2WV-22001-37319
5 vaccinations
8 coded responses
36 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 972 / OR
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Pfizer-BioNTech
-
2021-02-20
Registered in v-safe
-
2021-02-20
Dose 2 — Pfizer-BioNTech
- 2021-02-20
- 2021-02-21
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Tired yesterday, but didnt realize it until after reportingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-02-24
- 2021-02-26
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-30
- 2021-04-03
- 2021-05-22
- 2021-08-21
-
2021-12-02
Dose 3 — Pfizer-BioNTech
-
2022-02-21
Survey response — 12 months, dose 2MedDRA: Breakthrough COVID-19, Dysphonia, Lacrimation increased, Nasal congestion, Nasopharyngitis, Rhinorrhoea, Sinus pain, Throat irritation — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Breakthrough Covid-19 infection, like a bad head cold: scratchy throat, stuffy, drippy nose, very. watery eyes, sinus pain, low voice, but no fever, no loss of taste or smellMedDRA releases: 2024-11 · check-in free text available
- 2022-03-03
-
2022-04-28
Dose 4 — Pfizer-BioNTech
-
2022-05-15
Survey response — day 14, dose 4MedDRA: Nasal congestion, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat, stuffy runny nose, but home COVID-19 (iHealth) rapid antigen test 2 days in was negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
-
2022-05-26
Survey response — day 28, dose 4MedDRA: Gastroenteritis viral, Nausea, SARS-CoV-2 test negative, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: 2-3 days of queasy stomach and one episode of vomiting. Probably a stomach virus. Two at-home Covid rapid antigen tests came back negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-02
- 2022-06-09
- 2022-07-28
-
2022-10-27
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-27
- 2022-10-27
-
2022-10-30
Survey response — days 1–6 daily, dose 5MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Headache, DiarrheaFree text: This report is for the day after I got the shot, because your system was down for maintenance when I tried to report that dayMedDRA releases: 2024-11 · check-in free text available
- 2022-10-31
- 2022-11-01
- 2022-11-02
- 2022-11-03
- 2022-11-10
- 2022-11-17
-
2022-11-24
Survey response — day 28, dose 5MedDRA: Oropharyngeal pain, SARS-CoV-2 test negative, Upper-airway cough syndrome — Feeling: FairFree text: Slight sore throat & post-nasal drip, but tested negative for COVID-19MedDRA releases: 2024-11 · check-in free text available
-
2022-12-01
Survey response — day 35, dose 5MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: A bad cold, but tested negative for COVID-19.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-08
- 2023-01-26
-
2023-04-27
Survey response — 6 months, dose 5MedDRA: Bronchitis, COVID-19, Rhinorrhoea, Throat irritation — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Pfizer-BioNTech | |
| 2 | 2021-02-20 | Pfizer-BioNTech | |
| 3 | 2021-12-02 | Pfizer-BioNTech | No |
| 4 | 2022-04-28 | Pfizer-BioNTech | No |
| 5 | 2022-10-27 | Pfizer-BioNTech | Flu |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Tired yesterday, but didnt realize it until after reporting
Release 11 — 12 months, dose 2
Symptoms: Breakthrough Covid-19 infection, like a bad head cold: scratchy throat, stuffy, drippy nose, very. watery eyes, sinus pain, low voice, but no fever, no loss of taste or smell
Release 11 — day 14, dose 4
Symptoms: Sore throat, stuffy runny nose, but home COVID-19 (iHealth) rapid antigen test 2 days in was negative.
Release 11 — day 28, dose 4
Symptoms: 2-3 days of queasy stomach and one episode of vomiting. Probably a stomach virus. Two at-home Covid rapid antigen tests came back negative.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): This report is for the day after I got the shot, because your system was down for maintenance when I tried to report that day
Release 12 — day 28, dose 5
Symptoms: Slight sore throat & post-nasal drip, but tested negative for COVID-19
Release 12 — day 35, dose 5
Symptoms: A bad cold, but tested negative for COVID-19.
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 | Breakthrough COVID-19 | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release