2Q2-28973-04130
5 vaccinations
5 coded responses
41 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 951 / CA
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Registered in v-safe
-
2021-03-15
Dose 1 — Pfizer-BioNTech
-
2021-03-15
Health check-in — day 0, dose 1Feeling: Good · Fatigue or tiredness · Be unable to workAdult check-in
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-29
- 2021-04-05
-
2021-04-12
Dose 2 — Pfizer-BioNTech
-
2021-04-12
Survey response — day 0, dose 2MedDRA: Anxiety, Feeling abnormal — Feeling: Fair · Site: Pain · Chills · Be unable to workFree text: Anxious and uneasyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-26
-
2021-05-03
Survey response — day 21, dose 2MedDRA: Abdominal discomfort, Abdominal distension, Decreased appetite, Nausea — Feeling: PoorFree text: Upset stomach, regularly upset after meals, uneasy bloated sensation after eating, some nausea lack of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-10
Survey response — day 28, dose 2MedDRA: Chest discomfort — Feeling: FairFree text: Slight tightness left side on chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-19
- 2021-05-24
- 2021-07-12
-
2021-09-28
Dose 3 — Pfizer-BioNTech
- 2021-10-11
- 2021-10-12
- 2021-10-19
-
2021-10-26
Survey response — day 28, dose 3MedDRA: Pruritus, Skin discolouration, Skin irritation — Feeling: FairFree text: Skin irritation and spots ok skin that are highly itchy. Not sure if it is related to the vaccination. This has been going on for two to three weeksMedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-09
- 2021-12-30
-
2022-03-31
Survey response — 6 months, dose 3MedDRA: Erythema, Skin swelling — Feeling: GoodFree text: Just some reddish skin bump for a few weeks but they are gone now and not sure if it was from vaccination. Both my wife and I experienced this issueMedDRA releases: 2024-11 · check-in free text available
-
2022-05-08
Dose 4 — Pfizer-BioNTech
-
2022-09-12
Dose 5 — Pfizer-BioNTech
-
2022-09-13
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2022-09-14
- 2022-09-16
- 2022-09-17
- 2022-09-23
- 2022-10-05
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Pfizer-BioNTech | |
| 2 | 2021-04-12 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
| 4 | 2022-05-08 | Pfizer-BioNTech | No |
| 5 | 2022-09-12 | Pfizer-BioNTech | No |
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): Anxious and uneasy
Release 8 — day 21, dose 2
Symptoms: Upset stomach, regularly upset after meals, uneasy bloated sensation after eating, some nausea lack of appetite
Release 8 — day 28, dose 2
Symptoms: Slight tightness left side on chest
Release 10 — day 28, dose 3
Symptoms: Skin irritation and spots ok skin that are highly itchy. Not sure if it is related to the vaccination. This has been going on for two to three weeks
Release 11 — 6 months, dose 3
Symptoms: Just some reddish skin bump for a few weeks but they are gone now and not sure if it was from vaccination. Both my wife and I experienced this issue
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Abdominal distension | ✓ | ✓ | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Skin discolouration | · | · | ✓ |
| SD | Skin irritation | · | · | ✓ |
| SD | Skin swelling | · | · | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release