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
-
2020-12-17
Registered in v-safe
-
2020-12-17
Dose 1 — Pfizer-BioNTech
- 2020-12-18
-
2020-12-18
Survey response — days 1–6 daily, dose 1MedDRA: Stomatitis — Feeling: Fair · Site: Pain · NauseaFree text: Mouth soresMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-19
-
2020-12-20
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Good · Muscle or body achesFree text: Morning body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-21
- 2020-12-26
- 2020-12-31
-
2021-01-07
Dose 2 — Pfizer-BioNTech
- 2021-01-07
-
2021-01-14
Survey response — day 7, dose 2MedDRA: Cough, Fatigue, Headache, Impaired work ability, Office visit, Pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Fatigue or tiredness · Be unable to workFree 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 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
- 2021-01-21
- 2021-01-28
- 2021-02-04
-
2021-02-11
Survey response — day 35, dose 2MedDRA: Cough, Ear pain, Sinus congestion — Feeling: FairFree text: Sinus congestion, ear pain, coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Survey response — day 42, dose 2MedDRA: Ear disorder, Sinus disorder — Feeling: FairFree text: Frequent sinus and ear issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
-
2022-01-09
Survey response — 12 months, dose 2MedDRA: Tooth infection, Vaccine positive rechallenge — Feeling: FairFree text: 3 Tooth infection following one each Covid shotMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-17 | Pfizer-BioNTech | |
| 2 | 2021-01-07 | Pfizer-BioNTech |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Mouth sores
Systemic reaction (other): Morning body aches
Release 2 — day 7, dose 2
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
Symptoms: Sinus congestion, ear pain, cough
Release 4 — day 42, dose 2
Symptoms: Frequent sinus and ear issues
Release 10 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Ear disorder | ✓ | ✓ | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SD | Sinus disorder | ✓ | ✓ | ✓ |
| SD | Tooth infection | · | · | ✓ |
| SD | Vaccine positive rechallenge | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Impaired work ability | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Stomatitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release