245-13980-87551
5 vaccinations
7 coded responses
42 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 221 / VA
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-14
Registered in v-safe
-
2021-02-14
Dose 1 — Pfizer-BioNTech
- 2021-02-14
-
2021-02-15
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tirednessAdult check-in
-
2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Mild tenderness at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: RednessFree text: Still very mildly tender at injection site, but less than yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
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2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · HeadacheFree text: Slight residual tenderness at injection site - very mild but detectable, subsided by late evening.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
- 2021-02-21
- 2021-02-28
- 2021-03-07
-
2021-03-10
Dose 2 — Pfizer-BioNTech
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2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-08
- 2021-04-14
- 2021-04-21
- 2021-06-09
- 2021-09-08
-
2021-11-09
Dose 3 — Pfizer-BioNTech
- 2022-03-10
-
2022-05-08
Dose 4 — Pfizer-BioNTech
- 2022-05-08
-
2022-05-09
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-10
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-05-11
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2022-05-12
Survey response — days 1–6 daily, dose 4MedDRA: Headache, Pre-existing disease, Rhinorrhoea — Feeling: Good · HeadacheFree text: Headache and runny nose due to allergies - high pollen counts here today.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-13
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2022-05-14
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction, Rhinorrhoea, Sinus congestion, Sneezing — Feeling: GoodFree text: Just alergy symptoms -runny nose, sneezing and sinus congestion.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-15
- 2022-05-24
- 2022-05-29
- 2022-06-05
- 2022-06-13
- 2022-06-19
- 2022-08-07
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2022-09-12
Dose 5 — ModernaCo-administered: Flu
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2022-09-24
Survey response — day 7, dose 5MedDRA: Headache — Feeling: Good · HeadacheFree text: Headache day after vaccinations.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-26
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
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2022-12-12
Survey response — 3 months, dose 5MedDRA: Pre-existing disease, Respiratory tract congestion, Sinusitis — Feeling: FairFree text: Sinus infection and some chest congestion typical for me at this time of year.MedDRA releases: 2024-11 · check-in free text available
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-14 | Pfizer-BioNTech | |
| 2 | 2021-03-10 | Pfizer-BioNTech | |
| 3 | 2021-11-09 | Pfizer-BioNTech | No |
| 4 | 2022-05-08 | Pfizer-BioNTech | No |
| 5 | 2022-09-12 | Moderna | Flu |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Mild tenderness at injection site.
Systemic reaction (other): Still very mildly tender at injection site, but less than yesterday.
Systemic reaction (other): Slight residual tenderness at injection site - very mild but detectable, subsided by late evening.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Headache and runny nose due to allergies - high pollen counts here today.
Systemic reaction (other): Just alergy symptoms -runny nose, sneezing and sinus congestion.
Release 12 — day 7, dose 5
Systemic reaction (other): Headache day after vaccinations.
Release 12 — 3 months, dose 5
Symptoms: Sinus infection and some chest congestion typical for me at this time of year.
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 | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sinus congestion | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release