6WR-15724-23157
2 vaccinations
3 coded responses
24 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 939 / CA
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Registered in v-safe
-
2021-02-08
Dose 1 — Pfizer-BioNTech
- 2021-02-08
- 2021-02-09
-
2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Oral discomfort — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: A little something on my lip.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-22
-
2021-02-26
Dose 2 — Pfizer-BioNTech
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
-
2021-03-12
Survey response — day 14, dose 2MedDRA: Discomfort, Epistaxis, Fatigue, Insomnia — Feeling: FairFree text: Last afternoon & evening I experienced discomfort fatigue bloody nose (once on one side & then gone) no pain. Tried sleeping but couldnt & later tried bed again & slept 9 hours & feel fine this morning & feel fine today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
-
2021-08-27
Survey response — 6 months, dose 2MedDRA: Asthenia, Feeling abnormal, Feeling cold, Office visit, Seasonal allergy, Telemedicine — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Awoke at 1 AM a few weeks ago feeling very weak & cold.& generally bad. Better at Dawn. Hours later a Video Doctor on behalf of mine said I was reacting to Pollen in the air. Im 82 & never heard that one before. I obtained a Virus test. AOK. · Healthcare visit (other): See above. Also had a complete physical. Good resultsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-27
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-12-15
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Pfizer-BioNTech | |
| 2 | 2021-02-26 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): A little something on my lip.
Release 5 — day 14, dose 2
Symptoms: Last afternoon & evening I experienced discomfort fatigue bloody nose (once on one side & then gone) no pain. Tried sleeping but couldnt & later tried bed again & slept 9 hours & feel fine this morning & feel fine today.
Release 9 — 6 months, dose 2
Symptoms: Awoke at 1 AM a few weeks ago feeling very weak & cold.& generally bad. Better at Dawn. Hours later a Video Doctor on behalf of mine said I was reacting to Pollen in the air. Im 82 & never heard that one before. I obtained a Virus test. AOK.
Healthcare visit (other): See above. Also had a complete physical. Good results
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 | Asthenia | ✓ | · | ✓ |
| SD | Discomfort | ✓ | ✓ | ✓ |
| SD | Epistaxis | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | · | ✓ |
| SD | Feeling cold | ✓ | · | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Seasonal allergy | ✓ | · | ✓ |
| SD | Telemedicine | ✓ | · | ✓ |
| SRO | Oral discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release