2XF-25409-78499
3 vaccinations
6 coded responses
36 check-ins
6 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 236 / VA
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
-
2021-03-02
Dose 1 — Pfizer-BioNTech
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-16
-
2021-03-23
Dose 2 — Pfizer-BioNTech
- 2021-03-23
-
2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Fair · Fatigue or tirednessFree text: Had trouble sleeping last night. Dont know if its related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-21
- 2021-04-27
- 2021-05-04
- 2021-06-22
- 2021-09-21
-
2021-09-28
Dose 3 — Pfizer-BioNTech
-
2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Headache, Impaired work ability, Insomnia, Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had headache, sore arm, insomnia, very tired for 40 hours after third shot, and took day off of workMedDRA releases: 2024-11 · check-in free text available
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-12
- 2021-10-19
- 2021-10-26
-
2021-11-02
Survey response — day 35, dose 3MedDRA: Arthralgia, Fall, Joint swelling, Meniscus injury, Physiotherapy, Rotator cuff syndrome — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Not related to Covid: Fell; resulting in swollen knee and sore ankle. Already undergoing physical therapy for partially torn L. Rotator cuff and partial tear in medial meniscus in L. Knee. · Healthcare visit (other): Physical TherapyMedDRA releases: 2024-11 · check-in free text available
-
2021-11-02
Report sent to call center — day 35, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-04
- 2021-11-09
-
2021-12-28
Survey response — 3 months, dose 3MedDRA: Cough, Gastrointestinal disorder, Malaise — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Stomach issues, cough, malaiseMedDRA releases: 2024-11 · check-in free text available
-
2022-03-29
Survey response — 6 months, dose 3MedDRA: Cardiac disorder, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Cardiac conduction problems indicating need for a pacemaker · Healthcare visit (other): Appt. With electophysiologistMedDRA releases: 2024-11 · check-in free text available
-
2022-03-29
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-03-30
Call successfulParticipant prefers to complete VAERS report online
-
2022-09-28
Survey response — 12 months, dose 3MedDRA: Shoulder operation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Shoulder surgeryMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Pfizer-BioNTech | |
| 2 | 2021-03-23 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Had trouble sleeping last night. Dont know if its related to the vaccine.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Had headache, sore arm, insomnia, very tired for 40 hours after third shot, and took day off of work
Release 10 — day 35, dose 3
Symptoms: Not related to Covid: Fell; resulting in swollen knee and sore ankle. Already undergoing physical therapy for partially torn L. Rotator cuff and partial tear in medial meniscus in L. Knee.
Healthcare visit (other): Physical Therapy
Release 10 — 3 months, dose 3
Symptoms: Stomach issues, cough, malaise
Release 11 — 6 months, dose 3
Symptoms: Cardiac conduction problems indicating need for a pacemaker
Healthcare visit (other): Appt. With electophysiologist
Release 12 — 12 months, dose 3
Symptoms: Shoulder surgery
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 | · | · | ✓ |
| HCVO | Physiotherapy | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Cardiac disorder | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Meniscus injury | · | · | ✓ |
| SD | Physiotherapy | · | · | ✓ |
| SD | Rotator cuff syndrome | · | · | ✓ |
| SD | Shoulder operation | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Impaired work ability | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release