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29H-31884-14632

4 vaccinations 12 coded responses 42 check-ins 12 free-text entries 1 call case
Sex
Male
Age at first dose
26-30
ZIP prefix
678 / KS
Registered
2020-12-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-18
    Dose 1 — Pfizer-BioNTech
  2. 2020-12-21
    Registered in v-safe
  3. 2020-12-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2020-12-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Fever · Muscle or body aches
    Free text: Lightheadedness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2020-12-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2020-12-27
    Survey response — day 7, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: Feel great. Spike proteins developed and antibodies created.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-01-08
    Dose 2 — Pfizer-BioNTech
  9. 2021-01-08
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  10. 2021-01-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  11. 2021-01-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-01-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  13. 2021-01-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-01-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Nausea
    Adult check-in
  15. 2021-01-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Flatulence — Feeling: Good
    Free text: Flatulence
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-01-17
    Health check-in — day 7, dose 2
    Feeling: Good · Headache
    Adult check-in
  17. 2021-01-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-01-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-02-07
    Survey response — day 28, dose 2
    MedDRA: Deafness unilateral, Ear congestion, Ear pain, SARS-CoV-2 test — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Ear pain, ear fullness, loss of hearing in left ear. Not bacterial infection based on urgent care visit. Likely viral was COVID tested no results as of yet.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-07
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-02-12
    Survey response — day 35, dose 2
    MedDRA: Asthma, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Fair
    Free text: Asthma exacerbation. Covid swab neg.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-02-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-09
    Survey response — 3 months, dose 2
    MedDRA: Abdominal pain, Diarrhoea — Feeling: Fair
    Free text: Diarrhea, Abd pain,
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-07-16
  25. 2021-09-28
    Dose 3 — Pfizer-BioNTech
  26. 2021-09-28
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-09-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches
    Adult check-in
  28. 2021-09-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Muscle or body aches
    Adult check-in
  29. 2021-10-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  30. 2021-10-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Abscess limb — Feeling: Good
    Free text: Abscess on opposite arm.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-10-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fever · None
    Adult check-in
  33. 2021-10-12
    Survey response — day 14, dose 3
    MedDRA: Insomnia — Feeling: Fair · Be unable to work or attend school
    Free text: Insomnia, unlikely vaccine related
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-10-19
    Survey response — day 21, dose 3
    MedDRA: Muscle tightness — Feeling: Good
    Free text: Muscle tightness in shoulders
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-10-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-02
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-11
    Survey response — day 42, dose 3
    MedDRA: Muscle tightness — Feeling: Fair
    Free text: Back muscle tightness.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-12-30
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-09-20
    Dose 4 — Moderna
  40. 2022-09-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  41. 2022-09-22
    Survey response — days 1–6 daily, dose 4
    MedDRA: Flatulence — Feeling: Good
    Free text: Copious flatus (most likely unrelated)
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-09-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  43. 2022-09-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  44. 2022-09-27
    Health check-in — day 7, dose 4
    Feeling: Fair · None
    Adult check-in
  45. 2022-10-04
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-10-11
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-10-18
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  48. 2022-10-25
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-12-20
    Survey response — 3 months, dose 4
    MedDRA: Malaise, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school
    Free text: Fever, malaise, negative COVID RAT x3
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-18Pfizer-BioNTech
22021-01-08Pfizer-BioNTech
32021-09-28Pfizer-BioNTech No
42022-09-20Moderna No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-22

Systemic reaction (other): Lightheadedness

Release 1 — day 7, dose 1

2020-12-27

Systemic reaction (other): Feel great. Spike proteins developed and antibodies created.

Release 2 — days 1–6 daily, dose 2

2021-01-14

Systemic reaction (other): Flatulence

Release 3 — day 28, dose 2

2021-02-07

Symptoms: Ear pain, ear fullness, loss of hearing in left ear. Not bacterial infection based on urgent care visit. Likely viral was COVID tested no results as of yet.

Release 4 — day 35, dose 2

2021-02-12

Symptoms: Asthma exacerbation. Covid swab neg.

Release 7 — 3 months, dose 2

2021-04-09

Symptoms: Diarrhea, Abd pain,

Release 9 — days 1–6 daily, dose 3

2021-10-02

Systemic reaction (other): Abscess on opposite arm.

Release 10 — day 14, dose 3

2021-10-12

Symptoms: Insomnia, unlikely vaccine related

Release 10 — day 21, dose 3

2021-10-19

Symptoms: Muscle tightness in shoulders

Release 10 — day 42, dose 3

2021-11-11

Symptoms: Back muscle tightness.

Release 12 — days 1–6 daily, dose 4

2022-09-22

Systemic reaction (other): Copious flatus (most likely unrelated)

Release 12 — 3 months, dose 4

2022-12-20

Symptoms: Fever, malaise, negative COVID RAT x3

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

FieldPreferred term2021-092023-042024-11
SDAbdominal pain ✓ ✓ ✓
SDAsthma ✓ ✓ ✓
SDDeafness unilateral ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDEar congestion ✓ ✓ ✓
SDEar pain ✓ ✓ ✓
SDInsomnia · · ✓
SDMalaise · · ✓
SDMuscle tightness · · ✓
SDPre-existing disease · · ✓
SDPyrexia · · ✓
SDSARS-CoV-2 test ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SROAbscess limb · · ✓
SRODizziness ✓ ✓ ✓
SROFlatulence ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROUnevaluable event ○ ○ ○

✓ active code · ○ coded but marked inactive · blank = not in that release

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