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4GW-29294-18161

2 vaccinations 6 coded responses 16 check-ins 6 free-text entries 1 call case
Sex
Male
Age at first dose
51-55
ZIP prefix
027 / MA
Registered
2020-12-17
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2020-12-17
    Registered in v-safe
  2. 2020-12-17
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-18
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2020-12-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Stomatitis — Feeling: Fair · Site: Pain · Nausea
    Free text: Mouth sores
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2020-12-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2020-12-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain — Feeling: Good · Muscle or body aches
    Free text: Morning body aches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2020-12-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Abdominal pain
    Adult check-in
  8. 2020-12-26
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2020-12-31
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-01-07
    Dose 2 — Pfizer-BioNTech
  11. 2021-01-07
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-01-14
    Survey response — day 7, dose 2
    MedDRA: Cough, Fatigue, Headache, Impaired work ability, Office visit, Pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Fatigue or tiredness · Be unable to work
    Free text: 1hour after vaccine #2 I began with a cough. Less than 24 hours later significant headache, body aches, fever 100.6, cough, fatigue. Had to be sent home from work at the urgent care. Symptoms persisted through the night. I was evaluated and sent home with Tessalon pearls, and prednisone. I took 600mg of ibuprofen, 1000mg of Tylenol, and 50mg of Benadryl. Symptoms persisted through the night and slowly Neg Covid test symptoms were for almost 3 days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-14
    Report sent to call center — day 7, dose 2
    Be unable to work
    1 call case(s)
  14. 2021-01-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-01-28
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-02-04
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-02-11
    Survey response — day 35, dose 2
    MedDRA: Cough, Ear pain, Sinus congestion — Feeling: Fair
    Free text: Sinus congestion, ear pain, cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-18
    Survey response — day 42, dose 2
    MedDRA: Ear disorder, Sinus disorder — Feeling: Fair
    Free text: Frequent sinus and ear issues
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-10
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-01-09
    Survey response — 12 months, dose 2
    MedDRA: Tooth infection, Vaccine positive rechallenge — Feeling: Fair
    Free text: 3 Tooth infection following one each Covid shot
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-17Pfizer-BioNTech
22021-01-07Pfizer-BioNTech

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-18

Systemic reaction (other): Mouth sores

2020-12-20

Systemic reaction (other): Morning body aches

Release 2 — day 7, dose 2

2021-01-14

Systemic reaction (other): 1hour after vaccine #2 I began with a cough. Less than 24 hours later significant headache, body aches, fever 100.6, cough, fatigue. Had to be sent home from work at the urgent care. Symptoms persisted through the night. I was evaluated and sent home with Tessalon pearls, and prednisone. I took 600mg of ibuprofen, 1000mg of Tylenol, and 50mg of Benadryl. Symptoms persisted through the night and slowly Neg Covid test symptoms were for almost 3 days

Release 4 — day 35, dose 2

2021-02-11

Symptoms: Sinus congestion, ear pain, cough

Release 4 — day 42, dose 2

2021-02-18

Symptoms: Frequent sinus and ear issues

Release 10 — 12 months, dose 2

2022-01-09

Symptoms: 3 Tooth infection following one each Covid shot

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

FieldPreferred term2021-092023-042024-11
SDCough ✓ ✓ ✓
SDEar disorder ✓ ✓ ✓
SDEar pain ✓ ✓ ✓
SDSinus congestion ✓ ✓ ✓
SDSinus disorder ✓ ✓ ✓
SDTooth infection · · ✓
SDVaccine positive rechallenge · · ✓
SROCough ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROImpaired work ability ✓ ✓ ✓
SROOffice visit ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSARS-CoV-2 test negative ✓ ✓ ✓
SROStomatitis ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release