2T2-30496-40114
5 vaccinations
5 coded responses
58 check-ins
5 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 190 / PA
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 1 — Pfizer-BioNTech
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-21
-
2021-03-26
Dose 2 — Pfizer-BioNTech
- 2021-03-26
-
2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Felt spacey for about 7-8 hrs from 4 amMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Joint noise, Pain — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: New onset TMJ pain, clicking, near-locking last night. Never had before, really doubt it has anything to do with vaccine, but just in case....MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
-
2021-06-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-06-26
- 2021-09-24
-
2021-10-01
Dose 3 — Pfizer-BioNTech
-
2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-15
- 2021-10-22
-
2021-10-29
Survey response — day 28, dose 3MedDRA: Unevaluable event, Ventricular extrasystoles — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: A number of very palpable PVCs on 10/25 and 10/26 · Healthcare visit (other): PCP appt scheduledMedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-11-01
Call successfulParticipant prefers to complete VAERS report online
- 2021-11-05
-
2021-11-12
Survey response — day 42, dose 3MedDRA: Heart rate irregular — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Continuation of irregular heartbeat at random intervalsMedDRA releases: 2024-11 · check-in free text available
-
2021-11-12
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2021-11-16
- 2021-12-31
- 2022-04-01
-
2022-05-05
Dose 4 — Pfizer-BioNTech
- 2022-05-06
-
2022-05-07
Health check-in — days 1–6 daily, dose 4Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-05-08
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-05-09
- 2022-05-10
- 2022-05-11
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-08-06
-
2022-11-03
Survey response — 6 months, dose 4MedDRA: Arthralgia, Fatigue, Flank pain, Pain, Somnolence — Feeling: GoodFree text: Varying aches and pains - hips, side, shoulder. Don't know if it's age (70), weekend warrior, or what. I've been tired a lot, sleeping more hours at night than I used to.MedDRA releases: 2024-11 · check-in free text available
-
2023-04-22
Dose 5 — Pfizer-BioNTech
- 2023-05-05
- 2023-05-05
- 2023-05-06
- 2023-05-22
- 2023-06-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Pfizer-BioNTech | |
| 2 | 2021-03-26 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-05-05 | Pfizer-BioNTech | No |
| 5 | 2023-04-22 | Pfizer-BioNTech | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Felt spacey for about 7-8 hrs from 4 am
Systemic reaction (other): New onset TMJ pain, clicking, near-locking last night. Never had before, really doubt it has anything to do with vaccine, but just in case....
Release 10 — day 28, dose 3
Symptoms: A number of very palpable PVCs on 10/25 and 10/26
Healthcare visit (other): PCP appt scheduled
Release 10 — day 42, dose 3
Symptoms: Continuation of irregular heartbeat at random intervals
Release 12 — 6 months, dose 4
Symptoms: Varying aches and pains - hips, side, shoulder. Don't know if it's age (70), weekend warrior, or what. I've been tired a lot, sleeping more hours at night than I used to.
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 | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Flank pain | · | · | ✓ |
| SD | Heart rate irregular | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Ventricular extrasystoles | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Joint noise | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release