6FM-78032-36266
4 vaccinations
5 coded responses
41 check-ins
4 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 288 / NC
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Registered in v-safe
-
2021-02-03
Dose 1 — Pfizer-BioNTech
- 2021-02-03
- 2021-02-04
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-12
- 2021-02-17
-
2021-02-24
Dose 2 — Pfizer-BioNTech
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-19
-
2021-04-02
Survey response — day 35, dose 2MedDRA: Abdominal discomfort, Hypotension, Syncope — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Stomach and intestinal upset, low blood pressure, fainting.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-07
- 2021-05-28
- 2021-06-13
- 2021-08-25
-
2021-09-25
Dose 3 — Pfizer-BioNTech
- 2021-10-02
- 2021-10-09
- 2021-10-16
- 2021-10-23
- 2021-10-30
- 2021-11-08
- 2021-12-27
-
2022-03-26
Survey response — 6 months, dose 3MedDRA: Atrial fibrillation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: An a-fib episode. Has not reoccurred.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-26
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-29
-
2022-05-12
Dose 4 — Moderna
- 2022-05-15
- 2022-05-16
-
2022-05-17
Survey response — days 1–6 daily, dose 4MedDRA: Pain, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: I was having joint and body aches prior to the vaccine. They are worse. I have no way of knowing if it is related to the injection or not.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-19
Health check-in — day 7, dose 4Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-06-18
- 2022-06-23
-
2022-08-11
Survey response — 3 months, dose 4MedDRA: Malaise, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Good · 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: Developed COVID symptoms 7/24, tested pos. 7/26, began taking Paxlovid 7/26, tested neg. 8/1 & 8/2, then tested pos. again 8/3. Continued to test positive for next 7 days, and finally tested negative again today 8/11. Symptoms moderate 1st 5 daysMedDRA releases: 2024-11 · check-in free text available
-
2022-08-11
Report sent to call center — 3 months, 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)
-
2022-08-12
Call successfulCompleted over the phone
-
2022-08-12
Call successfulCompleted over the phone
-
2022-08-12
Call successfulCompleted over the phone
- 2022-11-10
-
2023-05-12
Survey response — 12 months, dose 4MedDRA: Atrial fibrillation, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-05-12
Report sent to call center — 12 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2023-05-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Pfizer-BioNTech | |
| 2 | 2021-02-24 | Pfizer-BioNTech | |
| 3 | 2021-09-25 | Pfizer-BioNTech | No |
| 4 | 2022-05-12 | Moderna | No |
Call center
4 call center cases
3 successful · 1 unsuccessful
VAERS report filed, before or during a call: 4
Free text
Release 6 — day 35, dose 2
Symptoms: Stomach and intestinal upset, low blood pressure, fainting.
Release 11 — 6 months, dose 3
Symptoms: An a-fib episode. Has not reoccurred.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I was having joint and body aches prior to the vaccine. They are worse. I have no way of knowing if it is related to the injection or not.
Release 12 — 3 months, dose 4
Symptoms: Developed COVID symptoms 7/24, tested pos. 7/26, began taking Paxlovid 7/26, tested neg. 8/1 & 8/2, then tested pos. again 8/3. Continued to test positive for next 7 days, and finally tested negative again today 8/11. Symptoms moderate 1st 5 days cut off by CDC
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 | Office visit | · | · | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Hypotension | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Syncope | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release