2UL-55482-35846
4 vaccinations
5 coded responses
31 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 220 / VA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Pfizer-BioNTech
- 2021-01-28
-
2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Facial pain, Headache — Feeling: Good · HeadacheFree text: The headache late last night was just for a couple hours, a bad version of my regular ATYPICAL FACIAL PAIN, my unusual version of a headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: No symptoms - 75 years young todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
-
2021-02-04
Survey response — day 7, dose 1MedDRA: Constipation — Feeling: GoodFree text: Constipation - unrelated to vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-18
-
2021-02-20
Dose 2 — Pfizer-BioNTech
-
2021-02-20
Survey response — day 0, dose 2MedDRA: Headache, Pre-existing disease — Feeling: Good · HeadacheFree text: My current headache may not be due to the vaccine, as I often have headaches due to a long term case of atypical facial pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: My short headache yesterday was ZERO percent related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
- 2021-02-23
- 2021-02-26
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-08-21
-
2021-10-01
Dose 3 — Pfizer-BioNTech
- 2022-02-22
-
2022-04-07
Dose 4 — Pfizer-BioNTech
- 2022-04-23
- 2022-04-29
- 2022-05-05
- 2022-05-13
- 2022-05-19
- 2022-07-08
- 2022-10-08
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Pfizer-BioNTech | |
| 2 | 2021-02-20 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-04-07 | Pfizer-BioNTech | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): The headache late last night was just for a couple hours, a bad version of my regular ATYPICAL FACIAL PAIN, my unusual version of a headache
Systemic reaction (other): No symptoms - 75 years young today
Release 3 — day 7, dose 1
Systemic reaction (other): Constipation - unrelated to vaccine
Release 4 — day 0, dose 2
Systemic reaction (other): My current headache may not be due to the vaccine, as I often have headaches due to a long term case of atypical facial pain.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): My short headache yesterday was ZERO percent related to the vaccine.
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 |
|---|---|---|---|---|
| SRO | Constipation | ✓ | ✓ | ✓ |
| SRO | Facial pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release