6H6-16110-29791
4 vaccinations
8 coded responses
31 check-ins
8 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 021 / MA
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-05
Dose 1 — Pfizer-BioNTech
-
2021-04-06
Registered in v-safe
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2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: Ocular discomfort — Feeling: Fair · HeadacheFree text: Sinus pressure behind my eyes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Sneezing, Wheezing — Feeling: Fair · Headache, Fatigue or tirednessFree text: A bit sneezy, wheezy, and coughy - but that could easily be seasonal allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-19
- 2021-04-26
-
2021-04-27
Dose 2 — Pfizer-BioNTech
- 2021-04-27
-
2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-29
- 2021-04-30
- 2021-05-01
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2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Poor quality sleep — Feeling: Good · Fatigue or tirednessFree text: Didn't sleep well last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
- 2021-05-11
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2021-05-18
Survey response — day 21, dose 2MedDRA: Insomnia — Feeling: FairFree text: Just trouble sleeping which I have from time to time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-25
- 2021-06-01
- 2021-06-08
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2021-07-27
Survey response — 3 months, dose 2MedDRA: Cough, Productive cough — Feeling: GoodFree text: Persistent productive coughMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-26
Survey response — 6 months, dose 2MedDRA: SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: I thought I might have had covid, but tested negative. And I thought I had appendicitis, but the symptoms cleared up after 2 days or so.MedDRA releases: 2024-11 · check-in free text available
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2021-10-26
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-28
Call successfulParticipant prefers to complete VAERS report online
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2021-11-15
Dose 3 — Moderna
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2022-04-08
Dose 4 — Moderna
- 2022-04-27
- 2022-05-01
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2022-05-06
Survey response — day 28, dose 4MedDRA: Nasopharyngitis — Feeling: GoodFree text: Summer cold last weekend.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-13
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2022-05-20
Survey response — day 42, dose 4MedDRA: Fatigue, Headache — Feeling: FairFree text: Headache and tiredness. Could be allergies, a summer cold, or Covid.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-08
- 2022-10-07
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Pfizer-BioNTech | |
| 2 | 2021-04-27 | Pfizer-BioNTech | |
| 3 | 2021-11-15 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Sinus pressure behind my eyes.
Systemic reaction (other): A bit sneezy, wheezy, and coughy - but that could easily be seasonal allergies.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Didn't sleep well last night.
Release 8 — day 21, dose 2
Symptoms: Just trouble sleeping which I have from time to time.
Release 9 — 3 months, dose 2
Symptoms: Persistent productive cough
Release 10 — 6 months, dose 2
Symptoms: I thought I might have had covid, but tested negative. And I thought I had appendicitis, but the symptoms cleared up after 2 days or so.
Release 11 — day 28, dose 4
Symptoms: Summer cold last weekend.
Release 11 — day 42, dose 4
Symptoms: Headache and tiredness. Could be allergies, a summer cold, or Covid.
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 | Cough | ✓ | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Productive cough | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Ocular discomfort | ✓ | ✓ | ✓ |
| SRO | Poor quality sleep | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
| SRO | Wheezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release