5EQ-11873-44272
4 vaccinations
7 coded responses
46 check-ins
7 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 666 / KS
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Dose 1 — Pfizer-BioNTech
-
2021-01-26
Registered in v-safe
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-08
-
2021-02-11
Dose 2 — Pfizer-BioNTech
- 2021-02-15
- 2021-02-16
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Hordeolum, Rhinorrhoea — Feeling: GoodFree text: 2 days after 2nd vaccine I got a sty in my left eye. Had not had one in over 10 years. I have runny nose in cold weather but otherwise healthy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-05-13
- 2021-08-12
-
2021-09-29
Dose 3 — Pfizer-BioNTech
- 2021-09-30
- 2021-10-01
- 2021-10-02
-
2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Rhinorrhoea — Feeling: FairFree text: Started runny nose today.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny nose has subsided 50%MedDRA releases: 2024-11 · check-in free text available
- 2021-10-06
- 2021-10-13
- 2021-10-20
- 2021-10-27
- 2021-11-03
-
2021-11-11
Survey response — day 42, dose 3MedDRA: Abdominal pain upper, Faeces soft — Feeling: Good · Be unable to do your normal daily activitiesFree text: Yesterday Stomach cramps and loose stools, but not runny. Cannot i.d. a bad food choice.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-29
Survey response — 3 months, dose 3MedDRA: Dizziness, Exposure to SARS-CoV-2, Oropharyngeal pain, 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: Sore throat and light-headedness. I tested positive for COVID-19 using at home test kit today. Exposed 4 days ago. Getting pcr test today.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-29
Report sent to call center — 3 months, dose 3Be 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)
- 2022-01-03
-
2022-01-04
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-30
-
2022-04-21
Dose 4 — Pfizer-BioNTech
- 2022-04-22
- 2022-04-23
- 2022-04-24
- 2022-04-26
- 2022-04-27
- 2022-04-28
-
2022-05-06
Survey response — day 14, dose 4MedDRA: Myalgia — Feeling: FairFree text: My muscles ache. I did not think it was unusual since I did some yard work, but the aching has continued and dates back to the vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-07-21
-
2022-10-22
Survey response — 6 months, dose 4MedDRA: Crohn's disease, Pre-existing disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Crohns has deteriorated section of large intestine which has to be cut out. This in spite of taking Humira. · Healthcare visit (other): Surgery set for November.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-22
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
-
2022-10-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Pfizer-BioNTech | |
| 2 | 2021-02-11 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
| 4 | 2022-04-21 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): 2 days after 2nd vaccine I got a sty in my left eye. Had not had one in over 10 years. I have runny nose in cold weather but otherwise healthy.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Started runny nose today.
Systemic reaction (other): Runny nose has subsided 50%
Release 10 — day 42, dose 3
Symptoms: Yesterday Stomach cramps and loose stools, but not runny. Cannot i.d. a bad food choice.
Release 10 — 3 months, dose 3
Symptoms: Sore throat and light-headedness. I tested positive for COVID-19 using at home test kit today. Exposed 4 days ago. Getting pcr test today.
Release 11 — day 14, dose 4
Symptoms: My muscles ache. I did not think it was unusual since I did some yard work, but the aching has continued and dates back to the vaccine.
Release 12 — 6 months, dose 4
Symptoms: Crohns has deteriorated section of large intestine which has to be cut out. This in spite of taking Humira.
Healthcare visit (other): Surgery set for November.
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 | Unevaluable event | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Crohn's disease | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Faeces soft | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Hordeolum | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release