2U3-30870-01563
4 vaccinations
8 coded responses
45 check-ins
8 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 26-30
- ZIP prefix
- 029 / RI
- Registered
- 2021-02-28
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-02-27
Dose 1 — Pfizer-BioNTech
-
2021-02-28
Registered in v-safe
-
2021-03-01
Survey response — days 1–6 daily, dose 1MedDRA: Feeling hot — Feeling: GoodFree text: Face feels warm to the touch, though no feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-06
- 2021-03-14
-
2021-03-20
Dose 2 — Pfizer-BioNTech
-
2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-22
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-04-03
- 2021-04-11
- 2021-04-19
- 2021-04-24
-
2021-05-02
Survey response — day 42, dose 2MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Unexplained joint pain, especially in the knees. Not sure if this is related in any way to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-19
Survey response — 3 months, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Sore knees, unsure if it's related in any wayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-18
-
2021-10-07
Dose 3 — Pfizer-BioNTech
- 2021-10-07
-
2021-10-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-09
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased — Feeling: Good · Fatigue or tirednessFree text: Fast heart rateMedDRA releases: 2024-11 · check-in free text available
-
2021-10-12
Survey response — days 1–6 daily, dose 3MedDRA: Haemorrhoids, Pre-existing disease — Feeling: GoodFree text: Hemorrhoids flare-up, no evidence that it is related thoughMedDRA releases: 2024-11 · check-in free text available
-
2021-10-13
Survey response — days 1–6 daily, dose 3MedDRA: Anxiety, Heart rate increased, Pre-existing disease — Feeling: FairFree text: Rapid heart rate, increased anxiety... Could be predicting condition thoughMedDRA releases: 2024-11 · check-in free text available
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-11-04
-
2021-11-11
Survey response — day 35, dose 3MedDRA: Anxiety — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Anxiety attacks, probably not related to vaccinationMedDRA releases: 2024-11 · check-in free text available
-
2021-11-11
Report sent to call center — day 35, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
-
2021-11-15
Call successfulParticipant prefers to complete VAERS report online
- 2022-01-06
- 2022-04-10
-
2022-10-07
Dose 4 — Pfizer-BioNTech
-
2022-10-08
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-09
- 2022-10-10
- 2022-10-11
-
2022-10-12
Survey response — days 1–6 daily, dose 4MedDRA: Condition aggravated, Pre-existing disease — Feeling: FairFree text: Struggling with my generalized anxiety today, but I've had this condition long before COVID beganMedDRA releases: 2024-11 · check-in free text available
- 2022-10-13
- 2022-10-16
- 2022-10-22
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2023-01-06
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Pfizer-BioNTech | |
| 2 | 2021-03-20 | Pfizer-BioNTech | |
| 3 | 2021-10-07 | Pfizer-BioNTech | No |
| 4 | 2022-10-07 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Face feels warm to the touch, though no fever
Release 8 — day 42, dose 2
Symptoms: Unexplained joint pain, especially in the knees. Not sure if this is related in any way to the vaccine.
Release 9 — 3 months, dose 2
Symptoms: Sore knees, unsure if it's related in any way
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Fast heart rate
Systemic reaction (other): Hemorrhoids flare-up, no evidence that it is related though
Systemic reaction (other): Rapid heart rate, increased anxiety... Could be predicting condition though
Release 10 — day 35, dose 3
Symptoms: Anxiety attacks, probably not related to vaccination
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Struggling with my generalized anxiety today, but I've had this condition long before COVID began
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 | Anxiety | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Anxiety | · | · | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Haemorrhoids | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release