I may have misremembered the details, but the June 25 survey (mislabeled June 24 in Kirsch's blog) does ask about number of persons in the household who have been vaccinated (up to 20 and a improbable distribution) and a followup asks about the number of persons in the household who had an an adverse reaction "not including yourself" (up to 19 and with a similar improbable distribution).
In my defense, for the last couple years people like Kirsch have thrown so much dumb sh1t against the wall that it's hard to keep straight all the ways they've been wrong. Frankly we need better skeptics.
Keep an open mind but not so open that your brain falls out. --- Richard Feynman