2PT-10264-18156
5 vaccinations
7 coded responses
43 check-ins
6 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 900 / CA
- 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
Survey response — day 0, dose 1MedDRA: Influenza like illness — Feeling: Fair · Fatigue or tirednessFree text: Slight flu-like feeling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
-
2021-02-17
Dose 2 — Pfizer-BioNTech
- 2021-02-28
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-19
- 2021-08-18
-
2021-09-25
Dose 3 — Pfizer-BioNTech
- 2021-09-25
-
2021-09-26
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: Im fine.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-27
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: I feel entirely normal.MedDRA releases: 2024-11 · check-in free text available
- 2021-09-28
- 2021-09-29
- 2021-09-30
- 2021-10-01
- 2021-10-02
- 2021-10-09
- 2021-10-16
- 2021-10-23
- 2021-10-30
- 2021-11-06
-
2021-12-25
Survey response — 3 months, dose 3MedDRA: Body temperature increased — Feeling: GoodFree text: Temp rose to upper 99 range a few days ago but nothing that really concerned. I didn't get tested. Frankly, I have *never* been tested. I stay at home nearly all the time and have not left the house without a mask since March 2020.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-26
-
2022-04-06
Dose 4 — Pfizer-BioNTech
- 2022-04-14
- 2022-04-20
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
-
2022-07-06
Survey response — 3 months, dose 4MedDRA: Atrial flutter — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Atrial flutter June 5, 2022MedDRA releases: 2024-11 · check-in free text available
-
2022-07-06
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-07-07
Call successfulCompleted over the phone
-
2022-09-10
Dose 5 — Pfizer-BioNTech
-
2022-10-05
Survey response — 6 months, dose 4MedDRA: Canalith repositioning procedure, Dizziness, Otolithiasis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Dizziness due to calcium looosened in ear canal, handled with the Epley Maneuver. No connection to COVID boosterMedDRA releases: 2024-11 · check-in free text available
-
2022-10-05
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)
- 2022-10-06
- 2022-10-15
- 2022-10-22
- 2022-12-10
-
2023-03-11
Survey response — 6 months, dose 5MedDRA: Atrial flutter — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationMedDRA releases: 2024-11
-
2023-03-11
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2023-03-14
-
2023-03-14
Callback requested for03:00PM ET
-
2023-03-14
Call successfulCompleted over the phone
-
2023-03-14
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Pfizer-BioNTech | |
| 2 | 2021-02-17 | Pfizer-BioNTech | |
| 3 | 2021-09-25 | Pfizer-BioNTech | No |
| 4 | 2022-04-06 | Pfizer-BioNTech | No |
| 5 | 2022-09-10 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 2
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Slight flu-like feeling.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Im fine.
Systemic reaction (other): I feel entirely normal.
Release 10 — 3 months, dose 3
Symptoms: Temp rose to upper 99 range a few days ago but nothing that really concerned. I didn't get tested. Frankly, I have *never* been tested. I stay at home nearly all the time and have not left the house without a mask since March 2020.
Release 12 — 3 months, dose 4
Symptoms: Atrial flutter June 5, 2022
Release 12 — 6 months, dose 4
Symptoms: Dizziness due to calcium looosened in ear canal, handled with the Epley Maneuver. No connection to COVID booster
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 flutter | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Canalith repositioning procedure | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Otolithiasis | · | · | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release