27D-22661-98576
5 vaccinations
9 coded responses
38 check-ins
8 free-text entries
5 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 496 / MI
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-27
Dose 1 — Pfizer-BioNTech
- 2021-02-27
-
2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Very, very slight soreness near site ... not really worth mentioning. Thanks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-03
- 2021-03-05
- 2021-03-06
- 2021-03-13
-
2021-03-20
Dose 2 — Pfizer-BioNTech
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
-
2021-06-21
Survey response — 3 months, dose 2MedDRA: Office visit, Vertigo — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Vertigo. · Healthcare visit (other): In office Dr. appt.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-21
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-28
-
2021-09-18
Survey response — 6 months, dose 2MedDRA: Nasal disorder, Office visit, Pre-existing disease, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Nasal allergy symptoms. · Healthcare visit (other): Dr. Office visit; Flonase.MedDRA 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)
- 2021-09-21
- 2021-09-24
-
2021-09-26
Dose 3 — Pfizer-BioNTech
-
2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: GoodFree text: A bit of soreness at the injection site only on the day after 10/27.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-03
- 2021-10-10
- 2021-10-17
-
2021-10-24
Survey response — day 28, dose 3MedDRA: Diarrhoea, Nausea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Sick to my stomach; diarrhea for the past 3 days.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Survey response — day 35, dose 3MedDRA: Diarrhoea, Gastroenteritis viral, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Two transient (1-3 days) periods of diarrhea not believed related. One was judged viral enteritis, and the 2nd caused by diet. · Healthcare visit (other): Dr. Office visit.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Report sent to call center — day 35, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-07
- 2021-11-16
- 2021-12-26
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2022-03-27
Survey response — 6 months, dose 3MedDRA: Supraventricular tachycardia — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: PSVT on Jan. 31st; lasted about 2.0 mins.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-27
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-03-29
Call successfulParticipant prefers to complete VAERS report online
-
2022-04-03
Dose 4 — Pfizer-BioNTech
-
2022-04-15
Survey response — day 7, dose 4MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Slight soreness at the injection site, overnight only.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-17
- 2022-04-24
- 2022-05-01
- 2022-05-10
- 2022-05-15
-
2022-09-17
Dose 5 — ModernaCo-administered: Flu
- 2022-10-02
-
2023-04-03
Survey response — 12 months, dose 4MedDRA: COVID-19, Cardiac ablation, Supraventricular tachycardia, Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-04-03
Report sent to call center — 12 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Pfizer-BioNTech | |
| 2 | 2021-03-20 | Pfizer-BioNTech | |
| 3 | 2021-09-26 | Pfizer-BioNTech | No |
| 4 | 2022-04-03 | Pfizer-BioNTech | No |
| 5 | 2022-09-17 | Moderna | Flu |
Call center
5 call center cases
4 successful · 1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Very, very slight soreness near site ... not really worth mentioning. Thanks.
Release 9 — 3 months, dose 2
Release 9 — 6 months, dose 2
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): A bit of soreness at the injection site only on the day after 10/27.
Release 10 — day 28, dose 3
Symptoms: Sick to my stomach; diarrhea for the past 3 days.
Release 10 — day 35, dose 3
Symptoms: Two transient (1-3 days) periods of diarrhea not believed related. One was judged viral enteritis, and the 2nd caused by diet.
Healthcare visit (other): Dr. Office visit.
Release 11 — 6 months, dose 3
Symptoms: PSVT on Jan. 31st; lasted about 2.0 mins.
Release 11 — day 7, dose 4
Systemic reaction (other): Slight soreness at the injection site, overnight only.
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 | Self-medication | · | · | ✓ |
| HCVO | Surgery | · | · | ✓ |
| SD | Cardiac ablation | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Nasal disorder | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Supraventricular tachycardia | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release