5AT-27683-99345
4 vaccinations
5 coded responses
40 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 490 / MI
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Dose 1 — Pfizer-BioNTech
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 2 — Pfizer-BioNTech
- 2021-03-18
- 2021-03-19
-
2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: GoodFree text: Minor itching in between armpits and shoulderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Good · Joint painsFree text: Slight itch between armpit pits and shoulder, anteriorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
-
2021-06-17
Survey response — 3 months, dose 2MedDRA: Arthralgia, Joint swelling, Oropharyngeal pain, Swelling — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sore throat. Right clavicle still has swelling around sternoclavicular joint. Doubtful related to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-18
-
2021-09-27
Dose 3 — Pfizer-BioNTech
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-11
- 2021-10-18
- 2021-10-25
-
2021-11-01
Survey response — day 35, dose 3MedDRA: Discomfort — Feeling: FairFree text: I doubt it's related to vaccination, but I have had some discomfort on the right side of my torso. Sometimes it appears to be coming from the mid torso toward the back, but other times the pain seems to be in the mid right torso, toward the front.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-12-27
-
2022-03-28
Survey response — 6 months, dose 3MedDRA: Chest pain, Oropharyngeal pain, SARS-CoV-2 test positive — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Mild sore throat, ended up testing positive for covid. Six weeks later, mild chest pain, ended up testing positive for covid a second time.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-28
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-03-30
- 2022-03-31
-
2022-04-04
Call successfulDoes not wish to fill out VAERS report
-
2022-05-31
Dose 4 — Moderna
- 2022-05-31
- 2022-06-01
- 2022-06-02
- 2022-06-03
- 2022-06-04
- 2022-06-05
- 2022-06-06
- 2022-06-08
- 2022-06-14
- 2022-06-23
- 2022-06-28
- 2022-07-05
- 2022-07-12
- 2022-08-30
- 2022-12-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Pfizer-BioNTech | |
| 2 | 2021-03-18 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-05-31 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Minor itching in between armpits and shoulder
Systemic reaction (other): Slight itch between armpit pits and shoulder, anterior
Release 9 — 3 months, dose 2
Symptoms: Sore throat. Right clavicle still has swelling around sternoclavicular joint. Doubtful related to vaccine.
Release 10 — day 35, dose 3
Symptoms: I doubt it's related to vaccination, but I have had some discomfort on the right side of my torso. Sometimes it appears to be coming from the mid torso toward the back, but other times the pain seems to be in the mid right torso, toward the front.
Release 11 — 6 months, dose 3
Symptoms: Mild sore throat, ended up testing positive for covid. Six weeks later, mild chest pain, ended up testing positive for covid a second time.
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 | Arthralgia | ✓ | ✓ | ○ |
| SD | Chest pain | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Swelling | ✓ | ✓ | ○ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release