6H8-14161-41281
4 vaccinations
4 coded responses
30 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 551 / MN
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Registered in v-safe
-
2021-03-31
Dose 1 — Pfizer-BioNTech
- 2021-03-31
-
2021-04-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-02
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
-
2021-04-14
Survey response — day 14, dose 1MedDRA: Diarrhoea — Feeling: GoodFree text: Some diarrhea for just one day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-21
Dose 2 — Pfizer-BioNTech
- 2021-04-21
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-07-21
-
2021-10-20
Survey response — 6 months, dose 2MedDRA: Diarrhoea, Nausea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Diarrhea, loose stools, some nausea.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-07
Dose 3 — Moderna
- 2022-04-21
-
2022-09-23
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-15
Survey response — day 21, dose 4MedDRA: Atrial fibrillation, Cardioversion, Fatigue, Headache, Muscle fatigue, Myalgia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: After my 9/23/22 Pfizer CV-19 and flu shots, I experienced: 1. Significant fatigue, muscle tiredness/aching, headaches 2. An episode of paroxysmal atrial fibrillation that needed electrical cardioversion at a hospital.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-15
Report sent to call center — day 21, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-10-17
-
2022-10-17
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2022-10-22
-
2022-10-28
Survey response — day 35, dose 4MedDRA: Endodontic procedure, Pain in jaw — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Jaw pain related to a root canal procedure that I underwent a few days after my vaccination. Nothing related to the vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-28
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-31
- 2022-11-04
- 2022-12-24
- 2023-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Pfizer-BioNTech | |
| 2 | 2021-04-21 | Pfizer-BioNTech | |
| 3 | 2021-12-07 | Moderna | No |
| 4 | 2022-09-23 | Pfizer-BioNTech | Flu |
Call center
2 call center cases
1 successful · 1 unsuccessful
VAERS report filed, before or during a call: 1
Free text
Release 7 — day 14, dose 1
Symptoms: Some diarrhea for just one day.
Release 10 — 6 months, dose 2
Symptoms: Diarrhea, loose stools, some nausea.
Release 12 — day 21, dose 4
Symptoms: After my 9/23/22 Pfizer CV-19 and flu shots, I experienced: 1. Significant fatigue, muscle tiredness/aching, headaches 2. An episode of paroxysmal atrial fibrillation that needed electrical cardioversion at a hospital.
Release 12 — day 35, dose 4
Symptoms: Jaw pain related to a root canal procedure that I underwent a few days after my vaccination. Nothing related to the vaccine.
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 | Atrial fibrillation | · | · | ✓ |
| SD | Cardioversion | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Endodontic procedure | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Muscle fatigue | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain in jaw | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release