34F-10849-09661
5 vaccinations
9 coded responses
38 check-ins
7 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 300 / GA
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Pfizer-BioNTech
-
2021-02-16
Dose 2 — Pfizer-BioNTech
-
2021-02-25
Registered in v-safe
- 2021-02-25
- 2021-03-02
- 2021-03-10
- 2021-03-16
- 2021-03-30
- 2021-08-17
-
2021-09-29
Dose 3 — Pfizer-BioNTech
-
2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-08
- 2021-10-13
-
2021-10-20
Survey response — day 21, dose 3MedDRA: Occupational exposure to dust, Oropharyngeal pain, Tension headache — Feeling: GoodFree text: Sore throat, headache behind left eye. Both resolved. Probably related to dust and DIY projects around the house. Nothing I haven't experienced in the past.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
- 2021-11-03
- 2021-11-11
-
2022-04-01
Survey response — 6 months, dose 3MedDRA: Pain in extremity — Feeling: GoodFree text: Sore toesMedDRA releases: 2024-11 · check-in free text available
-
2022-04-15
Call successfulDoes not wish to fill out VAERS report
-
2022-05-06
Dose 4 — Pfizer-BioNTech
- 2022-05-15
-
2022-05-20
Survey response — day 14, dose 4MedDRA: Wound — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had a small unrelated puncture wound received several hours later on the same day as my 2nd Covid booster shot. I was put on 10 days antibiotic as a precaution.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-20
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-23
-
2022-05-31
Survey response — day 21, dose 4MedDRA: Cough, Fatigue, Headache, Oropharyngeal pain — Feeling: Poor · 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: Head ache, sore throat, fatigue, Worsening cough.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-31
Report sent to call center — day 21, dose 4Be 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)
- 2022-06-01
-
2022-06-01
Call successfulDoes not wish to fill out VAERS report
-
2022-06-03
Survey response — day 28, dose 4MedDRA: Cough, Headache, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive — 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: Caught covid. Faint "T" line on antigen test. Cough, sore throat, mild fever, headache. No diarrhea. Did not lose sense of taste or smell. Worse symptoms, sore throat and headache only lasted about 24 hours. Have finished 1st day of Paxlovid.MedDRA releases: 2024-11 · check-in free text available
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2022-06-03
Report sent to call center — day 28, dose 4Be 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)
- 2022-06-06
- 2022-06-06
- 2022-06-06
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2022-06-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-06-10
- 2022-06-17
- 2022-08-05
-
2022-10-14
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-15
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-10-16
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-28
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2022-11-04
Survey response — day 21, dose 5MedDRA: Cough, Eye pruritus, Nasal congestion, Oropharyngeal pain — Feeling: GoodFree text: Stuffy nose, slight sore throat, itchy eyes, some cough. Lasted 24+ hours. Almost certainly related to chopping a large tree root the day before without wearing any type of mask.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-11
-
2022-11-18
Survey response — day 35, dose 5MedDRA: Nasopharyngitis — Feeling: FairFree text: Rebound head cold. Head cold started about a week ago, resolved by yesterday, back today.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-25
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2023-01-13
Survey response — 3 months, dose 5MedDRA: Rhinorrhoea, Sneezing — Feeling: GoodMedDRA releases: 2024-11
-
2023-04-14
Survey response — 6 months, dose 5MedDRA: Nasopharyngitis, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-04-14
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-04-17
-
2023-04-19
Callback requested for10:30AM ET
-
2023-04-20
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Pfizer-BioNTech | |
| 2 | 2021-02-16 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
| 4 | 2022-05-06 | Pfizer-BioNTech | No |
| 5 | 2022-10-14 | Pfizer-BioNTech | Flu |
Call center
4 call center cases
4 successful
Free text
Release 10 — day 21, dose 3
Symptoms: Sore throat, headache behind left eye. Both resolved. Probably related to dust and DIY projects around the house. Nothing I haven't experienced in the past.
Release 11 — 6 months, dose 3
Symptoms: Sore toes
Release 11 — day 14, dose 4
Symptoms: I had a small unrelated puncture wound received several hours later on the same day as my 2nd Covid booster shot. I was put on 10 days antibiotic as a precaution.
Release 11 — day 21, dose 4
Symptoms: Head ache, sore throat, fatigue, Worsening cough.
Release 11 — day 28, dose 4
Symptoms: Caught covid. Faint "T" line on antigen test. Cough, sore throat, mild fever, headache. No diarrhea. Did not lose sense of taste or smell. Worse symptoms, sore throat and headache only lasted about 24 hours. Have finished 1st day of Paxlovid. cut off by CDC
Release 12 — day 21, dose 5
Symptoms: Stuffy nose, slight sore throat, itchy eyes, some cough. Lasted 24+ hours. Almost certainly related to chopping a large tree root the day before without wearing any type of mask.
Release 12 — day 35, dose 5
Symptoms: Rebound head cold. Head cold started about a week ago, resolved by yesterday, back today.
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 | Cough | · | · | ✓ |
| SD | Eye pruritus | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Occupational exposure to dust | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Tension headache | · | · | ✓ |
| SD | Wound | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release