5GB-23501-76892
5 vaccinations
10 coded responses
56 check-ins
10 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 014 / MA
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 1 — Pfizer-BioNTech
- 2021-03-23
-
2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · HeadacheFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Vertigo — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tirednessFree text: Mild vertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Vertigo — Feeling: Fair · HeadacheFree text: Mild vertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-06
-
2021-04-14
Dose 2 — Pfizer-BioNTech
- 2021-04-14
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
-
2021-10-12
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-10-13
Survey response — 6 months, dose 2MedDRA: Chills, Headache, Immunisation reaction, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Side effects from a Pfizer booster shot received yesterday (10/12/21). Mild fever (101.3), chills, headache.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-14
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-10-15
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Unevaluable event — Feeling: Fair · Headache, Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Cough, mild chest congestion, and mildly sore throat · Healthcare visit (other): Scheduled for COVID-19 PCR test for todayMedDRA releases: 2024-11 · check-in free text available
-
2021-10-15
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-10-16
Survey response — days 1–6 daily, dose 3MedDRA: Cough, SARS-CoV-2 test negative — Feeling: GoodFree text: Cough (negative COVID-19 PCR test)MedDRA releases: 2024-11 · check-in free text available
-
2021-10-17
Survey response — days 1–6 daily, dose 3MedDRA: Cough — Feeling: GoodFree text: Minor coughMedDRA releases: 2024-11 · check-in free text available
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2021-10-18
Survey response — days 1–6 daily, dose 3MedDRA: Cough — Feeling: GoodFree text: Occasional coughMedDRA releases: 2024-11 · check-in free text available
- 2021-10-19
- 2021-10-26
- 2021-10-28
-
2021-10-29
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2022-01-13
-
2022-04-04
Dose 4 — Moderna
-
2022-04-05
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-04-06
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-07
- 2022-04-08
- 2022-04-09
- 2022-04-10
- 2022-04-11
- 2022-04-18
-
2022-04-25
Survey response — day 21, dose 4MedDRA: Dizziness — Feeling: GoodFree text: Feeling lightheaded, starting yesterday.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-07-04
-
2022-09-08
Dose 5 — ModernaCo-administered: Flu
- 2022-10-03
- 2022-10-03
- 2022-10-06
-
2022-10-13
Survey response — day 35, dose 5MedDRA: Migraine, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Migraine headache. I have been susceptible to them for years -- prior to any COVID vaccination.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-20
- 2022-12-08
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Pfizer-BioNTech | |
| 2 | 2021-04-14 | Pfizer-BioNTech | |
| 3 | 2021-10-12 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-04 | Moderna | No |
| 5 | 2022-09-08 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness
Systemic reaction (other): Mild vertigo
Systemic reaction (other): Mild vertigo
Release 10 — 6 months, dose 2
Symptoms: Side effects from a Pfizer booster shot received yesterday (10/12/21). Mild fever (101.3), chills, headache.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Cough, mild chest congestion, and mildly sore throat
Healthcare visit (other): Scheduled for COVID-19 PCR test for today
Systemic reaction (other): Cough (negative COVID-19 PCR test)
Systemic reaction (other): Minor cough
Systemic reaction (other): Occasional cough
Release 11 — day 21, dose 4
Symptoms: Feeling lightheaded, starting yesterday.
Release 12 — day 35, dose 5
Symptoms: Migraine headache. I have been susceptible to them for years -- prior to any COVID vaccination.
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 | Chills | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Immunisation reaction | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release