43E-80251-40455
4 vaccinations
6 coded responses
43 check-ins
6 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 208 / MD
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Dose 1 — Pfizer-BioNTech
-
2021-01-31
Registered in v-safe
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-14
- 2021-02-20
-
2021-02-26
Dose 2 — Pfizer-BioNTech
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tirednessAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
-
2021-08-23
Dose 3 — Pfizer-BioNTech
-
2021-08-23
Survey response — day 0, dose 3MedDRA: No adverse event — Feeling: GoodFree text: noneMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-24
- 2021-08-25
- 2021-08-26
- 2021-08-27
- 2021-08-28
-
2021-08-29
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: None atributable to my third vaccination.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-30
- 2021-09-06
- 2021-09-13
- 2021-09-20
- 2021-09-27
- 2021-10-04
- 2021-11-22
-
2022-02-23
Survey response — 6 months, dose 3MedDRA: Gastrointestinal pain — Feeling: GoodFree text: Colon painMedDRA releases: 2024-11 · check-in free text available
-
2022-04-08
Dose 4 — Pfizer-BioNTech
- 2022-04-21
-
2022-04-22
Survey response — day 14, dose 4MedDRA: Dyspepsia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Acid indigestion -- am taking prescription medicine for this condition.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-04-25
-
2022-04-29
Survey response — day 21, dose 4MedDRA: Office visit, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Stomach acid. Saw my primary physician and am taking medication. It is not related to my latest booster shot. · Healthcare visit (other): Saw my primary physician.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-03
- 2022-05-06
- 2022-05-13
- 2022-05-20
-
2022-07-08
Survey response — 3 months, dose 4MedDRA: Chest injury, Fall, Head injury, Limb injury, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Fell down the stairs to the basement and hit the wall pretty hard hurting my head, shoulder and ribs on the right side. · Healthcare visit (other): Saw several Doctors.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-08
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-12
- 2022-07-12
- 2022-07-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Pfizer-BioNTech | |
| 2 | 2021-02-26 | Pfizer-BioNTech | |
| 3 | 2021-08-23 | Pfizer-BioNTech | No |
| 4 | 2022-04-08 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 9 — day 0, dose 3
Systemic reaction (other): none
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): None atributable to my third vaccination.
Release 11 — 6 months, dose 3
Symptoms: Colon pain
Release 11 — day 14, dose 4
Symptoms: Acid indigestion -- am taking prescription medicine for this condition.
Release 11 — day 21, dose 4
Symptoms: Stomach acid. Saw my primary physician and am taking medication. It is not related to my latest booster shot.
Healthcare visit (other): Saw my primary physician.
Release 12 — 3 months, dose 4
Symptoms: Fell down the stairs to the basement and hit the wall pretty hard hurting my head, shoulder and ribs on the right side.
Healthcare visit (other): Saw several Doctors.
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 | Chest injury | · | · | ✓ |
| SD | Dyspepsia | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Gastrointestinal pain | · | · | ✓ |
| SD | Head injury | · | · | ✓ |
| SD | Limb injury | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | No adverse event | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release