3R9-25457-18861
4 vaccinations
6 coded responses
46 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 21-25
- ZIP prefix
- 024 / MA
- Registered
- 2021-04-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-19
Dose 1 — Pfizer-BioNTech
-
2021-04-21
Registered in v-safe
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-26
- 2021-05-03
-
2021-05-10
Dose 2 — Pfizer-BioNTech
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-14
- 2021-05-16
-
2021-05-17
Survey response — day 7, dose 2MedDRA: Eye pruritus — Feeling: Good · Fatigue or tirednessFree text: Itchy eyes, most likely allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
- 2021-05-31
- 2021-06-09
- 2021-06-14
- 2021-06-21
-
2021-08-09
Survey response — 3 months, dose 2MedDRA: Chest pain, Joint noise, Muscle strain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sterna pain, diagnosed as a muscle strain from cracking rib jointsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-09
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-08
-
2021-11-28
Dose 3 — Moderna
- 2021-11-28
- 2021-11-29
-
2021-11-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Muscle or body achesAdult check-in
- 2021-12-02
-
2021-12-02
Call successfulDoes not wish to fill out VAERS report
- 2021-12-03
-
2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Throat irritation — Feeling: FairFree text: Itchy throatMedDRA releases: 2024-11 · check-in free text available
- 2021-12-07
- 2021-12-12
- 2021-12-19
-
2021-12-27
Survey response — day 28, dose 3MedDRA: Cough, Respiratory tract congestion, Throat irritation — Feeling: FairFree text: Mild intermittent cough, itchy throat, more congestion. I took 3 antigen tests due to the symptoms over an 8 day period all of which were negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-02
- 2022-01-11
- 2022-02-27
- 2022-05-29
-
2022-09-08
Dose 4 — ModernaCo-administered: Flu
- 2022-09-08
-
2022-09-09
Survey response — days 1–6 daily, dose 4MedDRA: Initial insomnia, Middle insomnia — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Woke up after only 2hrs of sleep at 1am didnt fall back to sleep, likely contributory to above symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-09-10
Survey response — days 1–6 daily, dose 4MedDRA: Pyrexia, Self-medication — Feeling: Good · FeverFree text: Fever yesterday at 3:30pm all symptoms reported yesterday stopped after taking TylenolMedDRA releases: 2024-11 · check-in free text available
- 2022-09-12
- 2022-09-17
- 2022-09-22
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-12-08
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-19 | Pfizer-BioNTech | |
| 2 | 2021-05-10 | Pfizer-BioNTech | |
| 3 | 2021-11-28 | Moderna | No |
| 4 | 2022-09-08 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 8 — day 7, dose 2
Systemic reaction (other): Itchy eyes, most likely allergies
Release 9 — 3 months, dose 2
Symptoms: Sterna pain, diagnosed as a muscle strain from cracking rib joints
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Itchy throat
Release 10 — day 28, dose 3
Symptoms: Mild intermittent cough, itchy throat, more congestion. I took 3 antigen tests due to the symptoms over an 8 day period all of which were negative.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Woke up after only 2hrs of sleep at 1am didnt fall back to sleep, likely contributory to above symptoms
Systemic reaction (other): Fever yesterday at 3:30pm all symptoms reported yesterday stopped after taking Tylenol
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 | Chest pain | ✓ | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Joint noise | ✓ | · | ✓ |
| SD | Muscle strain | ✓ | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Eye pruritus | ✓ | ✓ | ✓ |
| SRO | Initial insomnia | · | · | ✓ |
| SRO | Middle insomnia | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release