2YJ-19364-72714
4 vaccinations
7 coded responses
44 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 837 / ID
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-04
Dose 1 — Pfizer-BioNTech
-
2021-03-25
Dose 2 — Pfizer-BioNTech
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-06-24
-
2021-09-23
Survey response — 6 months, dose 2MedDRA: Atrial fibrillation, Office visit, Pre-existing disease, Sleep deficit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Atrial fibrillation has returned. Last had it in 2019-20 and 2016. Seen cardiologist and been diagnosed. Old issue returned. Seems to return when I am sleep deprived. Been struggling with a CPAP machine for past four months.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-23
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-09-27
- 2021-09-30
-
2021-10-01
Dose 3 — Pfizer-BioNTech
- 2021-10-01
-
2021-10-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-12-31
-
2022-04-01
Survey response — 6 months, dose 3MedDRA: Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: GoodFree text: Cold like symptoms. Runny nose, sneezing.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-06
Dose 4 — Pfizer-BioNTech
-
2022-05-08
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Nasal congestion — Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Bad cough, stuffiness in noseMedDRA releases: 2024-11 · check-in free text available
-
2022-05-09
Survey response — days 1–6 daily, dose 4MedDRA: Body temperature increased — Feeling: Poor · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: my temperature of 99 this morning was followed by just now by my normal 96.5.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-10
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-11
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Oropharyngeal pain, Productive cough, Respiratory tract congestion — Feeling: Poor · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore throat. Phlegm congestion causing bad coughing spells.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-12
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-13
Survey response — day 7, dose 4MedDRA: Cough, Productive cough — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Major phlegm and cough remaining.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-20
- 2022-05-27
-
2022-06-03
Survey response — day 28, dose 4MedDRA: Muscle spasms — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Muscle in my back spasmsMedDRA releases: 2024-11 · check-in free text available
- 2022-06-10
- 2022-06-17
- 2022-08-05
- 2022-11-04
- 2023-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Pfizer-BioNTech | |
| 2 | 2021-03-25 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-05-06 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 9 — 6 months, dose 2
Symptoms: Atrial fibrillation has returned. Last had it in 2019-20 and 2016. Seen cardiologist and been diagnosed. Old issue returned. Seems to return when I am sleep deprived. Been struggling with a CPAP machine for past four months.
Release 11 — 6 months, dose 3
Symptoms: Cold like symptoms. Runny nose, sneezing.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Bad cough, stuffiness in nose
Systemic reaction (other): my temperature of 99 this morning was followed by just now by my normal 96.5.
Systemic reaction (other): Sore throat. Phlegm congestion causing bad coughing spells.
Release 11 — day 7, dose 4
Systemic reaction (other): Major phlegm and cough remaining.
Release 11 — day 28, dose 4
Symptoms: Muscle in my back spasms
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 | Atrial fibrillation | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sleep deficit | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Productive cough | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release