4XX-25948-90337
5 vaccinations
7 coded responses
46 check-ins
7 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 028 / RI
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Registered in v-safe
-
2021-02-27
Dose 1 — Pfizer-BioNTech
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
-
2021-03-20
Dose 2 — Pfizer-BioNTech
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-06-19
- 2021-09-18
-
2021-09-27
Dose 3 — Pfizer-BioNTech
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-13
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-12-27
- 2022-03-28
-
2022-04-02
Dose 4 — Pfizer-BioNTech
-
2022-04-16
Survey response — day 14, dose 4MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodes under arm on side that received second COVID booster.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-14
-
2022-07-02
Survey response — 3 months, dose 4MedDRA: Photopsia — Feeling: GoodFree text: Occasional shimmering light in one eye (perhaps retinal migraine)MedDRA releases: 2024-11 · check-in free text available
-
2022-09-11
Dose 5 — Moderna
-
2022-10-01
Survey response — 6 months, dose 4MedDRA: Malaise, Oropharyngeal pain, Pyrexia — Feeling: FairFree text: Sore throat, slight fever, malaiseMedDRA releases: 2024-11 · check-in free text available
-
2022-10-11
Survey response — day 28, dose 5MedDRA: Fatigue, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Very sore throat; fatigue.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-11
Report sent to call center — day 28, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-10-12
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-16
Survey response — day 35, dose 5MedDRA: Decreased appetite, Fatigue, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Fever, exhaustion, loss of appetite.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-16
Report sent to call center — day 35, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-10-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-23
Survey response — day 42, dose 5MedDRA: Blood disorder, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Blood disorder, now in the process of being examined and diagnosed by my doctors.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-23
Report sent to call center — day 42, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-10-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-12-11
Survey response — 3 months, dose 5MedDRA: Chronic lymphocytic leukaemia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have been diagnosed with CLL (chronic lymphocytic leukemia). Although the diagnosis occurred after my last COVID shot, I have no reason to believe they are related.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-11
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-12-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Pfizer-BioNTech | |
| 2 | 2021-03-20 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-04-02 | Pfizer-BioNTech | No |
| 5 | 2022-09-11 | Moderna | No |
Call center
4 call center cases
4 successful
Free text
Release 11 — day 14, dose 4
Symptoms: Swollen lymph nodes under arm on side that received second COVID booster.
Release 12 — 3 months, dose 4
Symptoms: Occasional shimmering light in one eye (perhaps retinal migraine)
Release 12 — 6 months, dose 4
Symptoms: Sore throat, slight fever, malaise
Release 12 — day 28, dose 5
Symptoms: Very sore throat; fatigue.
Release 12 — day 35, dose 5
Symptoms: Fever, exhaustion, loss of appetite.
Release 12 — day 42, dose 5
Symptoms: Blood disorder, now in the process of being examined and diagnosed by my doctors.
Release 12 — 3 months, dose 5
Symptoms: I have been diagnosed with CLL (chronic lymphocytic leukemia). Although the diagnosis occurred after my last COVID shot, I have no reason to believe they are related.
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 | Blood disorder | · | · | ✓ |
| SD | Chronic lymphocytic leukaemia | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Photopsia | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release