2W9-15023-75546
1 vaccination
6 coded responses
13 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 593 / MT
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 1 — Pfizer-BioNTech
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2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Medicines - 7 prescriptions for autoimmune chloresterol bp diabetes prostate · Healthcare visit (other): Monthly blood drawn by arthritis clinic periodically seen drs for diabetes artristis heart lungs eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Nausea — Feeling: GoodFree text: 5 minutes nausea after 3 hours after dinne last night. Not bothered after 5 minutes nausea. Good after that until nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
-
2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Muscle discomfort — Feeling: Good · Muscle or body achesFree text: Lower left leg muscle discomfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Muscle tightness, Musculoskeletal stiffness — Feeling: Good · Muscle or body achesFree text: My left lower leg muscle was tight last 2 days. Almost unnoticeable today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Survey response — day 7, dose 1MedDRA: No adverse event — Feeling: GoodFree text: None.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-06-15
- 2021-09-14
-
2021-12-21
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Medicines - 7 prescriptions for autoimmune chloresterol bp diabetes prostate
Healthcare visit (other): Monthly blood drawn by arthritis clinic periodically seen drs for diabetes artristis heart lungs eyes
Systemic reaction (other): 5 minutes nausea after 3 hours after dinne last night. Not bothered after 5 minutes nausea. Good after that until now
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): None
Systemic reaction (other): Lower left leg muscle discomfort
Systemic reaction (other): My left lower leg muscle was tight last 2 days. Almost unnoticeable today.
Release 6 — day 7, dose 1
Systemic reaction (other): None.
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 |
|---|---|---|---|---|
| HCVO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Muscle discomfort | ✓ | ✓ | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release