6CK-24515-69666
5 vaccinations
6 coded responses
46 check-ins
6 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 774 / TX
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Pfizer-BioNTech
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
-
2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-18
-
2021-02-22
Dose 2 — Pfizer-BioNTech
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-08
-
2021-03-15
Survey response — day 21, dose 2MedDRA: Arthralgia, Blood urine present — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Yesterday, I experienced moderate pain in both knees. And noticed blood in my urine. Today, I am not experiencing either issue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-05-24
- 2021-08-24
-
2021-09-30
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-11-04
- 2021-11-11
- 2021-12-30
-
2022-03-30
Dose 4 — Pfizer-BioNTech
-
2022-03-31
Survey response — 6 months, dose 3MedDRA: Injection site pain — Feeling: GoodFree text: Slight pain at the injection site.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-15
- 2022-04-20
- 2022-04-27
-
2022-05-05
Survey response — day 35, dose 4MedDRA: Cough, Oropharyngeal pain, Upper-airway cough syndrome — Feeling: FairFree text: Post-Nasal Drip. Sore Throat. Cough. NO Fever.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-11
Survey response — day 42, dose 4MedDRA: Asthenia, COVID-19, Cough, Headache, Myalgia, Oropharyngeal pain, SARS-CoV-2 test positive, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: COVID-19 confirmed by a "positive" PCR test conducted Sun 5/8/2022. Symptoms: Post-Nasal Drip, Cough, Muscle Aches, Weak, Low Energy, No Stamina, Sore Throat, Headache.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-11
Report sent to call center — day 42, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-12
-
2022-05-12
Call successfulParticipant prefers to complete VAERS report online
-
2022-06-29
Survey response — 3 months, dose 4MedDRA: Atrial fibrillation — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Atrial Fibrillation (AFib)MedDRA releases: 2024-11 · check-in free text available
-
2022-06-29
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-06-30
-
2022-09-28
Survey response — 6 months, dose 4MedDRA: Atrial fibrillation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Atrial Fibrillation (AFib) first experienced 6/1/2022.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-28
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-09-29
- 2022-09-29
-
2022-10-03
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-03
Callback requested for02:30PM ET
-
2022-10-03
Call successfulCompleted over the phone
-
2022-10-03
Call successfulCompleted over the phone
- 2023-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Pfizer-BioNTech | |
| 2 | 2021-02-22 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | Flu |
| 4 | 2022-03-30 | Pfizer-BioNTech | No |
| 5 | 2022-10-03 | Pfizer-BioNTech | Flu |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 2
Free text
Release 5 — day 21, dose 2
Symptoms: Yesterday, I experienced moderate pain in both knees. And noticed blood in my urine. Today, I am not experiencing either issue.
Release 11 — 6 months, dose 3
Symptoms: Slight pain at the injection site.
Release 11 — day 35, dose 4
Symptoms: Post-Nasal Drip. Sore Throat. Cough. NO Fever.
Release 11 — day 42, dose 4
Symptoms: COVID-19 confirmed by a "positive" PCR test conducted Sun 5/8/2022. Symptoms: Post-Nasal Drip, Cough, Muscle Aches, Weak, Low Energy, No Stamina, Sore Throat, Headache.
Release 12 — 3 months, dose 4
Symptoms: Atrial Fibrillation (AFib)
Release 12 — 6 months, dose 4
Symptoms: Atrial Fibrillation (AFib) first experienced 6/1/2022.
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 | Atrial fibrillation | · | · | ✓ |
| SD | Blood urine present | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release