34T-30560-30490
3 vaccinations
4 coded responses
21 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 221 / VA
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 1 — Pfizer-BioNTech
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
-
2021-04-07
Dose 2 — Pfizer-BioNTech
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Nausea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painFree text: Nausea was next day after the shot; briefly.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-14
Survey response — day 7, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: On day 2 (after shot #2) temp was 97.3 then returned to normal by 12 noon, about 98.3MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-07-07
-
2021-09-04
Dose 3 — Pfizer-BioNTech
-
2021-10-07
Survey response — day 28, dose 3MedDRA: Sensory disturbance — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Dr. is tracking. Strange, hard to describe physical feeling/sensation (varies in intensity) from chest to head (not heart related). Cause unknown, as of yet.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-07
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)
- 2021-11-22
- 2021-11-30
- 2021-12-04
- 2022-03-07
-
2022-09-04
Survey response — 12 months, dose 3MedDRA: Diarrhoea, Oropharyngeal pain, Productive cough, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Secretion discharge — Feeling: Good · 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: Got Covid (BA4 or BA5). Runny nose, sore throat, 4-6 hour fever, diarrhea for 3 days, congestion/mucus in chest & sinuses. After POS (+) test, recovered quickly, tested NEG (-) on day 6. Mother got it, she is still POS(+) after 15 days (her PCR=17).MedDRA releases: 2024-11 · check-in free text available
-
2022-09-04
Report sent to call center — 12 months, dose 3Be 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)
- 2022-09-06
- 2022-09-06
-
2022-09-06
Call successfulDoes not wish to fill out VAERS report
-
2022-09-06
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Pfizer-BioNTech | |
| 2 | 2021-04-07 | Pfizer-BioNTech | |
| 3 | 2021-09-04 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Nausea was next day after the shot; briefly.
Release 7 — day 7, dose 2
Systemic reaction (other): On day 2 (after shot #2) temp was 97.3 then returned to normal by 12 noon, about 98.3
Release 10 — day 28, dose 3
Symptoms: Dr. is tracking. Strange, hard to describe physical feeling/sensation (varies in intensity) from chest to head (not heart related). Cause unknown, as of yet.
Release 12 — 12 months, dose 3
Symptoms: Got Covid (BA4 or BA5). Runny nose, sore throat, 4-6 hour fever, diarrhea for 3 days, congestion/mucus in chest & sinuses. After POS (+) test, recovered quickly, tested NEG (-) on day 6. Mother got it, she is still POS(+) after 15 days (her PCR=17). cut off by CDC
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 | Diarrhoea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Sensory disturbance | · | · | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release