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5VC-32071-32635

3 vaccinations 6 coded responses 16 check-ins 6 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
968 / HI
Registered
2021-02-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-28
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-18
    Registered in v-safe
  3. 2021-02-18
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  4. 2021-02-20
    Dose 2 — Pfizer-BioNTech
  5. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches
    Adult check-in
  6. 2021-02-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Chills, Joint pains
    Free text: I deal with ongoing things independent of COVID.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear, nose and throat disorder — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: ENT issues.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2021-03-01
    Health check-in — day 7, dose 2
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  10. 2021-03-06
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Asthenia, Ear, nose and throat disorder, Fatigue, Gastric disorder, Myalgia, Pre-existing disease — Feeling: Fair
    Free text: Pretty sure they are unrelated to vaccination. Standard stuff for me - chronic ENT diagnosed stuff plus major joint & muscular pain. 3rd & 4th spinal surgeries in last 2 years. Have had Current gastric stuff & some days of fatigue & weakness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-13
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-03-20
    Survey response — day 28, dose 2
    MedDRA: Condition aggravated, Gastrointestinal disorder, Pre-existing disease — Feeling: Fair
    Free text: Relapsed a bit with some ENT problems I have and also some intestinal stuff. Dont think there is a vaccine connection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-27
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-04-03
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-05-24
    Survey response — 3 months, dose 2
    MedDRA: Epistaxis, Rhinalgia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Sore in nose & some bleeding. · Healthcare visit (other): Appt. is Fri. 5/28/21
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-24
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-08-23
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-10-21
    Dose 3 — Pfizer-BioNTech
  19. 2022-02-20
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in
  20. 2022-04-22
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  21. 2022-05-13
  22. 2022-10-21
    Survey response — 12 months, dose 3
    MedDRA: Breakthrough COVID-19 — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Can't remember if I previously reported a "breakthrough" Coronavirus infection to you folks. It was about 3 months ago. I have had all inoculations available including all boosters. I reported the incident to the Nevada system.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Pfizer-BioNTech
22021-02-20Pfizer-BioNTech
32021-10-21Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): I deal with ongoing things independent of COVID.

2021-02-24

Systemic reaction (other): ENT issues.

Release 5 — day 14, dose 2

2021-03-06

Symptoms: Pretty sure they are unrelated to vaccination. Standard stuff for me - chronic ENT diagnosed stuff plus major joint & muscular pain. 3rd & 4th spinal surgeries in last 2 years. Have had Current gastric stuff & some days of fatigue & weakness.

Release 6 — day 28, dose 2

2021-03-20

Symptoms: Relapsed a bit with some ENT problems I have and also some intestinal stuff. Dont think there is a vaccine connection.

Release 8 — 3 months, dose 2

2021-05-24

Symptoms: Sore in nose & some bleeding.
Healthcare visit (other): Appt. is Fri. 5/28/21

Release 12 — 12 months, dose 3

2022-10-21

Symptoms: Can't remember if I previously reported a "breakthrough" Coronavirus infection to you folks. It was about 3 months ago. I have had all inoculations available including all boosters. I reported the incident to the Nevada system.

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ ✓ ✓
SDArthralgia ○ ✓ ○
SDAsthenia ✓ ✓ ✓
SDBreakthrough COVID-19 · · ✓
SDCondition aggravated ✓ ✓ ✓
SDEar, nose and throat disorder ○ ✓ ○
SDEpistaxis ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDGastric disorder ✓ ✓ ✓
SDGastrointestinal disorder ✓ ✓ ✓
SDMyalgia ○ ✓ ○
SDPre-existing disease ✓ ✓ ✓
SDRhinalgia ✓ ✓ ✓
SROEar, nose and throat disorder ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release