5SA-86207-25459
4 vaccinations
12 coded responses
54 check-ins
11 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 837 / ID
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Registered in v-safe
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2021-02-27
Dose 1 — Pfizer-BioNTech
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2021-02-27
Survey response — day 0, dose 1MedDRA: Nasal dryness — Feeling: Good · HeadacheFree text: Dry nostrilsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-01
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2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion — Feeling: Good · HeadacheFree text: Stuffed noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion — Feeling: Good · HeadacheFree text: Stuffed noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
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2021-03-20
Dose 2 — Pfizer-BioNTech
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2021-03-20
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Fatigue or tirednessAdult check-in
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2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Muscular weakness — Feeling: Fair · Site: Pain · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Periodic muscle weaknessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Fatigue or tirednessAdult check-in
- 2021-03-23
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2021-03-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body achesAdult check-in
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-04-03
- 2021-04-10
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2021-04-17
Survey response — day 28, dose 2MedDRA: Fatigue — Feeling: FairFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
- 2021-05-01
- 2021-06-19
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2021-09-18
Survey response — 6 months, dose 2MedDRA: Cough, Dyspnoea, Headache, Lethargy — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Chronic cough, headaches, shortness of breath and lethargyMedDRA releases: 2024-11 · check-in free text available
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2021-09-18
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-09-21
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-10-04
Dose 3 — Pfizer-BioNTech
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2021-10-04
Survey response — day 0, dose 3MedDRA: Dental discomfort — Feeling: Fair · Chills, NauseaFree text: My teeth feel strange, not painful but different.MedDRA releases: 2024-11 · check-in free text available
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2021-10-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body achesAdult check-in
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-09
- 2021-10-10
- 2021-10-11
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-11-15
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2022-01-03
Survey response — 3 months, dose 3MedDRA: Discomfort, Exposure to SARS-CoV-2, Feeling hot, Pain — Feeling: PoorFree text: I feel feverish but no temperature. My face feels heavy, and I feel achy. I was exposed to Covid last Thursday and Friday. I am waiting to be tested.MedDRA releases: 2024-11 · check-in free text available
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2022-04-06
Survey response — 6 months, dose 3MedDRA: Fatigue, Gastrointestinal disorder, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Left kidney draining slow due to prior operation . Intestines not working unless I take miralax and stool softeners. Very tired all of the time.MedDRA releases: 2024-11 · check-in free text available
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2022-04-06
Report sent to call center — 6 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 · Emergency room or emergency department visit · 1 call case(s)
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2022-04-13
Call successfulDoes not wish to fill out VAERS report
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2022-04-14
Dose 4 — Pfizer-BioNTech
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2022-04-14
Survey response — day 0, dose 4MedDRA: Renal pain — Feeling: Poor · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Kidney panMedDRA releases: 2024-11 · check-in free text available
- 2022-04-15
- 2022-04-16
- 2022-04-17
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-28
- 2022-05-05
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2022-05-12
Survey response — day 28, dose 4MedDRA: Asthenia, Cough, Dyspnoea, Influenza, Nasopharyngitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Really bad cold or flu. Weak, strong cough and difficulty breathing.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
- 2022-05-26
- 2022-07-14
- 2022-10-13
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2023-04-14
Survey response — 12 months, dose 4MedDRA: Arthralgia, Oropharyngeal pain, Sinus pain — Feeling: Poor · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Pfizer-BioNTech | |
| 2 | 2021-03-20 | Pfizer-BioNTech | |
| 3 | 2021-10-04 | Pfizer-BioNTech | No |
| 4 | 2022-04-14 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Dry nostrils
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Stuffed nose
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Stuffed nose
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Periodic muscle weakness
Release 7 — day 28, dose 2
Symptoms: Fatigue
Release 9 — 6 months, dose 2
Symptoms: Chronic cough, headaches, shortness of breath and lethargy
Release 10 — day 0, dose 3
Systemic reaction (other): My teeth feel strange, not painful but different.
Release 10 — 3 months, dose 3
Symptoms: I feel feverish but no temperature. My face feels heavy, and I feel achy. I was exposed to Covid last Thursday and Friday. I am waiting to be tested.
Release 11 — 6 months, dose 3
Symptoms: Left kidney draining slow due to prior operation . Intestines not working unless I take miralax and stool softeners. Very tired all of the time.
Release 11 — day 0, dose 4
Systemic reaction (other): Kidney pan
Release 11 — day 28, dose 4
Symptoms: Really bad cold or flu. Weak, strong cough and difficulty breathing.
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 | Asthenia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SRO | Dental discomfort | · | · | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Nasal dryness | ✓ | ✓ | ✓ |
| SRO | Renal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release