3Z2-23349-74748
5 vaccinations
7 coded responses
62 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 044 / ME
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Registered in v-safe
-
2021-01-23
Dose 1 — Pfizer-BioNTech
- 2021-01-23
-
2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: I attribute yesterdays mild fatigue to my having had to stand outside for nearly an hour in the wind with an 11°F/-11.7°C windchill factor, waiting to be immunized.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-06
-
2021-02-13
Dose 2 — Pfizer-BioNTech
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-05-15
- 2021-08-14
-
2021-10-12
Dose 3 — Pfizer-BioNTech
-
2021-10-12
Survey response — day 0, dose 3MedDRA: No adverse event — Feeling: Good · Headache, Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2021-10-13
- 2021-10-14
- 2021-10-15
- 2021-10-16
- 2021-10-17
- 2021-10-18
- 2021-10-19
- 2021-10-26
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2022-01-11
-
2022-04-12
Survey response — 6 months, dose 3MedDRA: Cough, Headache — Feeling: FairFree text: For the past week: Headache, cough,. (No fever.) MAY see my PCP if symptoms don't subside.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-21
Dose 4 — Pfizer-BioNTech
- 2022-04-21
-
2022-04-22
Survey response — days 1–6 daily, dose 4MedDRA: Pharyngeal swelling — Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessFree text: Very slight throat swellingMedDRA releases: 2024-11 · check-in free text available
- 2022-04-23
- 2022-04-24
-
2022-04-25
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Nasopharyngitis, Rhinorrhoea — Feeling: Good · Fatigue or tirednessFree text: Cold-like runny nose, bagging coughMedDRA releases: 2024-11 · check-in free text available
-
2022-04-26
Survey response — days 1–6 daily, dose 4MedDRA: Nasopharyngitis — Feeling: GoodFree text: Recovering from "cold like" sumptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-04-27
- 2022-04-28
- 2022-05-05
- 2022-05-14
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-07-21
-
2022-10-15
Dose 5 — ModernaCo-administered: Flu
- 2022-10-20
- 2022-10-21
- 2022-10-22
- 2022-10-29
-
2022-11-05
Survey response — day 21, dose 5MedDRA: Cough, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: A nagging dry cough of which I can't seem to rid myself. · Healthcare visit (other): Office visit.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-05
Report sent to call center — day 21, dose 5Get care from a doctor or other healthcare professional1 call case(s)
-
2022-11-07
Call successfulParticipant prefers to complete VAERS report online
- 2022-11-12
- 2022-11-19
- 2022-11-26
- 2023-01-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Pfizer-BioNTech | |
| 2 | 2021-02-13 | Pfizer-BioNTech | |
| 3 | 2021-10-12 | Pfizer-BioNTech | No |
| 4 | 2022-04-21 | Pfizer-BioNTech | No |
| 5 | 2022-10-15 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I attribute yesterdays mild fatigue to my having had to stand outside for nearly an hour in the wind with an 11°F/-11.7°C windchill factor, waiting to be immunized.
Release 10 — day 0, dose 3
Systemic reaction (other): No
Release 11 — 6 months, dose 3
Symptoms: For the past week: Headache, cough,. (No fever.) MAY see my PCP if symptoms don't subside.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Very slight throat swelling
Systemic reaction (other): Cold-like runny nose, bagging cough
Systemic reaction (other): Recovering from "cold like" sumptoms
Release 12 — day 21, dose 5
Symptoms: A nagging dry cough of which I can't seem to rid myself.
Healthcare visit (other): Office visit.
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 | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pharyngeal swelling | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release