28T-23171-88679
5 vaccinations
8 coded responses
64 check-ins
8 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 275 / NC
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 1 — Pfizer-BioNTech
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
-
2021-03-24
Survey response — day 14, dose 1MedDRA: Atrial fibrillation, Pre-existing disease — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Recurrence of atrial fibrillation (but had 2 episodes of afib preceding vaccination)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Report sent to call center — day 14, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-31
Dose 2 — Pfizer-BioNTech
- 2021-03-31
- 2021-04-01
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
-
2021-05-05
Survey response — day 35, dose 2MedDRA: Muscle spasms — Feeling: Good · Be unable to do your normal daily activitiesFree text: Lower back muscle spasms, intermittently in the past 2 weeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-12
Survey response — day 42, dose 2MedDRA: Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Lower back spasms intermittentlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-12
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-30
Survey response — 3 months, dose 2MedDRA: Atrial fibrillation — 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: One recurrence of atrial fibrillation for 3 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-30
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-07-02
Call successfulDoes not wish to fill out VAERS report
- 2021-09-29
-
2021-09-30
Dose 3 — Pfizer-BioNTech
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-11-04
- 2021-11-11
- 2021-12-30
- 2022-04-01
-
2022-04-08
Dose 4 — Moderna
- 2022-04-08
-
2022-04-09
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-10
Survey response — days 1–6 daily, dose 4MedDRA: Heart rate increased — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Increased pulse up to 128 bpm at rest (yesterday afternoon, after yesterday's symptom check)MedDRA releases: 2024-11 · check-in free text available
- 2022-04-11
-
2022-04-12
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2022-04-14
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2022-04-15
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-07-08
-
2022-09-16
Dose 5 — Pfizer-BioNTech
-
2022-09-17
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-09-18
Survey response — days 1–6 daily, dose 5MedDRA: Heart rate increased — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Increased pulse on Apple Watch of 100-111 beats per minute at rest, continuously, starting about 24 h after the boosterMedDRA releases: 2024-11 · check-in free text available
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-23
- 2022-09-30
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2022-10-07
Survey response — day 21, dose 5MedDRA: Heart rate increased — Feeling: GoodFree text: Intermittent increased heart rate at rest, 100-121 bpm, with regular rhythm. Not sure if it's at all related to the vaccineMedDRA releases: 2024-11 · check-in free text available
- 2022-10-14
- 2022-10-21
- 2022-10-28
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2022-12-16
Survey response — 3 months, dose 5MedDRA: Cough, Fatigue, Oropharyngeal pain, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Upper respiratory infection for 2.5 weeks now. Cough, sore throat, weary, but 2 negative rapid Covid testsMedDRA releases: 2024-11 · check-in free text available
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Pfizer-BioNTech | |
| 2 | 2021-03-31 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
| 4 | 2022-04-08 | Moderna | No |
| 5 | 2022-09-16 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
Free text
Release 6 — day 14, dose 1
Symptoms: Recurrence of atrial fibrillation (but had 2 episodes of afib preceding vaccination)
Release 8 — day 35, dose 2
Symptoms: Lower back muscle spasms, intermittently in the past 2 weeks
Release 8 — day 42, dose 2
Symptoms: Lower back spasms intermittently
Release 9 — 3 months, dose 2
Symptoms: One recurrence of atrial fibrillation for 3 hours
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Increased pulse up to 128 bpm at rest (yesterday afternoon, after yesterday's symptom check)
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Increased pulse on Apple Watch of 100-111 beats per minute at rest, continuously, starting about 24 h after the booster
Release 12 — day 21, dose 5
Symptoms: Intermittent increased heart rate at rest, 100-121 bpm, with regular rhythm. Not sure if it's at all related to the vaccine
Release 12 — 3 months, dose 5
Symptoms: Upper respiratory infection for 2.5 weeks now. Cough, sore throat, weary, but 2 negative rapid 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 | Atrial fibrillation | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release