3AL-11011-92269
4 vaccinations
5 coded responses
35 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 030 / NH
- Registered
- 2021-03-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Dose 1 — Pfizer-BioNTech
-
2021-03-21
Registered in v-safe
-
2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Fatigue, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Mild sore throat and hacking the first day about 3 hours after the shot. Felt better the next day, just a little tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
-
2021-03-29
Health check-in — day 7, dose 1Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-02
- 2021-04-10
-
2021-04-16
Dose 2 — Pfizer-BioNTech
-
2021-04-16
Survey response — day 0, dose 2MedDRA: Fatigue, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Very Tired, mild chest congestion, mild sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-21
- 2021-04-24
- 2021-05-02
-
2021-05-17
Survey response — day 28, dose 2MedDRA: Arthralgia, Arthritis — 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: Some joint pain particularly in my wrists. There seems to be some inflammation occurring in my joints particularly in my hands and arms. Ive looked into it including vascular studies but nothing conclusive. This has been going on since my 2nd shoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-17
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-26
- 2021-05-30
- 2021-07-18
-
2021-10-12
Dose 3 — Pfizer-BioNTech
- 2021-10-15
- 2021-10-17
- 2021-10-20
- 2021-10-26
- 2021-11-08
- 2021-11-14
- 2021-11-16
- 2021-11-23
- 2022-01-12
-
2022-04-09
Call successfulParticipant prefers to complete VAERS report online
- 2022-04-15
-
2022-04-24
Dose 4 — Pfizer-BioNTech
- 2022-04-24
- 2022-04-28
- 2022-05-01
- 2022-05-10
- 2022-05-15
- 2022-05-26
- 2022-05-31
- 2022-06-05
- 2022-07-24
-
2022-10-25
Survey response — 6 months, dose 4MedDRA: Asthenia, Fatigue, Feeling cold, Insomnia, Malaise, Nausea, Pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I became ill for about 3-4 days; feeling cold, nauseous, tired but could not sleep and achy. I'm feeling better just no energy. Note, I had the most current COVID booster, a flu shot and pneumonia shot all at the same time. Maybe it was too much.MedDRA releases: 2024-11 · check-in free text available
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2023-04-24
Survey response — 12 months, dose 4MedDRA: COVID-19, Hepatitis, Vestibular disorder — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationMedDRA releases: 2024-11
-
2023-04-24
Report sent to call center — 12 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2023-04-25
- 2023-04-28
- 2023-05-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Pfizer-BioNTech | |
| 2 | 2021-04-16 | Pfizer-BioNTech | |
| 3 | 2021-10-12 | Pfizer-BioNTech | No |
| 4 | 2022-04-24 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Mild sore throat and hacking the first day about 3 hours after the shot. Felt better the next day, just a little tired.
Release 7 — day 0, dose 2
Systemic reaction (other): Very Tired, mild chest congestion, mild sore throat
Release 8 — day 28, dose 2
Symptoms: Some joint pain particularly in my wrists. There seems to be some inflammation occurring in my joints particularly in my hands and arms. Ive looked into it including vascular studies but nothing conclusive. This has been going on since my 2nd sho
Release 12 — 6 months, dose 4
Symptoms: I became ill for about 3-4 days; feeling cold, nauseous, tired but could not sleep and achy. I'm feeling better just no energy. Note, I had the most current COVID booster, a flu shot and pneumonia shot all at the same time. Maybe it was too much. 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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Arthritis | ✓ | ✓ | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling cold | · | · | ✓ |
| SD | Hepatitis | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Vestibular disorder | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release