257-22798-99315
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 212 / MD
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Pfizer-BioNTech
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
-
2021-03-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-25
- 2021-03-26
- 2021-04-03
-
2021-04-09
Dose 2 — Pfizer-BioNTech
-
2021-04-09
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Slight dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Dizziness, Fatigue, Somnolence — Feeling: Good · Site: PainFree text: On April 9, the day of the 2nd Pfizer dose, I felt slightly dizzy. The attendants took my vitals. Blood pressure, oxygen, & temp were normal. When I got home my joints were aching and I felt fatigued. I slept most of the day and night. Today I am feeling great!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-12
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: I flew SWA to (b)(6). My brother may need surgery.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-15
-
2021-04-16
Survey response — day 7, dose 2MedDRA: Back pain — Feeling: GoodFree text: I have a back ache (left side of my body) that is moderate and intermittent ever since October 2020. Could it be COVID related?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-04-30
- 2021-05-09
- 2021-05-14
- 2021-05-21
- 2021-07-11
- 2021-10-08
- 2022-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Pfizer-BioNTech | |
| 2 | 2021-04-09 | Pfizer-BioNTech |
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): Slight dizziness
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): On April 9, the day of the 2nd Pfizer dose, I felt slightly dizzy. The attendants took my vitals. Blood pressure, oxygen, & temp were normal. When I got home my joints were aching and I felt fatigued. I slept most of the day and night. Today I am feeling great!
Systemic reaction (other): I flew SWA to (b)(6). My brother may need surgery.
redacted (b)(6)
Release 7 — day 7, dose 2
Systemic reaction (other): I have a back ache (left side of my body) that is moderate and intermittent ever since October 2020. Could it be COVID related?
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 |
|---|---|---|---|---|
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release