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3MR-25095-88809

4 vaccinations 9 coded responses 38 check-ins 9 free-text entries 3 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
946 / CA
Registered
2021-01-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-27
    Registered in v-safe
  2. 2021-01-27
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-27
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-03
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-17
    Dose 2 — Pfizer-BioNTech
  13. 2021-02-17
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work
    Adult check-in
  15. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  16. 2021-02-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain — Feeling: Fair
    Free text: Earache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain, Office visit, Toothache — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Earache · Healthcare visit (other): Dentist - having toothache and earache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-22
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-02-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain — Feeling: Good
    Free text: Earache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-24
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-31
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-19
    Survey response — 3 months, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization
    Free text: I have been diagnosed with some conditions / symptoms not related to Covid.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-05-19
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-06-21
    Call successful
    Not applicable - Accidental Reporting
  29. 2021-08-18
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-09-13
    Dose 3 — Pfizer-BioNTech
  31. 2021-09-29
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-10-05
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-10-11
    Survey response — day 28, dose 3
    MedDRA: Dizziness — Feeling: Fair
    Free text: Light headed
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-10-20
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-10-27
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-13
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-03-16
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-05-09
    Dose 4 — Pfizer-BioNTech
  39. 2022-05-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  40. 2022-05-15
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  41. 2022-05-23
    Survey response — day 14, dose 4
    MedDRA: Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Runny nose - think I have cold coupled with hay fever. Self tested last night for Covid and it was negative.
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-05-30
    Survey response — day 21, dose 4
    MedDRA: Cough, Nasopharyngitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I have had heavy duty cold and cough over the last 7 days. It is slowly getting better.
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-06-06
    Survey response — day 28, dose 4
    MedDRA: Cough, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · 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
    Free text: Heavy duty cold and cough. Tested negative for Covid 4 times. Taking antibiotics to help.
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-06-06
    Report sent to call center — day 28, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  45. 2022-06-07
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  46. 2022-06-13
    Survey response — day 35, dose 4
    MedDRA: Cough, Diarrhoea, Fatigue, Gastrointestinal disorder, Gastrointestinal pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Bad cough. Intestinal issue (cramping and diarrhea). Feeling tired.
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-06-22
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  48. 2022-08-10
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-27Pfizer-BioNTech
22021-02-17Pfizer-BioNTech
32021-09-13Pfizer-BioNTech No
42022-05-09Pfizer-BioNTech No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): Earache

2021-02-22

Systemic reaction (other): Earache
Healthcare visit (other): Dentist - having toothache and earache

2021-02-23

Systemic reaction (other): Earache

Release 8 — 3 months, dose 2

2021-05-19

Symptoms: I have been diagnosed with some conditions / symptoms not related to Covid.

Release 10 — day 28, dose 3

2021-10-11

Symptoms: Light headed

Release 11 — day 14, dose 4

2022-05-23

Symptoms: Runny nose - think I have cold coupled with hay fever. Self tested last night for Covid and it was negative.

Release 11 — day 21, dose 4

2022-05-30

Symptoms: I have had heavy duty cold and cough over the last 7 days. It is slowly getting better.

Release 11 — day 28, dose 4

2022-06-06

Symptoms: Heavy duty cold and cough. Tested negative for Covid 4 times. Taking antibiotics to help.

Release 12 — day 35, dose 4

2022-06-13

Symptoms: Bad cough. Intestinal issue (cramping and diarrhea). Feeling tired.

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

FieldPreferred term2021-092023-042024-11
HCVOEar pain ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
HCVOToothache ✓ ✓ ✓
SDCough · · ✓
SDDiarrhoea · · ✓
SDDizziness · · ✓
SDFatigue · · ✓
SDGastrointestinal disorder · · ✓
SDGastrointestinal pain · · ✓
SDNasopharyngitis · · ✓
SDPre-existing disease ✓ ✓ ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SROEar pain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release