3Y5-79690-98966
4 vaccinations
10 coded responses
47 check-ins
9 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 672 / KS
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-18
Dose 1 — Pfizer-BioNTech
-
2021-02-19
Registered in v-safe
-
2021-02-24
Survey response — days 1–6 daily, dose 1MedDRA: Hypersomnia — Feeling: Good · Fatigue or tirednessFree text: Sleep some more than usualMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-03-04
- 2021-03-11
-
2021-03-15
Dose 2 — Pfizer-BioNTech
- 2021-03-15
- 2021-03-16
-
2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Injection site reaction, Musculoskeletal stiffness — Feeling: GoodFree text: Slight stiffness around injection spotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-19
- 2021-03-20
-
2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Flatulence — Feeling: FairFree text: GassinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-06-14
- 2021-09-13
-
2021-11-15
Dose 3 — Pfizer-BioNTech
-
2021-11-15
Survey response — day 0, dose 3MedDRA: No adverse event — Feeling: Fair · Headache, Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2021-11-16
Survey response — days 1–6 daily, dose 3MedDRA: Injection site reaction, Musculoskeletal stiffness — Feeling: Good · Site: Pain · Muscle or body achesFree text: Just stiffness at shot site and somewhat below today.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
-
2021-11-18
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Visual impairment — Feeling: Fair · HeadacheFree text: Had spike pain in head briefly this afternoon. It stopped as quickly as it started. Also had brief period of time when eyes saw different shades of same color. It lasted maybe 5 minutes then stopped. Weird!MedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-29
- 2021-12-07
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-02-14
- 2022-05-16
-
2022-09-20
Dose 4 — Pfizer-BioNTech
-
2022-09-22
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
-
2022-09-23
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
-
2022-09-24
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: Good · DiarrheaFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-09-25
-
2022-09-26
Survey response — days 1–6 daily, dose 4MedDRA: Injection site bruising — Feeling: GoodFree text: Bruise @ shot sight is healing.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-27
Survey response — day 7, dose 4MedDRA: Diarrhoea — Feeling: GoodFree text: Diarrhea reported a few days ago was due to some other cause not vaccination.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-02
- 2022-12-20
-
2023-03-21
Survey response — 6 months, dose 4MedDRA: COVID-19, Medical counselling, Patient isolation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-21
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-22
-
2023-03-22
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Pfizer-BioNTech | |
| 2 | 2021-03-15 | Pfizer-BioNTech | |
| 3 | 2021-11-15 | Pfizer-BioNTech | No |
| 4 | 2022-09-20 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Sleep some more than usual
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Slight stiffness around injection spot
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Gassiness
Release 10 — day 0, dose 3
Systemic reaction (other): No
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Just stiffness at shot site and somewhat below today.
Systemic reaction (other): Had spike pain in head briefly this afternoon. It stopped as quickly as it started. Also had brief period of time when eyes saw different shades of same color. It lasted maybe 5 minutes then stopped. Weird!
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): No
Systemic reaction (other): Bruise @ shot sight is healing.
Release 12 — day 7, dose 4
Systemic reaction (other): Diarrhea reported a few days ago was due to some other cause not vaccination.
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 | COVID-19 | · | · | ✓ |
| HCVO | Medical counselling | · | · | ✓ |
| HCVO | Patient isolation | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Visual impairment | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release