2P6-68273-21488
4 vaccinations
8 coded responses
47 check-ins
7 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 852 / AZ
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Pfizer-BioNTech
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
-
2021-03-04
Dose 2 — Pfizer-BioNTech
-
2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Fair · Site: Pain · Muscle or body achesFree text: TiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-06-03
- 2021-09-02
-
2021-09-27
Dose 3 — Pfizer-BioNTech
- 2021-09-27
- 2021-09-28
-
2021-09-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body achesAdult check-in
-
2021-09-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-11
-
2021-10-18
Survey response — day 21, dose 3MedDRA: Cough, Nasal congestion, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: FairFree text: Sore throat, runny congested nose occasional cough. Getting a test tomorrow.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-25
-
2021-11-01
Survey response — day 35, dose 3MedDRA: Cough, Nasopharyngitis, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Serious cold symptoms Cough and runny nose.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
-
2021-12-27
Survey response — 3 months, dose 3MedDRA: Arthralgia, Back pain, Dysstasia, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Back aches after standing. Very sore right hip. Maybe shingles (not likely related) · Healthcare visit (other): Office visitMedDRA releases: 2024-11 · check-in free text available
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2021-12-27
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-12-28
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-03-28
Survey response — 6 months, dose 3MedDRA: Pain, Pyrexia, Rash, SARS-CoV-2 test negative — 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: Rash possible hives or shingles. Fever and body aches. Negative covid home test.MedDRA releases: 2024-11 · check-in free text available
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2022-03-28
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-03-29
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-04-02
Dose 4 — Pfizer-BioNTech
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2022-04-14
Survey response — day 7, dose 4MedDRA: Myalgia — Feeling: GoodFree text: I got the 4th dose on 04/02. Did have muscle aches for a few days.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-16
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-07-02
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2022-10-03
Survey response — 6 months, dose 4MedDRA: Arthralgia, Office visit, Pain, Pyrexia, Rash — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Recurring rash, fever, and body/joint aches. Every 2 weeks or so. · Healthcare visit (other): office visitsMedDRA releases: 2024-11 · check-in free text available
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2022-10-03
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2022-10-04
Call successfulDoes not wish to fill out VAERS report
-
2023-04-02
Survey response — 12 months, dose 4MedDRA: Pyrexia, Rash — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Pfizer-BioNTech | |
| 2 | 2021-03-04 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-04-02 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Tired
Release 10 — day 21, dose 3
Symptoms: Sore throat, runny congested nose occasional cough. Getting a test tomorrow.
Release 10 — day 35, dose 3
Symptoms: Serious cold symptoms Cough and runny nose.
Release 10 — 3 months, dose 3
Symptoms: Back aches after standing. Very sore right hip. Maybe shingles (not likely related)
Healthcare visit (other): Office visit
Release 11 — 6 months, dose 3
Symptoms: Rash possible hives or shingles. Fever and body aches. Negative covid home test.
Release 11 — day 7, dose 4
Systemic reaction (other): I got the 4th dose on 04/02. Did have muscle aches for a few days.
Release 12 — 6 months, dose 4
Symptoms: Recurring rash, fever, and body/joint aches. Every 2 weeks or so.
Healthcare visit (other): office visits
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 | Arthralgia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dysstasia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Myalgia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release