ZZA-11526-86931
4 vaccinations
4 coded responses
22 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 782 / TX
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-30
Dose 1 — Pfizer-BioNTech
-
2021-03-31
Registered in v-safe
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-14
-
2021-04-20
Dose 2 — Pfizer-BioNTech
- 2021-04-20
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body aches, Abdominal painAdult check-in
- 2021-04-22
- 2021-04-23
- 2021-04-26
- 2021-04-27
- 2021-05-06
-
2021-05-11
Survey response — day 21, dose 2MedDRA: Fatigue, Hyperhidrosis, Illness, Myalgia, Nausea, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Wife & I became ill, w/vomiting, achy muscles, nausea, tiredness. For me, vomiting induced immediate heavy sweating but briefly receded once done vomiting. Illness prolly lasted 36 hrs total for both of us. Prolly caused by prior night delivery orderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-07-20
-
2021-10-19
Survey response — 6 months, dose 2MedDRA: Discharge, Dysphonia, Oropharyngeal pain, Respiratory tract congestion — Feeling: GoodFree text: congestion, sore throat, altered voice, drainageMedDRA releases: 2024-11 · check-in free text available
-
2021-12-12
Dose 3 — Moderna
-
2022-04-20
Survey response — 12 months, dose 2MedDRA: Abdominal discomfort, Anxiety, Asthenia, Constipation, Diarrhoea, Dyspepsia, Flatulence, Myalgia, Nausea, Vomiting — Feeling: GoodFree text: uneasy/upset stomach, nauseated stomach, achy muscles, weakness, slight vomiting, constipation followed by loose stool, gassiness, indigestionMedDRA releases: 2024-11 · check-in free text available
-
2022-09-03
Dose 4 — Moderna
-
2022-12-12
Survey response — 12 months, dose 3MedDRA: Allergic respiratory symptom, Constipation, Discharge, Lacrimation increased, Respiratory tract congestion, Sneezing, Stress — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Allergy-related symptoms like congestion, drainage, sneezing, water eyes Constipation (from stress)MedDRA releases: 2024-11 · check-in free text available
-
2022-12-12
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-12-14
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Pfizer-BioNTech | |
| 2 | 2021-04-20 | Pfizer-BioNTech | |
| 3 | 2021-12-12 | Moderna | No |
| 4 | 2022-09-03 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 8 — day 21, dose 2
Symptoms: Wife & I became ill, w/vomiting, achy muscles, nausea, tiredness. For me, vomiting induced immediate heavy sweating but briefly receded once done vomiting. Illness prolly lasted 36 hrs total for both of us. Prolly caused by prior night delivery order cut off by CDC
Release 10 — 6 months, dose 2
Symptoms: congestion, sore throat, altered voice, drainage
Release 11 — 12 months, dose 2
Symptoms: uneasy/upset stomach, nauseated stomach, achy muscles, weakness, slight vomiting, constipation followed by loose stool, gassiness, indigestion
Release 12 — 12 months, dose 3
Symptoms: Allergy-related symptoms like congestion, drainage, sneezing, water eyes Constipation (from stress)
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 | Abdominal discomfort | · | · | ✓ |
| SD | Allergic respiratory symptom | · | · | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Constipation | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Discharge | · | · | ✓ |
| SD | Dyspepsia | · | · | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Flatulence | · | · | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Illness | ✓ | ✓ | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Stress | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release