XXS-30210-65346
3 vaccinations
7 coded responses
34 check-ins
7 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 615 / IL
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Registered in v-safe
-
2021-04-02
Dose 1 — Pfizer-BioNTech
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-07
- 2021-04-10
- 2021-04-16
-
2021-04-23
Dose 2 — Pfizer-BioNTech
- 2021-04-23
-
2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, HeadacheAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-05-02
- 2021-05-07
- 2021-05-14
- 2021-05-22
- 2021-05-30
- 2021-06-06
- 2021-07-26
- 2021-10-22
-
2021-12-18
Dose 3 — Pfizer-BioNTech
-
2021-12-19
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-21
- 2021-12-22
- 2021-12-23
- 2021-12-25
-
2022-01-01
Survey response — 14 day, dose 3MedDRA: Back pain, Fatigue, Headache, Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2022-01-08
Survey response — 21 day, dose 3MedDRA: Headache, Nasal congestion, Oropharyngeal pain, Paranasal sinus discomfort, Rhinorrhoea — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2022-01-15
Survey response — 28 day, dose 3MedDRA: Fatigue, Musculoskeletal discomfort — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2022-01-22
-
2022-01-29
Survey response — 42 day, dose 3MedDRA: Headache, Musculoskeletal discomfort — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
- 2022-03-21
-
2022-06-18
Survey response — 6 month, dose 3MedDRA: Musculoskeletal discomfort, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2022-06-18
Report sent to call center — 6 month, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-21
-
2022-12-18
Survey response — 12 month, dose 3MedDRA: Abdominal discomfort, Back pain, Discomfort, Flank pain, Headache, Musculoskeletal discomfort — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2022-12-18
Report sent to call center — 12 month, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-12-19
Call successfulParticipant prefers to complete VAERS report online
-
2022-12-19
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Pfizer-BioNTech | |
| 2 | 2021-04-23 | Pfizer-BioNTech | |
| 3 | 2021-12-18 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-18 | Successful 2022-12-19 |
Participant prefers to complete VAERS report online |
| 2022-12-18 | Successful 2022-12-19 |
Participant prefers to complete VAERS report online |
Free text
Release 7
Systemic reaction (other): Metallic taste
Release 10
Symptoms: Headache, runny / congested nose, sore throat, tiredness, sporadic pain in left middle back
Symptoms: Headache, runny / stuffy nose, pressure in facial sinuses, sore throat
Symptoms: Fatigue, discomfort in left side middle back
Release 11
Symptoms: Headaches, discomfort in left middle back
Release 12
Symptoms: I continue to have discomfort in my middle left back. I have seen a doctor who has checked kidney function and is now wanting do do some scans. This started just after I got the booster. It was somewhat infrequent but has become more frequent.
Symptoms: Discomfort & pain in left side and back. Discomfort in stomach. Headaches.
Free-text releases are not linked to a specific 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 | Abdominal discomfort | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Flank pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Musculoskeletal discomfort | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release