2XU-30025-13048
5 vaccinations
5 coded responses
32 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 945 / CA
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-20
Dose 1 — Pfizer-BioNTech
-
2021-03-13
Dose 2 — Pfizer-BioNTech
-
2021-03-14
Registered in v-safe
-
2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-16
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Pre-existing disease — Feeling: GoodFree text: Just the usual aches and pains of old age. On Monday night I experienced uncomfortable but minor chills at bedtime which disappeared by morning, but had no way to report it since I had already filled in the survey.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-13
- 2021-04-19
- 2021-04-24
- 2021-06-13
- 2021-09-16
-
2021-09-28
Dose 3 — Pfizer-BioNTech
- 2021-09-30
- 2021-10-01
-
2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-10-03
- 2021-10-05
- 2021-10-12
- 2021-10-20
- 2021-10-26
- 2021-11-03
- 2021-11-10
- 2021-12-28
- 2022-03-30
-
2022-05-19
Dose 4 — Pfizer-BioNTech
-
2022-09-29
Dose 5 — Moderna
-
2022-09-30
Survey response — 12 months, dose 3MedDRA: Headache, Pyrexia — Feeling: FairFree text: Low grade fever and mild headache, probably from today's booster shotMedDRA releases: 2024-11 · check-in free text available
- 2022-10-10
- 2022-10-13
- 2022-10-22
- 2022-10-28
-
2022-11-03
Survey response — day 35, dose 5MedDRA: Chills, Cough, Headache, Nasopharyngitis, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat, cough, mild fever, mild chills, headache; it appears to be a mild cold, because I had a negative COVID test and my health is improvingMedDRA releases: 2024-11 · check-in free text available
-
2022-11-10
Survey response — day 42, dose 5MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I got a sore throat and a cold, which is pretty much over a week and a half laterMedDRA releases: 2024-11 · check-in free text available
-
2023-04-03
Survey response — 6 months, dose 5MedDRA: COVID-19, Cough, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Pfizer-BioNTech | |
| 2 | 2021-03-13 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
| 4 | 2022-05-19 | Pfizer-BioNTech | No |
| 5 | 2022-09-29 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Just the usual aches and pains of old age. On Monday night I experienced uncomfortable but minor chills at bedtime which disappeared by morning, but had no way to report it since I had already filled in the survey.
Release 12 — 12 months, dose 3
Symptoms: Low grade fever and mild headache, probably from today's booster shot
Release 12 — day 35, dose 5
Symptoms: Sore throat, cough, mild fever, mild chills, headache; it appears to be a mild cold, because I had a negative COVID test and my health is improving
Release 12 — day 42, dose 5
Symptoms: I got a sore throat and a cold, which is pretty much over a week and a half later
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release