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2U3-22237-12457

3 vaccinations 6 coded responses 38 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
51-55
ZIP prefix
491 / MI
Registered
2020-12-31
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-31
    Registered in v-safe
  2. 2020-12-31
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-31
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Upper lip felt like it was about to get cold sores but never did; I put Carmex on it an rinsed several times with mouthwash and it is fine now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-07
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-14
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-21
    Dose 2 — Pfizer-BioNTech
  12. 2021-01-21
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2021-01-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Blood glucose increased, Diabetes mellitus, Pre-existing disease — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Higher blood sugars for type 1 diabetic
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-01-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Blood glucose increased — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: High blood sugars for type 1 diabetes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-01-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Blood glucose increased, Pre-existing disease — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: High blood sugars at night for type 1 diabetic, probably requiring an increase in dose of long acting Tresiba insulin
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-01-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Condition aggravated, Pre-existing disease, Type 1 diabetes mellitus — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Had to raise Tresiba dose by 10% for type 1 diabetic
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-01-28
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-01
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  27. 2021-10-01
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  28. 2021-10-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Blood glucose increased, Diabetes mellitus, Pre-existing disease — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Higher blood glucose than usual for my type 1 diabetes
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-10-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  30. 2021-10-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  31. 2021-10-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-10-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-10-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-10-10
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-10-15
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-10-22
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-10-29
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-05
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-12
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-31
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-04-01
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-10-01
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-31Pfizer-BioNTech
22021-01-21Pfizer-BioNTech
32021-10-01Pfizer-BioNTech Flu

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): Upper lip felt like it was about to get cold sores but never did; I put Carmex on it an rinsed several times with mouthwash and it is fine now

Release 2 — days 1–6 daily, dose 2

2021-01-22

Systemic reaction (other): Higher blood sugars for type 1 diabetic

2021-01-23

Systemic reaction (other): High blood sugars for type 1 diabetes

2021-01-24

Systemic reaction (other): High blood sugars at night for type 1 diabetic, probably requiring an increase in dose of long acting Tresiba insulin

2021-01-25

Systemic reaction (other): Had to raise Tresiba dose by 10% for type 1 diabetic

Release 9 — days 1–6 daily, dose 3

2021-10-02

Systemic reaction (other): Higher blood glucose than usual for my type 1 diabetes

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
SROBlood glucose increased ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SRODiabetes mellitus ✓ · ✓
SROPre-existing disease ✓ ✓ ✓
SROType 1 diabetes mellitus ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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