3SV-30229-24180
5 vaccinations
12 coded responses
54 check-ins
11 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 558 / MN
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Dose 1 — Pfizer-BioNTech
-
2021-01-28
Registered in v-safe
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2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Headache, Self-medication — Feeling: Fair · Site: Pain · Headache · Be unable to workFree text: H/A is gone this evening. I did take some Anacin today. Little tired this eveningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
-
2021-02-17
Dose 2 — Pfizer-BioNTech
- 2021-02-17
-
2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Just felt like I had no energy today. Seems to be dissapearing nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-25
- 2021-03-31
-
2021-05-19
Survey response — 3 months, dose 2MedDRA: Cough — Feeling: PoorFree text: I have a cold No fever Nos e a little runney cough. Took care of four year old grandson. He had runney nose. Resting lot today. Drinking fluids. Lot of sleepingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-18
Survey response — 6 months, dose 2MedDRA: Dyspnoea, Nasopharyngitis, Office visit, Pyrexia, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Light fever runny nose Some shortness of breath after the cold or whatever I had. Was put on inhaler x2 for month for less than two months Am now off both inhalers · Healthcare visit (other): Seen in my doctors officeMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-18
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-25
- 2021-08-30
-
2021-09-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2021-09-30
Dose 3 — Pfizer-BioNTech
- 2021-09-30
-
2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Insomnia — Feeling: GoodFree text: Trouble sleeping last night. Might just be off night might be shotMedDRA releases: 2024-11 · check-in free text available
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-09
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2021-10-14
Survey response — day 14, dose 3MedDRA: Insomnia — Feeling: GoodFree text: Felt like had a cup of coffee on Tuesday trouble sleeping. Also had my flu shot that dayMedDRA releases: 2024-11 · check-in free text available
- 2021-10-22
- 2021-10-28
- 2021-11-04
- 2021-11-13
- 2021-12-30
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2022-03-31
Survey response — 6 months, dose 3MedDRA: Cough, Pyrexia, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Fever and cough. Did take at home Covid test that was negativeMedDRA releases: 2024-11 · check-in free text available
-
2022-04-19
Dose 4 — Pfizer-BioNTech
- 2022-04-19
-
2022-04-20
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue, Somnolence — Feeling: Fair · Site: Pain, ItchingFree text: Sleepy. Tired all dayMedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
-
2022-04-22
Survey response — days 1–6 daily, dose 4MedDRA: Chills — Feeling: Good · Chills · Be unable to do your normal daily activitiesFree text: Had chills last night for about 3 or 4 hrsMedDRA releases: 2024-11 · check-in free text available
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
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2022-05-24
Survey response — day 35, dose 4MedDRA: Asthenia, Chills, Pain, Pyrexia, SARS-CoV-2 test positive — Feeling: Poor · 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 consultationFree text: Tested positive for Covid. Have a fever was very achy until after first dose of paxlovid. Still with fever and some chills and weak. Breathing has been fine no congestionMedDRA releases: 2024-11 · check-in free text available
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2022-05-24
Report sent to call center — day 35, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-25
-
2022-05-25
Call successfulCompleted over the phone
- 2022-05-31
- 2022-07-19
-
2022-10-14
Dose 5 — Pfizer-BioNTech
- 2022-10-18
-
2023-04-14
Survey response — 6 months, dose 5MedDRA: Rib fracture — Feeling: Fair · 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
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2023-04-14
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Pfizer-BioNTech | |
| 2 | 2021-02-17 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
| 4 | 2022-04-19 | Pfizer-BioNTech | No |
| 5 | 2022-10-14 | Pfizer-BioNTech | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
VAERS report filed, before or during a call: 1
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): H/A is gone this evening. I did take some Anacin today. Little tired this evening
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Just felt like I had no energy today. Seems to be dissapearing now
Release 8 — 3 months, dose 2
Symptoms: I have a cold No fever Nos e a little runney cough. Took care of four year old grandson. He had runney nose. Resting lot today. Drinking fluids. Lot of sleeping
Release 9 — 6 months, dose 2
Symptoms: Light fever runny nose Some shortness of breath after the cold or whatever I had. Was put on inhaler x2 for month for less than two months Am now off both inhalers
Healthcare visit (other): Seen in my doctors office
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): No
Systemic reaction (other): Trouble sleeping last night. Might just be off night might be shot
Release 10 — day 14, dose 3
Symptoms: Felt like had a cup of coffee on Tuesday trouble sleeping. Also had my flu shot that day
Release 11 — 6 months, dose 3
Symptoms: Fever and cough. Did take at home Covid test that was negative
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Sleepy. Tired all day
Systemic reaction (other): Had chills last night for about 3 or 4 hrs
Release 11 — day 35, dose 4
Symptoms: Tested positive for Covid. Have a fever was very achy until after first dose of paxlovid. Still with fever and some chills and weak. Breathing has been fine no congestion
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | Rib fracture | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Somnolence | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release