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28A-24236-85055

4 vaccinations 5 coded responses 15 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
300 / GA
Registered
2021-11-09
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-24
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-14
    Dose 2 — Pfizer-BioNTech
  3. 2021-10-23
    Dose 3 — Pfizer-BioNTech
  4. 2021-11-09
    Registered in v-safe
  5. 2021-11-09
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  6. 2021-11-13
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  7. 2021-11-20
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  8. 2021-11-27
    Survey response — day 35, dose 3
    MedDRA: Cough, Rhinorrhoea — Feeling: Good
    Free text: Periodic but very intermittent runny nose and cough. It hasn't gotten worse but have notice a increase in occurrence. Have limited contact with individuals outside of my household as l'm retired.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-12-04
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  10. 2022-01-24
    Survey response — 3 months, dose 3
    MedDRA: Abdominal discomfort, Gastrooesophageal reflux disease — Feeling: Good
    Free text: Experiencing upset acid stomachs about 2hrs after eating. Haven't changed to any new foods.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-04-06
    Dose 4 — Pfizer-BioNTech
  12. 2022-04-18
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  13. 2022-04-22
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  14. 2022-04-29
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  15. 2022-05-06
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  16. 2022-05-12
    Survey response — day 35, dose 4
    MedDRA: Cough, Respiratory tract congestion — Feeling: Fair
    Free text: Working in yard past couple of days, noticed l cough and hadore congestion than normal.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-05-20
    Survey response — day 42, dose 4
    MedDRA: Pre-existing disease, Rhinorrhoea, Sinus disorder, Sneezing — Feeling: Fair
    Free text: My sciatic nerve in hip area hasn't stopped with the minor pains after shoveling garden. Also, minor sinuses with sneezing and some running nose is occurring. Why is this important, last year wearing the masks, l did not sinues issues.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-07-06
    Survey response — 3 months, dose 4
    MedDRA: Asthenia, Dental operation — Feeling: Fair
    Free text: Had a dental procedure done that appears to be dragging my energy down.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-10-05
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  20. 2023-04-06
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-24Pfizer-BioNTech No
22021-04-14Pfizer-BioNTech No
32021-10-23Pfizer-BioNTech No
42022-04-06Pfizer-BioNTech No

Free text

Release 10 — day 35, dose 3

2021-11-27

Symptoms: Periodic but very intermittent runny nose and cough. It hasn't gotten worse but have notice a increase in occurrence. Have limited contact with individuals outside of my household as l'm retired.

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: Experiencing upset acid stomachs about 2hrs after eating. Haven't changed to any new foods.

Release 11 — day 35, dose 4

2022-05-12

Symptoms: Working in yard past couple of days, noticed l cough and hadore congestion than normal.

Release 11 — day 42, dose 4

2022-05-20

Symptoms: My sciatic nerve in hip area hasn't stopped with the minor pains after shoveling garden. Also, minor sinuses with sneezing and some running nose is occurring. Why is this important, last year wearing the masks, l did not sinues issues.

Release 12 — 3 months, dose 4

2022-07-06

Symptoms: Had a dental procedure done that appears to be dragging my energy down.

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
SDAbdominal discomfort · · ✓
SDAsthenia · · ✓
SDCough · · ✓
SDDental operation · · ✓
SDGastrooesophageal reflux disease · · ✓
SDPre-existing disease · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDSinus disorder · · ✓
SDSneezing · · ✓

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