E5T-33121-84098
5 vaccinations
13 coded responses
61 check-ins
13 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 019 / MA
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Dose 1 — Moderna
-
2021-03-08
Registered in v-safe
- 2021-03-08
- 2021-03-09
- 2021-03-16
- 2021-03-23
-
2021-03-30
Dose 2 — Moderna
- 2021-03-30
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal painAdult check-in
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: GoodFree text: InsomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
-
2021-04-13
Survey response — day 14, dose 2MedDRA: Heart rate irregular — Feeling: GoodFree text: occasional irregular heart beatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-20
Survey response — day 21, dose 2MedDRA: Heart rate irregular, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Occasional irregular heartbeats · Healthcare visit (other): PCP office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-20
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-27
Survey response — day 28, dose 2MedDRA: Office visit, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: heart palpitations on occasion each day. Saw my PCP about this.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-04
-
2021-05-11
Survey response — day 42, dose 2MedDRA: Extrasystoles, Hypertension — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: high blood pressure, skipping heartMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-11
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-29
Survey response — 3 months, dose 2MedDRA: Extrasystoles, Palpitations, Symptom recurrence, Ventricular tachycardia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: constant ventricular ectopics heartbeats. Palpitaions started five days after the first shot, then subsided. After second shot, palpitations returned and have not stopped.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-29
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-02
- 2021-09-28
-
2021-11-29
Dose 3 — Pfizer-BioNTech
-
2021-11-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-12-01
- 2021-12-02
-
2021-12-03
Survey response — days 1–6 daily, dose 3MedDRA: Back pain — Feeling: FairFree text: back acheMedDRA releases: 2024-11 · check-in free text available
- 2021-12-04
- 2021-12-05
-
2021-12-06
Survey response — day 7, dose 3MedDRA: Rhinorrhoea — Feeling: GoodFree text: runny noseMedDRA releases: 2024-11 · check-in free text available
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-01-10
- 2022-02-28
- 2022-05-30
-
2022-07-15
Dose 4 — Pfizer-BioNTech
- 2022-07-15
-
2022-07-16
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessFree text: Slight dizzinessMedDRA releases: 2024-11 · check-in free text available
- 2022-07-17
- 2022-07-18
-
2022-07-19
Survey response — days 1–6 daily, dose 4MedDRA: Rhinorrhoea — Feeling: GoodFree text: runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-07-20
- 2022-07-21
- 2022-07-24
- 2022-07-29
- 2022-08-05
- 2022-08-12
- 2022-08-19
- 2022-08-26
-
2022-10-14
Survey response — 3 months, dose 4MedDRA: Skin infection — Feeling: FairFree text: skin infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-10-27
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-28
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-29
- 2022-10-30
-
2022-10-31
Survey response — days 1–6 daily, dose 5MedDRA: Rhinorrhoea, Sneezing — Feeling: GoodFree text: runny nose and sneezingMedDRA releases: 2024-11 · check-in free text available
- 2022-11-01
- 2022-11-02
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2022-11-24
- 2022-12-01
-
2022-12-08
Survey response — day 42, dose 5MedDRA: Nerve compression — Feeling: FairFree text: pinched nerve in neckMedDRA releases: 2024-11 · check-in free text available
- 2023-01-28
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-11-29 | Pfizer-BioNTech | No |
| 4 | 2022-07-15 | Pfizer-BioNTech | No |
| 5 | 2022-10-27 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-20 | Unsuccessful | |
| 2021-04-27 | Unsuccessful | |
| 2021-05-11 | Unsuccessful | |
| 2021-06-29 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Insomnia
Release 7 — day 14, dose 2
Symptoms: occasional irregular heart beats
Release 7 — day 21, dose 2
Release 8 — day 28, dose 2
Symptoms: heart palpitations on occasion each day. Saw my PCP about this.
Release 8 — day 42, dose 2
Symptoms: high blood pressure, skipping heart
Release 9 — 3 months, dose 2
Symptoms: constant ventricular ectopics heartbeats. Palpitaions started five days after the first shot, then subsided. After second shot, palpitations returned and have not stopped.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): back ache
Release 10 — day 7, dose 3
Systemic reaction (other): runny nose
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Slight dizziness
Systemic reaction (other): runny nose
Release 12 — 3 months, dose 4
Symptoms: skin infection
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): runny nose and sneezing
Release 12 — day 42, dose 5
Symptoms: pinched nerve in neck
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 | Extrasystoles | ✓ | ✓ | ✓ |
| SD | Heart rate irregular | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Nerve compression | · | · | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Skin infection | · | · | ✓ |
| SD | Symptom recurrence | ✓ | ✓ | ✓ |
| SD | Ventricular tachycardia | ✓ | ✓ | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release