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
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2021-04-08
Dose 1 — Pfizer-BioNTech
-
2021-04-29
Registered in v-safe
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2021-04-29
Dose 2 — Pfizer-BioNTech
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2021-04-29
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Fatigue or tiredness, NauseaAdult check-in
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2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Fair · Muscle or body achesFree text: Right shoulder really achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
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2021-05-04
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Muscle or body achesFree text: My right shoulder where I got the vaccine at, is still very sore all the way to my neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
- 2021-05-06
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2021-05-13
Survey response — day 14, dose 2MedDRA: Impaired work ability, Nausea, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree 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
- 2021-05-20
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2021-05-27
Survey response — day 28, dose 2MedDRA: Pain in extremity — Feeling: FairFree text: My right arm where I got the shot, hurts a lot at times, the days when it hurts varyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-05
- 2021-06-10
- 2021-07-29
- 2021-10-28
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2021-12-03
Dose 3 — Pfizer-BioNTech
- 2021-12-05
- 2021-12-07
- 2021-12-09
- 2021-12-10
- 2021-12-17
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2021-12-24
Survey response — day 21, dose 3MedDRA: Rash, Rash pruritic — Feeling: GoodFree text: A rash on my left breast area, that itches and hurts at the same timeMedDRA releases: 2024-11 · check-in free text available
- 2021-12-31
- 2022-01-07
- 2022-01-14
- 2022-03-04
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2022-06-03
Survey response — 6 months, dose 3MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Getting over COVID-19MedDRA releases: 2024-11 · check-in free text available
-
2022-10-28
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-12-03
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Pfizer-BioNTech | |
| 2 | 2021-04-29 | Pfizer-BioNTech | |
| 3 | 2021-12-03 | Pfizer-BioNTech | No |
| 4 | 2022-10-28 | Pfizer-BioNTech | Flu |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Right shoulder really aches
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
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
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
Symptoms: A rash on my left breast area, that itches and hurts at the same time
Release 11 — 6 months, dose 3
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | COVID-19 | · | · | ✓ |
| SD | Impaired work ability | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release