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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

  1. 2021-04-05
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-06
    Registered in v-safe
  3. 2021-04-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ocular discomfort — Feeling: Fair · Headache
    Free text: Sinus pressure behind my eyes.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Sneezing, Wheezing — Feeling: Fair · Headache, Fatigue or tiredness
    Free 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
  5. 2021-04-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  6. 2021-04-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-12
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-19
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-27
    Dose 2 — Pfizer-BioNTech
  13. 2021-04-27
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  14. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-04-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Poor quality sleep — Feeling: Good · Fatigue or tiredness
    Free text: Didn't sleep well last night.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-18
    Survey response — day 21, dose 2
    MedDRA: Insomnia — Feeling: Fair
    Free text: Just trouble sleeping which I have from time to time.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-05-25
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-06-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-27
    Survey response — 3 months, dose 2
    MedDRA: Cough, Productive cough — Feeling: Good
    Free text: Persistent productive cough
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  26. 2021-10-26
    Survey response — 6 months, dose 2
    MedDRA: 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 visit
    Free 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
  27. 2021-10-26
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  28. 2021-10-28
    Call successful
    Participant prefers to complete VAERS report online
  29. 2021-11-15
    Dose 3 — Moderna
  30. 2022-04-08
    Dose 4 — Moderna
  31. 2022-04-27
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  32. 2022-05-01
    Health check-in — day 21, dose 4
    Feeling: Fair
    Adult check-in
  33. 2022-05-06
    Survey response — day 28, dose 4
    MedDRA: Nasopharyngitis — Feeling: Good
    Free text: Summer cold last weekend.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-05-13
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-05-20
    Survey response — day 42, dose 4
    MedDRA: Fatigue, Headache — Feeling: Fair
    Free text: Headache and tiredness. Could be allergies, a summer cold, or Covid.
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-07-08
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-10-07
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  38. 2023-04-08
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-05Pfizer-BioNTech
22021-04-27Pfizer-BioNTech
32021-11-15Moderna No
42022-04-08Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Sinus pressure behind my eyes.

2021-04-07

Systemic reaction (other): A bit sneezy, wheezy, and coughy - but that could easily be seasonal allergies.

Release 8 — days 1–6 daily, dose 2

2021-05-02

Systemic reaction (other): Didn't sleep well last night.

Release 8 — day 21, dose 2

2021-05-18

Symptoms: Just trouble sleeping which I have from time to time.

Release 9 — 3 months, dose 2

2021-07-27

Symptoms: Persistent productive cough

Release 10 — 6 months, dose 2

2021-10-26

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

2022-05-06

Symptoms: Summer cold last weekend.

Release 11 — day 42, dose 4

2022-05-20

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

FieldPreferred term2021-092023-042024-11
SDCough ✓ · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDInsomnia ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDProductive cough ✓ · ✓
SDSARS-CoV-2 test negative · · ✓
SROCough ✓ ✓ ✓
SROOcular discomfort ✓ ✓ ✓
SROPoor quality sleep ✓ ✓ ✓
SROSneezing ✓ ✓ ✓
SROWheezing ✓ ✓ ✓

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