5CQ-23972-09809
4 vaccinations
7 coded responses
36 check-ins
7 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 350 / AL
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Dose 1 — Pfizer-BioNTech
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 2 — Pfizer-BioNTech
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
-
2021-04-23
Survey response — day 35, dose 2MedDRA: Fatigue — Feeling: FairFree text: Fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-06-18
-
2021-09-17
Survey response — 6 months, dose 2MedDRA: Balance disorder, Fatigue, Unevaluable event — Feeling: GoodFree text: Fatigue and stamina. Off balance.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-08
Dose 3 — Pfizer-BioNTech
- 2021-10-08
- 2021-10-09
- 2021-10-10
- 2021-10-11
- 2021-10-13
- 2021-10-14
-
2021-10-15
Survey response — day 7, dose 3MedDRA: Ear pain — Feeling: Fair · Fever · HeadacheFree text: Ear acheMedDRA releases: 2024-11 · check-in free text available
- 2021-10-22
- 2021-10-29
- 2021-11-05
-
2021-11-12
Survey response — day 35, dose 3MedDRA: Office visit, Rhinalgia, SARS-CoV-2 test negative, Sinus headache — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Bad sinus headache and nasal passages ache. The doctor tested me for covid and both tests came back negative. Worst I've felt in years. · Healthcare visit (other): Primary doctors officeMedDRA releases: 2024-11 · check-in free text available
-
2021-11-12
Report sent to call center — day 35, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-16
Call successfulParticipant prefers to complete VAERS report online
- 2021-11-19
- 2022-01-07
-
2022-04-08
Survey response — 6 months, dose 3MedDRA: Ageusia, COVID-19, Medical counselling, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have lost the taste in my mouth. I still can smell ok. A few weeks ago I ran 101° fever for a couple of days. It's most likely to be from covid. I have had 3 phizer shots. No other symptoms right now. · Healthcare visit (other): My pharmacist instructed me to take 50mg Zinc for 30 days.MedDRA releases: 2024-11 · check-in free text available
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2022-04-08
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-04-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-05-02
Dose 4 — Pfizer-BioNTech
- 2022-05-15
- 2022-05-16
- 2022-05-23
- 2022-06-01
- 2022-06-06
-
2022-06-13
Survey response — day 42, dose 4MedDRA: Cough, Headache, Pyrexia, Sneezing — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Fever, sneezing, coughing, headache.MedDRA releases: 2024-11 · check-in free text available
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2022-06-13
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-06-14
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-08-01
Survey response — 3 months, dose 4MedDRA: SARS-CoV-2 test positive — Feeling: Poor · 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: I tested positive for covid last Thursday and still recovering.MedDRA releases: 2024-11 · check-in free text available
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2022-08-01
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-08-02
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Pfizer-BioNTech | |
| 2 | 2021-03-19 | Pfizer-BioNTech | |
| 3 | 2021-10-08 | Pfizer-BioNTech | No |
| 4 | 2022-05-02 | Pfizer-BioNTech | No |
Call center
4 call center cases
4 successful
Free text
Release 7 — day 35, dose 2
Symptoms: Fatigue.
Release 9 — 6 months, dose 2
Symptoms: Fatigue and stamina. Off balance.
Release 10 — day 7, dose 3
Systemic reaction (other): Ear ache
Release 10 — day 35, dose 3
Symptoms: Bad sinus headache and nasal passages ache. The doctor tested me for covid and both tests came back negative. Worst I've felt in years.
Healthcare visit (other): Primary doctors office
Release 11 — 6 months, dose 3
Symptoms: I have lost the taste in my mouth. I still can smell ok. A few weeks ago I ran 101° fever for a couple of days. It's most likely to be from covid. I have had 3 phizer shots. No other symptoms right now.
Healthcare visit (other): My pharmacist instructed me to take 50mg Zinc for 30 days.
Release 12 — day 42, dose 4
Symptoms: Fever, sneezing, coughing, headache.
Release 12 — 3 months, dose 4
Symptoms: I tested positive for covid last Thursday and still recovering.
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 | Medical counselling | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Balance disorder | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinalgia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Ear pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release