42F-16124-00450
2 vaccinations
4 coded responses
17 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 386 / MS
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Pfizer-BioNTech
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
-
2021-04-01
Dose 2 — Pfizer-BioNTech
- 2021-04-08
-
2021-04-15
Survey response — day 14, dose 2MedDRA: Chills, Influenza like illness, Pain, Paranasal sinus hypersecretion, Respiratory tract congestion — Feeling: FairFree text: Flu like symtoms,chills,body aches,congestion,sinus drainageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-23
Survey response — day 21, dose 2MedDRA: Cough, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Had a bad cough and congested with sinuses since 3 days after my second vaccine 04/01/21! Going to see doctor on 04/26/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
-
2021-05-08
Survey response — day 35, dose 2MedDRA: Cough, Office visit, Paranasal sinus hypersecretion — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sinus drainage still and constant cough! Going back to doctor a second time next week! · Healthcare visit (other): My regular doctor!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-08
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-13
- 2021-09-30
-
2022-04-01
Survey response — 12 months, dose 2MedDRA: Cough, Office visit, Paranasal sinus hypersecretion — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Since i got booster in January 2022 i have had this nagging cough with mild sinus drainage that goes along with it! · Healthcare visit (other): My regular doctorMedDRA releases: 2024-11 · check-in free text available
-
2022-04-01
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2022-04-04
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Pfizer-BioNTech | |
| 2 | 2021-04-01 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
Free text
Release 7 — day 14, dose 2
Symptoms: Flu like symtoms,chills,body aches,congestion,sinus drainage
Release 7 — day 21, dose 2
Symptoms: Had a bad cough and congested with sinuses since 3 days after my second vaccine 04/01/21! Going to see doctor on 04/26/21
Release 8 — day 35, dose 2
Symptoms: Sinus drainage still and constant cough! Going back to doctor a second time next week!
Healthcare visit (other): My regular doctor!
Release 11 — 12 months, dose 2
Symptoms: Since i got booster in January 2022 i have had this nagging cough with mild sinus drainage that goes along with it!
Healthcare visit (other): My regular doctor
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 | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Influenza like illness | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release