5UR-30025-38063
5 vaccinations
6 coded responses
36 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 840 / UT
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Pfizer-BioNTech
-
2021-03-05
Survey response — day 0, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: I just barely got the shot. Might be early to say on these questions.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-07
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
-
2021-03-29
Dose 2 — Pfizer-BioNTech
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Pain — Feeling: GoodFree text: On March 30 aches, headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-27
- 2021-05-03
- 2021-05-10
- 2021-06-28
-
2021-09-27
Survey response — 6 months, dose 2MedDRA: Cough, Nasal congestion, Nasopharyngitis, Oropharyngeal pain — Feeling: GoodFree text: Typical cold symptoms- sore throat for a couple of days. Cough, stuffy sinus for about 5 days. Cough and stuffy sinus are recovering feels like theyll Be gone in a day or two.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-07
Dose 3 — Pfizer-BioNTech
- 2022-03-30
-
2022-04-08
Dose 4 — Pfizer-BioNTech
- 2022-04-21
- 2022-04-22
- 2022-04-30
- 2022-05-06
- 2022-05-13
- 2022-05-22
-
2022-07-08
Survey response — 3 months, dose 4MedDRA: Bronchitis, Cough, Lower respiratory tract infection, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: GoodFree text: I got chest and sinus cold for about a week. No fever. Dry bronchitis cough persisted for about two weeks longer. Home test for Covid-19 was negative.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-20
Dose 5 — Pfizer-BioNTech
- 2022-09-27
- 2022-10-04
-
2022-10-11
Survey response — day 21, dose 5MedDRA: Cough, Lower respiratory tract infection — Feeling: PoorFree text: Chest cold and coughMedDRA releases: 2024-11 · check-in free text available
- 2022-10-18
- 2022-10-25
- 2022-11-02
- 2022-12-22
-
2023-03-21
Survey response — 6 months, dose 5MedDRA: Malaise, SARS-CoV-2 test positive, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-03-21
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Pfizer-BioNTech | |
| 2 | 2021-03-29 | Pfizer-BioNTech | |
| 3 | 2021-10-07 | Pfizer-BioNTech | No |
| 4 | 2022-04-08 | Pfizer-BioNTech | No |
| 5 | 2022-09-20 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): I just barely got the shot. Might be early to say on these questions.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): On March 30 aches, headache
Release 9 — 6 months, dose 2
Symptoms: Typical cold symptoms- sore throat for a couple of days. Cough, stuffy sinus for about 5 days. Cough and stuffy sinus are recovering feels like theyll Be gone in a day or two.
Release 12 — 3 months, dose 4
Symptoms: I got chest and sinus cold for about a week. No fever. Dry bronchitis cough persisted for about two weeks longer. Home test for Covid-19 was negative.
Release 12 — day 21, dose 5
Symptoms: Chest cold and cough
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 | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Lower respiratory tract infection | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release