2DH-23955-21490
4 vaccinations
9 coded responses
53 check-ins
9 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 440 / OH
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
-
2021-03-03
Dose 1 — Pfizer-BioNTech
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Immune system disorder, Lacrimation increased, Salivary hypersecretion — Feeling: GoodFree text: I feel my immune system quite active. Watery eyes and saliva I feel I rate the symptoms very mild.wet I feel wet. Everything's okay just more heightened as the like the first 20 minutes after the injection. Anyway y'all keep up the good work take care peace.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
- 2021-03-07
-
2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Oral mucosal eruption, Rash — Feeling: GoodFree text: small bumps on the side walls of my mouth and forehead. I started to notice them two nights ago; an just thought it was the new toothpaste. Anyways, the bumps are going down and is ok.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
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2021-03-10
Survey response — day 7, dose 1MedDRA: Cheilitis, Stomatitis — Feeling: GoodFree text: Sore around the in inside of the lips, and sore feelings around outside of mouth.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
-
2021-03-24
Dose 2 — Pfizer-BioNTech
- 2021-03-24
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2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Pain of skin, Pruritus — Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Armpits, legpits, scalp and beard itchy. A skin tag felt painful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Abdominal painAdult check-in
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2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Leg amputation, Phantom limb syndrome, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body achesFree text: I've had more phantom pains on this second vaccine application, then the first. p.s. I'm an above left knee amputee.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Acne — Feeling: Good · Joint painsFree text: Acne on nose face area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-03-31
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2021-04-07
Survey response — day 14, dose 2MedDRA: Acrochordon, Inflammation — Feeling: GoodFree text: The skin tag that was inflamed from the second vaccine application, dried up and fell off.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-21
- 2021-04-30
- 2021-05-05
- 2021-06-23
- 2021-09-22
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2021-12-13
Dose 3 — Pfizer-BioNTech
- 2021-12-13
- 2021-12-14
- 2021-12-15
- 2021-12-16
- 2021-12-17
- 2021-12-18
- 2021-12-19
- 2021-12-20
- 2021-12-28
- 2022-01-05
- 2022-01-10
- 2022-01-17
- 2022-01-25
- 2022-03-14
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2022-04-30
Dose 4 — Pfizer-BioNTech
- 2022-04-30
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2022-05-01
Survey response — days 1–6 daily, dose 4MedDRA: Phantom limb syndrome, Pre-existing disease — Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I'm left leg above knee amputee, and experiencing phantom pains and phantom leg symptoms.MedDRA releases: 2024-11 · check-in free text available
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2022-05-02
Survey response — days 1–6 daily, dose 4MedDRA: Phantom limb syndrome, Pre-existing disease — Feeling: Good · Site: Pain · Headache, Joint painsFree text: My left above knee amputated leg slight pain and phantom sensations on and off.MedDRA releases: 2024-11 · check-in free text available
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2022-05-03
Health check-in — days 1–6 daily, dose 4Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2022-05-04
- 2022-05-05
- 2022-05-06
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-05-28
- 2022-06-06
- 2022-06-11
- 2022-08-02
- 2022-10-29
- 2023-04-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Pfizer-BioNTech | |
| 2 | 2021-03-24 | Pfizer-BioNTech | |
| 3 | 2021-12-13 | Pfizer-BioNTech | No |
| 4 | 2022-04-30 | Pfizer-BioNTech | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I feel my immune system quite active. Watery eyes and saliva I feel I rate the symptoms very mild.wet I feel wet. Everything's okay just more heightened as the like the first 20 minutes after the injection. Anyway y'all keep up the good work take care peace.
Systemic reaction (other): small bumps on the side walls of my mouth and forehead. I started to notice them two nights ago; an just thought it was the new toothpaste. Anyways, the bumps are going down and is ok.
Release 5 — day 7, dose 1
Systemic reaction (other): Sore around the in inside of the lips, and sore feelings around outside of mouth.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Armpits, legpits, scalp and beard itchy. A skin tag felt painful.
Systemic reaction (other): I've had more phantom pains on this second vaccine application, then the first. p.s. I'm an above left knee amputee.
Systemic reaction (other): Acne on nose face area.
Release 7 — day 14, dose 2
Symptoms: The skin tag that was inflamed from the second vaccine application, dried up and fell off.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I'm left leg above knee amputee, and experiencing phantom pains and phantom leg symptoms.
Systemic reaction (other): My left above knee amputated leg slight pain and phantom sensations on and off.
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 | Acrochordon | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SRO | Acne | ✓ | ✓ | ✓ |
| SRO | Cheilitis | ✓ | ✓ | ✓ |
| SRO | Immune system disorder | ✓ | ✓ | ✓ |
| SRO | Lacrimation increased | ✓ | ✓ | ✓ |
| SRO | Leg amputation | ○ | ✓ | ○ |
| SRO | Oral mucosal eruption | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Phantom limb syndrome | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Salivary hypersecretion | ✓ | ✓ | ✓ |
| SRO | Stomatitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release