286-20992-95858
4 vaccinations
6 coded responses
24 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 967 / HI
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Dose 1 — Pfizer-BioNTech
-
2021-03-13
Registered in v-safe
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
-
2021-03-31
Dose 2 — Pfizer-BioNTech
- 2021-03-31
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: Injection - induced axillary nerve injuryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Cold sweat, Hyperhidrosis — Feeling: Fair · Chills, Fatigue or tirednessFree text: Hot and cold with sweatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Blood pressure increased, Heart rate increased, Hyperglycaemia — Feeling: FairFree text: Hyperglycemia 160 instead of 100. Rapid resting pulse 100 instead of 70. Elevated BPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
-
2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Blood pressure increased — Feeling: GoodFree text: Still have elevated resting pulse 95 to 100 and elevated blood pressure 148/92MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-07
- 2021-04-14
-
2021-04-22
Survey response — day 21, dose 2MedDRA: Blood glucose increased, Pre-existing disease, Type 2 diabetes mellitus — Feeling: FairFree text: Im still struggling with higher than normal glucose levels. This has been a problem since my second inoculation. Although its coming down, it is still elevated. I am a type2 diabeticMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-06-30
- 2021-09-29
-
2021-10-27
Dose 3 — Pfizer-BioNTech
- 2022-04-01
-
2022-04-08
Dose 4 — Moderna
-
2022-10-07
Survey response — 6 months, dose 4MedDRA: Asthenia, Hyperglycaemia — Feeling: GoodFree text: After the last Pfizer bivalent booster taken 20 days ago I have had increased hyperglycemia and am still feeling enervated.MedDRA releases: 2024-11 · check-in free text available
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Pfizer-BioNTech | |
| 2 | 2021-03-31 | Pfizer-BioNTech | |
| 3 | 2021-10-27 | Pfizer-BioNTech | No |
| 4 | 2022-04-08 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Injection - induced axillary nerve injury
Systemic reaction (other): Hot and cold with sweats
Systemic reaction (other): Hyperglycemia 160 instead of 100. Rapid resting pulse 100 instead of 70. Elevated BP
Systemic reaction (other): Still have elevated resting pulse 95 to 100 and elevated blood pressure 148/92
Release 7 — day 21, dose 2
Symptoms: Im still struggling with higher than normal glucose levels. This has been a problem since my second inoculation. Although its coming down, it is still elevated. I am a type2 diabetic
Release 12 — 6 months, dose 4
Symptoms: After the last Pfizer bivalent booster taken 20 days ago I have had increased hyperglycemia and am still feeling enervated.
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 | Asthenia | · | · | ✓ |
| SD | Blood glucose increased | ✓ | ✓ | ✓ |
| SD | Hyperglycaemia | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Type 2 diabetes mellitus | ✓ | ✓ | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Hyperglycaemia | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release