2B7-69603-97396
5 vaccinations
8 coded responses
61 check-ins
7 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 070 / NJ
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Pfizer-BioNTech
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
-
2021-02-17
Dose 2 — Pfizer-BioNTech
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
-
2021-03-03
Survey response — day 14, dose 2MedDRA: Pruritus, Urticaria — Feeling: GoodFree text: Itching on various parts of body at different times. Thigh, back, chest. One hive on thigh last Wednesday that disappeared the next day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-17
- 2021-03-24
-
2021-03-31
Survey response — day 42, dose 2MedDRA: Abdominal discomfort, Gastrointestinal pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Gastrointestinal upset with intestinal cramps, temperature 99.5.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-19
Survey response — 3 months, dose 2MedDRA: Pre-existing disease, Seasonal allergy, Upper respiratory tract irritation — Feeling: GoodFree text: My seasonal allergies are acting up which also affects chronic upper airway irritation. I doubt this has anything to do with covid-19 or the vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-18
-
2021-09-27
Dose 3 — Pfizer-BioNTech
- 2021-10-01
- 2021-10-02
-
2021-10-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-10-04
- 2021-10-11
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-12-27
-
2022-03-28
Survey response — 6 months, dose 3MedDRA: Gastric polyps, Gastrointestinal polyp haemorrhage, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Benign bleeding gastric polyps. · Healthcare visit (other): Office visits, outpatient procedureMedDRA releases: 2024-11 · check-in free text available
-
2022-03-28
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-30
-
2022-03-31
Callback requested for10:00AM ET
-
2022-03-31
Call successfulDoes not wish to fill out VAERS report
-
2022-04-05
Dose 4 — Moderna
- 2022-04-05
- 2022-04-06
- 2022-04-07
- 2022-04-08
- 2022-04-09
-
2022-04-11
Health check-in — days 1–6 daily, dose 4Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2022-04-12
Health check-in — day 7, dose 4Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-04-19
-
2022-04-26
Survey response — day 21, dose 4MedDRA: Pruritus — Feeling: GoodFree text: Itching on both hips and right arm. Most-recent jab was in left arm.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-07-05
-
2022-09-10
Dose 5 — Pfizer-BioNTech
- 2022-09-10
-
2022-09-11
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-09-12
- 2022-09-14
- 2022-09-16
- 2022-09-17
- 2022-09-24
-
2022-10-01
Survey response — day 21, dose 5MedDRA: Allergic respiratory symptom, Nasal disorder, Oropharyngeal pain, SARS-CoV-2 test negative, Sinus disorder — Feeling: GoodFree text: Mild sore throat, seasonal allergy symptoms in nose and sinuses. Confirmed not COVID with antigen and PCR tests.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-08
- 2022-10-15
- 2022-10-22
-
2022-12-10
Survey response — 3 months, dose 5MedDRA: Back pain, Chest pain, Nausea, Pre-existing disease, Upper respiratory tract irritation — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Back pain, chest pain, nausea. Not cardiac, probably a flareup of chronic reflux and upper airway irritation.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-10
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
- 2022-12-12
-
2023-03-11
Survey response — 6 months, dose 5MedDRA: Back pain, Chest pain, Gastrooesophageal reflux disease, Impaired gastric emptying, Laboratory test abnormal, Nausea, Office visit, Viral infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-03-11
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
- 2023-03-15
- 2023-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Pfizer-BioNTech | |
| 2 | 2021-02-17 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-04-05 | Moderna | No |
| 5 | 2022-09-10 | Pfizer-BioNTech | No |
Call center
3 call center cases
1 successful · 2 unsuccessful
Free text
Release 4 — day 14, dose 2
Symptoms: Itching on various parts of body at different times. Thigh, back, chest. One hive on thigh last Wednesday that disappeared the next day.
Release 6 — day 42, dose 2
Symptoms: Gastrointestinal upset with intestinal cramps, temperature 99.5.
Release 8 — 3 months, dose 2
Symptoms: My seasonal allergies are acting up which also affects chronic upper airway irritation. I doubt this has anything to do with covid-19 or the vaccination.
Release 11 — 6 months, dose 3
Symptoms: Benign bleeding gastric polyps.
Healthcare visit (other): Office visits, outpatient procedure
Release 11 — day 21, dose 4
Symptoms: Itching on both hips and right arm. Most-recent jab was in left arm.
Release 12 — day 21, dose 5
Symptoms: Mild sore throat, seasonal allergy symptoms in nose and sinuses. Confirmed not COVID with antigen and PCR tests.
Release 12 — 3 months, dose 5
Symptoms: Back pain, chest pain, nausea. Not cardiac, probably a flareup of chronic reflux and upper airway irritation.
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 | · | · | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Allergic respiratory symptom | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Gastric polyps | · | · | ✓ |
| SD | Gastrointestinal pain | ✓ | ✓ | ✓ |
| SD | Gastrointestinal polyp haemorrhage | · | · | ✓ |
| SD | Gastrooesophageal reflux disease | · | · | ✓ |
| SD | Impaired gastric emptying | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Nasal disorder | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Seasonal allergy | ✓ | ✓ | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Upper respiratory tract irritation | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SD | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release