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25A-16192-03817

4 vaccinations 6 coded responses 28 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
46-50
ZIP prefix
934 / CA
Registered
2021-04-29
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-04-08
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-29
    Registered in v-safe
  3. 2021-04-29
    Dose 2 — Pfizer-BioNTech
  4. 2021-04-29
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Joint pains, Fatigue or tiredness, Nausea
    Adult check-in
  7. 2021-05-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia — Feeling: Fair · Muscle or body aches
    Free text: Right shoulder really aches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-05-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Good · Muscle or body aches
    Free text: My right shoulder where I got the vaccine at, is still very sore all the way to my neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-05-06
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain · Nausea
    Adult check-in
  12. 2021-05-13
    Survey response — day 14, dose 2
    MedDRA: Impaired work ability, Nausea, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Ever since I got my second shot, I've been feeling nauseous, I've vomited a few times already, and had to go home from work.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-27
    Survey response — day 28, dose 2
    MedDRA: Pain in extremity — Feeling: Fair
    Free text: My right arm where I got the shot, hurts a lot at times, the days when it hurts vary
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-07-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-10-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-12-03
    Dose 3 — Pfizer-BioNTech
  20. 2021-12-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  21. 2021-12-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  22. 2021-12-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  23. 2021-12-10
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  24. 2021-12-17
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-12-24
    Survey response — day 21, dose 3
    MedDRA: Rash, Rash pruritic — Feeling: Good
    Free text: A rash on my left breast area, that itches and hurts at the same time
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-12-31
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  27. 2022-01-07
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  28. 2022-01-14
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-03-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-06-03
    Survey response — 6 months, dose 3
    MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Getting over COVID-19
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-10-28
    Dose 4 — Pfizer-BioNTech
    Co-administered: Flu
  32. 2022-12-03
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2023-04-28
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-08Pfizer-BioNTech
22021-04-29Pfizer-BioNTech
32021-12-03Pfizer-BioNTech No
42022-10-28Pfizer-BioNTech Flu

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-02

Systemic reaction (other): Right shoulder really aches

2021-05-04

Systemic reaction (other): My right shoulder where I got the vaccine at, is still very sore all the way to my neck

Release 8 — day 14, dose 2

2021-05-13

Symptoms: Ever since I got my second shot, I've been feeling nauseous, I've vomited a few times already, and had to go home from work.

Release 8 — day 28, dose 2

2021-05-27

Symptoms: My right arm where I got the shot, hurts a lot at times, the days when it hurts vary

Release 10 — day 21, dose 3

2021-12-24

Symptoms: A rash on my left breast area, that itches and hurts at the same time

Release 11 — 6 months, dose 3

2022-06-03

Symptoms: Getting over COVID-19

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

FieldPreferred term2021-092023-042024-11
SDCOVID-19 · · ✓
SDImpaired work ability ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDRash · · ✓
SDRash pruritic · · ✓
SDVomiting ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release