2JT-12565-72539
4 vaccinations
6 coded responses
50 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 26-30
- ZIP prefix
- 920 / CA
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Dose 1 — Pfizer-BioNTech
-
2021-03-23
Registered in v-safe
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
-
2021-04-03
Survey response — day 14, dose 1MedDRA: Headache — Feeling: GoodFree text: I only had a headache a couple of days ago. It wasn't severe.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Dose 2 — Pfizer-BioNTech
- 2021-04-10
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Diarrhoea — Feeling: Fair · Site: Pain · Muscle or body aches, DiarrheaFree text: I had a temporary loss of appetite. I had mild diarrhea last night after I reported my symptoms for that day. I feel better, now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-07-10
- 2021-10-09
-
2021-10-23
Dose 3 — Pfizer-BioNTech
-
2021-10-23
Survey response — day 0, dose 3MedDRA: Injection site pain — Feeling: GoodFree text: Earlier, I only felt a tiny bit of soreness at the injection site. Since I received my booster shot in the very late afternoon, the injection site pain that I normally get after a vaccination likely will not arrive until tomorrow, Oct. 24.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-24
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature increased, Chills, Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches · Be unable to do your normal daily activitiesFree text: So far, the highest body temp reading I've had today is 99.7 °F, which is higher than normal for me, but still falls short of the CDC's definition of a fever. Only had a very tiny bit of chills. Very similar to 2nd dose. Good signs of immune responseMedDRA releases: 2024-11 · check-in free text available
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2022-01-22
- 2022-04-23
-
2022-09-07
Dose 4 — Moderna
-
2022-09-08
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain, Reaction to previous exposure to any vaccine — Feeling: Good · Site: PainFree text: Only a little bit of soreness near the injection site, which is what I normally get after any vaccination.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-09
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain, Pain — Feeling: GoodFree text: Yesterday afternoon and evening, I had minor body aches and soreness near the injection site, but today, I feel fine.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-10
- 2022-09-11
- 2022-09-12
- 2022-09-13
- 2022-09-14
- 2022-09-21
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-12-07
- 2023-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Pfizer-BioNTech | |
| 2 | 2021-04-10 | Pfizer-BioNTech | |
| 3 | 2021-10-23 | Pfizer-BioNTech | No |
| 4 | 2022-09-07 | Moderna | No |
Free text
Release 6 — day 14, dose 1
Symptoms: I only had a headache a couple of days ago. It wasn't severe.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I had a temporary loss of appetite. I had mild diarrhea last night after I reported my symptoms for that day. I feel better, now.
Release 10 — day 0, dose 3
Systemic reaction (other): Earlier, I only felt a tiny bit of soreness at the injection site. Since I received my booster shot in the very late afternoon, the injection site pain that I normally get after a vaccination likely will not arrive until tomorrow, Oct. 24.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): So far, the highest body temp reading I've had today is 99.7 °F, which is higher than normal for me, but still falls short of the CDC's definition of a fever. Only had a very tiny bit of chills. Very similar to 2nd dose. Good signs of immune response cut off by CDC
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Only a little bit of soreness near the injection site, which is what I normally get after any vaccination.
Systemic reaction (other): Yesterday afternoon and evening, I had minor body aches and soreness near the injection site, but today, I feel fine.
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 | Headache | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release