Y3Q-23193-30632
6 vaccinations
3 coded responses
50 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 021 / MA
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-03-03
Dose 1 — Pfizer-BioNTech
-
2021-03-18
Registered in v-safe
- 2021-03-18
-
2021-03-24
Dose 2 — Pfizer-BioNTech
- 2021-03-24
-
2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-27
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-08
- 2021-04-14
- 2021-04-21
- 2021-05-01
- 2021-05-06
- 2021-06-25
- 2021-09-24
-
2021-10-06
Dose 3 — Pfizer-BioNTech
-
2021-10-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-08
- 2021-10-10
- 2021-10-11
- 2021-10-15
- 2021-10-21
- 2021-11-03
- 2021-11-11
- 2021-11-17
-
2022-01-05
Survey response — 3 months, dose 3MedDRA: Tooth fracture — Feeling: GoodFree text: Tooth piece broke and fell outMedDRA releases: 2024-11 · check-in free text available
- 2022-04-06
-
2022-04-20
Dose 4 — Pfizer-BioNTech
- 2022-04-21
- 2022-04-23
- 2022-04-26
-
2022-04-29
Health check-in — day 7, dose 4Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-26
- 2022-06-01
- 2022-07-20
-
2022-09-24
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-21
- 2022-10-24
-
2022-10-29
Survey response — day 35, dose 5MedDRA: Back pain, Rash — Feeling: FairFree text: Rash on forehead. Back pain.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-05
Survey response — day 42, dose 5MedDRA: Cough, Rash, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Have runny nose Coughing Still have rash on forehead A home CoVid test was negativeMedDRA releases: 2024-11 · check-in free text available
-
2022-12-24
Health check-in — 3 months, dose 5Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I am over my coughing from last month. I still have rash on forehead as reported October 30; but it is worse and itchy and flaky. I am going to see my doctor in January. A zoom friend of mine also got a rash after Covid shot. Is this common? · Healthcare visit (other): ScHeduled PCP office in January.Adult check-in · check-in free text available
-
2022-12-24
Call case (no matching report) — SuccessfulCompleted over the phone
-
2022-12-28
Call successfulCompleted over the phone
- 2023-03-28
-
2023-05-06
Dose 6 — Pfizer-BioNTech
- 2023-05-08
-
2023-05-09
Health check-in — days 1–6 daily, dose 6Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2023-05-12
- 2023-05-16
- 2023-05-20
- 2023-05-28
- 2023-06-05
- 2023-06-10
- 2023-06-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Pfizer-BioNTech | |
| 2 | 2021-03-24 | Pfizer-BioNTech | |
| 3 | 2021-10-06 | Pfizer-BioNTech | No |
| 4 | 2022-04-20 | Pfizer-BioNTech | No |
| 5 | 2022-09-24 | Pfizer-BioNTech | Flu |
| 6 | 2023-05-06 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-24 | Successful 2022-12-28 |
Completed over the phone |
Free text
Release 10 — 3 months, dose 3
Symptoms: Tooth piece broke and fell out
Release 12 — day 35, dose 5
Symptoms: Rash on forehead. Back pain.
Release 12 — day 42, dose 5
Symptoms: Have runny nose Coughing Still have rash on forehead A home CoVid test was negative
Release 12 — 3 months, dose 5
Symptoms: I am over my coughing from last month. I still have rash on forehead as reported October 30; but it is worse and itchy and flaky. I am going to see my doctor in January. A zoom friend of mine also got a rash after Covid shot. Is this common?
Healthcare visit (other): ScHeduled PCP office in January.
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 | Cough | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Tooth fracture | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release