose. No fever, mild cough.
Release 12 — day 14, dose 5
Symptoms: I have tested + COVID once May30&Jun9. My case was fairly mild but still worse than most respiratory illnesses I get. The worst was my throat, which had a hard to describe but distinct feel from others. Other minor colds. Form can't handle this data. cut off by CDC
Release 12 — day 21, dose 5
Symptoms: General cold symptoms. Runny nose, sore throat, cough, mild fatigue. No fever, no chance in sense of smell. Negative COVID tests.
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 | Cough | ✓ | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pharyngeal disorder | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sneezing | ✓ | · | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release