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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

  1. 2021-03-16
    Registered in v-safe
  2. 2021-03-16
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Get care from a doctor or other healthcare professional
    Free 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 eyes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-17
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-03-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nausea — Feeling: Good
    Free text: 5 minutes nausea after 3 hours after dinne last night. Not bothered after 5 minutes nausea. Good after that until now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Muscle discomfort — Feeling: Good · Muscle or body aches
    Free text: Lower left leg muscle discomfort
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Muscle tightness, Musculoskeletal stiffness — Feeling: Good · Muscle or body aches
    Free 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
  10. 2021-03-23
    Survey response — day 7, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: None.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-13
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-06-15
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in
  15. 2021-09-14
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-12-21
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  17. 2022-03-18
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

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

2021-03-18

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

2021-03-20

Systemic reaction (other): None

2021-03-21

Systemic reaction (other): Lower left leg muscle discomfort

2021-03-22

Systemic reaction (other): My left lower leg muscle was tight last 2 days. Almost unnoticeable today.

Release 6 — day 7, dose 1

2021-03-23

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

FieldPreferred term2021-092023-042024-11
HCVOPre-existing disease ✓ ✓ ✓
SROMuscle discomfort ✓ ✓ ✓
SROMuscle tightness ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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