3VR-20081-00503
5 vaccinations
7 coded responses
56 check-ins
7 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 603 / IL
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Pfizer-BioNTech
-
2021-02-11
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-12
-
2021-02-13
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Injection site pain — Feeling: GoodFree text: Tenderness at injection site. Unrelated lower back pains from shoveling snow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
-
2021-03-04
Dose 2 — Pfizer-BioNTech
- 2021-03-04
-
2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Folliculitis — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Coincidental scalp folliculitis treated effectively with bacitracin.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
-
2021-06-03
Survey response — 3 months, dose 2MedDRA: Cough, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: GoodFree text: Classic, old-fashioned cold. Runny nose, occasional cough. Covid test negative.Lasted 14 days. Probably got it in eye doctor's waiting room where they sprayed above seats after you got up but no wiping down surfaces.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-02
-
2021-10-01
Dose 3 — Pfizer-BioNTech
- 2021-10-01
-
2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-03
- 2021-10-04
- 2021-10-05
-
2021-10-06
Survey response — days 1–6 daily, dose 3MedDRA: Diarrhoea, Myalgia — Feeling: GoodFree text: Muscle pain and loose bowel attributable to other causes.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-07
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2022-01-02
- 2022-04-03
-
2022-04-12
Dose 4 — Pfizer-BioNTech
-
2022-04-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tiredness, DiarrheaAdult check-in
-
2022-04-16
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-04-17
- 2022-04-19
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-07-12
-
2022-09-06
Dose 5 — Pfizer-BioNTech
-
2022-09-23
Survey response — day 14, dose 5MedDRA: Neurological symptom, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Minor virtigo-like symptoms · Healthcare visit (other): Saw PCP (sub) & specialists in personMedDRA releases: 2024-11 · check-in free text available
-
2022-09-23
Report sent to call center — day 14, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-09-27
-
2022-09-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-04
-
2022-10-11
Survey response — day 35, dose 5MedDRA: Dizziness, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Occasional dizziness probably related to neurological condition.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-18
-
2022-12-06
Survey response — 3 months, dose 5MedDRA: COVID-19, Cough, Fatigue, Medical counselling, Nervous system disorder, Quarantine, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing, Wheezing — Feeling: Fair · 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: Symptoms: Covid-19 contracted early Nov. 6; home test positive that evening; isolated 5 days plus 5 days mostly isolated, always with mask. Paxlovid 11/9 - 11/13. Coughing, wheezing, sneezing, congestion, enervation, exhaustion. Runny nose - continues to now · Healthcare visit (other): Phone consultation with primary care physician's nurse (practitioner)MedDRA releases: 2024-11 · check-in free text available
-
2022-12-06
Report sent to call center — 3 months, dose 5Be 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)
- 2022-12-07
-
2022-12-07
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-03-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Pfizer-BioNTech | |
| 2 | 2021-03-04 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-04-12 | Pfizer-BioNTech | No |
| 5 | 2022-09-06 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Tenderness at injection site. Unrelated lower back pains from shoveling snow.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Coincidental scalp folliculitis treated effectively with bacitracin.
Release 8 — 3 months, dose 2
Symptoms: Classic, old-fashioned cold. Runny nose, occasional cough. Covid test negative.Lasted 14 days. Probably got it in eye doctor's waiting room where they sprayed above seats after you got up but no wiping down surfaces.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Muscle pain and loose bowel attributable to other causes.
Release 12 — day 14, dose 5
Symptoms: Minor virtigo-like symptoms
Healthcare visit (other): Saw PCP (sub) & specialists in person
Release 12 — day 35, dose 5
Symptoms: Occasional dizziness probably related to neurological condition.
Release 12 — 3 months, dose 5
Symptoms: Covid-19 contracted early Nov. 6; home test positive that evening; isolated 5 days plus 5 days mostly isolated, always with mask. Paxlovid 11/9 - 11/13. Coughing, wheezing, sneezing, congestion, enervation, exhaustion. Runny nose - continues to now cut off by CDC
Healthcare visit (other): Phone consultation with primary care physician's nurse (practitioner)
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 | Medical counselling | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Nervous system disorder | · | · | ✓ |
| SD | Neurological symptom | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Folliculitis | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Myalgia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release