27R-16281-75904
4 vaccinations
4 coded responses
41 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 631 / MO
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-02
Registered in v-safe
-
2021-01-02
Dose 1 — Pfizer-BioNTech
- 2021-01-02
-
2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Sleep disorder — Feeling: Good · Site: PainFree text: Injection site when pressure applied. Could not sleep on that side. No pain if no pressure.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-16
-
2021-01-22
Dose 2 — Pfizer-BioNTech
-
2021-01-25
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Self-medication — Feeling: Good · HeadacheFree text: Very slight headache evening of injection. Took 1 Tylenol 3 times every 2 hours. Headache went away. As I said, dry slight. Could have been sinus related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-01-29
- 2021-02-06
- 2021-02-14
- 2021-02-19
- 2021-03-05
- 2021-04-25
- 2021-07-23
-
2021-09-26
Dose 3 — Pfizer-BioNTech
- 2021-09-29
- 2021-10-02
- 2021-10-03
- 2021-10-10
- 2021-10-19
- 2021-10-24
- 2021-10-31
- 2021-11-07
- 2021-12-28
- 2022-03-27
-
2022-05-12
Dose 4 — Moderna
- 2022-05-12
- 2022-05-13
- 2022-05-15
- 2022-05-17
- 2022-05-19
- 2022-05-26
- 2022-06-03
- 2022-06-09
- 2022-06-16
- 2022-06-23
- 2022-08-11
-
2022-11-17
Survey response — 6 months, dose 4MedDRA: Pre-existing disease, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Sinusitis, Unevaluable event, Upper-airway cough syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Tested positive for Covid Tuesday. Symptoms dripping from nose and down back of throat. Felt like allergy or sinus infection. No fever. No loss of smell or taste. Only symptoms sinus and some congestion in the head. Use Vapostick at night to keMedDRA releases: 2024-11 · check-in free text available
-
2022-11-17
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-18
-
2023-05-13
Survey response — 12 months, dose 4MedDRA: Respiratory tract congestion — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Pfizer-BioNTech | |
| 2 | 2021-01-22 | Pfizer-BioNTech | |
| 3 | 2021-09-26 | Pfizer-BioNTech | No |
| 4 | 2022-05-12 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Injection site when pressure applied. Could not sleep on that side. No pain if no pressure.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Very slight headache evening of injection. Took 1 Tylenol 3 times every 2 hours. Headache went away. As I said, dry slight. Could have been sinus related.
Release 12 — 6 months, dose 4
Symptoms: Tested positive for Covid Tuesday. Symptoms dripping from nose and down back of throat. Felt like allergy or sinus infection. No fever. No loss of smell or taste. Only symptoms sinus and some congestion in the head. Use Vapostick at night to ke cut off by CDC
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 | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release