6J8-66225-51607
5 vaccinations
6 coded responses
46 check-ins
5 free-text entries
5 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 922 / CA
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Pfizer-BioNTech
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
-
2021-03-04
Dose 2 — Pfizer-BioNTech
- 2021-03-04
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Pre-existing disease — Feeling: GoodFree text: I have a history of near-daily headaches, but Im near certain todays is not related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-06-03
- 2021-09-02
-
2021-09-20
Dose 3 — Pfizer-BioNTech
- 2021-09-29
- 2021-10-04
- 2021-10-11
- 2021-10-18
- 2021-10-25
- 2021-11-01
-
2021-12-20
Survey response — 3 months, dose 3MedDRA: Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Not at all related to covid or vaccine/ boosterMedDRA releases: 2024-11 · check-in free text available
-
2021-12-20
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-27
- 2022-03-21
-
2022-04-06
Dose 4 — Moderna
- 2022-04-14
- 2022-04-20
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-07-06
-
2022-09-09
Dose 5 — Moderna
-
2022-10-05
Survey response — 6 months, dose 4MedDRA: Malaise — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Classic covid symptoms- a moderate case that has now rebounded. In day 15 of significant symptoms.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-05
Report sent to call center — 6 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 · Emergency room or emergency department visit · 1 call case(s)
-
2022-10-06
Survey response — day 21, dose 5MedDRA: Malaise, SARS-CoV-2 test positive — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Classic symptoms after home testing positive for covid on 9/22/2022MedDRA releases: 2024-11 · check-in free text available
-
2022-10-06
Report sent to call center — day 21, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
-
2022-10-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-06
Call successfulNot applicable - Accidental Reporting
-
2022-10-06
Call successfulNot applicable - Accidental Reporting
-
2022-10-07
Survey response — day 28, dose 5MedDRA: Malaise — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Rebound covid symptoms after Paxlovid. Today is day 17 symptomatic. I have had no side effects I attribute to the vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-07
Report sent to call center — day 28, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
- 2022-10-10
-
2022-10-10
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-14
- 2022-10-21
- 2022-12-11
-
2023-03-10
Survey response — 6 months, dose 5MedDRA: Back pain, Prostate cancer — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-10
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Pfizer-BioNTech | |
| 2 | 2021-03-04 | Pfizer-BioNTech | |
| 3 | 2021-09-20 | Pfizer-BioNTech | No |
| 4 | 2022-04-06 | Moderna | No |
| 5 | 2022-09-09 | Moderna | No |
Call center
5 call center cases
4 successful · 1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I have a history of near-daily headaches, but Im near certain todays is not related to the vaccine.
Release 10 — 3 months, dose 3
Symptoms: Not at all related to covid or vaccine/ booster
Release 12 — 6 months, dose 4
Symptoms: Classic covid symptoms- a moderate case that has now rebounded. In day 15 of significant symptoms.
Release 12 — day 21, dose 5
Symptoms: Classic symptoms after home testing positive for covid on 9/22/2022
Release 12 — day 28, dose 5
Symptoms: Rebound covid symptoms after Paxlovid. Today is day 17 symptomatic. I have had no side effects I attribute 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 | Back pain | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Prostate cancer | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release