22J-21795-14432
5 vaccinations
7 coded responses
54 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 208 / MD
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Dose 1 — Pfizer-BioNTech
-
2021-04-09
Dose 2 — Pfizer-BioNTech
-
2021-04-10
Registered in v-safe
-
2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Aphasia — Feeling: Fair · Site: Pain · Fever · HeadacheFree text: Mild word retrieval (harder to concentrate)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
-
2021-07-09
Survey response — 3 months, dose 2MedDRA: Nasopharyngitis — Feeling: FairFree text: I have a bad cold. The whole house has it. My daughter was tested for Covid and it was negative. Im assuming it is probably the RSV virus that is going around.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-08
-
2021-10-10
Dose 3 — Pfizer-BioNTech
- 2021-10-10
-
2021-10-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tirednessAdult check-in
-
2021-10-12
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Lymph node pain — Feeling: Good · Site: PainFree text: Pain under arm (lymph nodes)MedDRA releases: 2024-11 · check-in free text available
- 2021-10-13
- 2021-10-14
- 2021-10-15
- 2021-10-16
- 2021-10-17
-
2021-10-24
Survey response — day 14, dose 3MedDRA: Diarrhoea — Feeling: GoodFree text: Loose stoolsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-16
- 2021-11-22
- 2022-01-09
- 2022-04-10
-
2022-04-11
Dose 4 — Moderna
- 2022-04-11
-
2022-04-12
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-04-13
- 2022-04-14
- 2022-04-15
- 2022-04-16
- 2022-04-17
- 2022-04-20
- 2022-04-25
- 2022-05-02
- 2022-05-12
- 2022-05-16
- 2022-05-23
-
2022-07-11
Survey response — 3 months, dose 4MedDRA: COVID-19, Nasopharyngitis, Pyrexia — Feeling: Good · Be unable to work or attend schoolFree text: Had COVID-19 2 weeks ago with head cold symptoms and mild fever for a day. No more symptoms today.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-30
Dose 5 — Pfizer-BioNTech
- 2022-10-01
- 2022-10-04
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-14
-
2022-10-21
Survey response — day 21, dose 5MedDRA: Cough, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: GoodFree text: Bad cold with cough, not CovidMedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
- 2022-11-04
- 2022-11-11
-
2022-12-30
Survey response — 3 months, dose 5MedDRA: Headache, Nasopharyngitis, Rhinorrhoea — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cold symptoms (runny nose, headache)MedDRA releases: 2024-11 · check-in free text available
-
2022-12-30
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-01-03
-
2023-01-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Pfizer-BioNTech | |
| 2 | 2021-04-09 | Pfizer-BioNTech | |
| 3 | 2021-10-10 | Pfizer-BioNTech | No |
| 4 | 2022-04-11 | Moderna | No |
| 5 | 2022-09-30 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Mild word retrieval (harder to concentrate)
Release 9 — 3 months, dose 2
Symptoms: I have a bad cold. The whole house has it. My daughter was tested for Covid and it was negative. Im assuming it is probably the RSV virus that is going around.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pain under arm (lymph nodes)
Release 10 — day 14, dose 3
Symptoms: Loose stools
Release 12 — 3 months, dose 4
Symptoms: Had COVID-19 2 weeks ago with head cold symptoms and mild fever for a day. No more symptoms today.
Release 12 — day 21, dose 5
Symptoms: Bad cold with cough, not Covid
Release 12 — 3 months, dose 5
Symptoms: Cold symptoms (runny nose, headache)
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 | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Aphasia | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release