33F-23402-53325
4 vaccinations
10 coded responses
39 check-ins
9 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 931 / CA
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Pfizer-BioNTech
- 2021-03-05
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Hyperhidrosis — Feeling: Good · Site: Pain · FeverFree text: Woke up last night and my pajama shoulder was wet where I was vaccinatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
-
2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Pyrexia — Feeling: Good · FeverFree text: Felt feverish after grocery shopping at five different stores. Probably wore myself out. Fell better now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
-
2021-03-12
Survey response — day 7, dose 1MedDRA: Pruritus — Feeling: GoodFree text: Itchy scan, but not anywhere near shot siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
-
2021-03-26
Survey response — day 21, dose 1MedDRA: Abdominal pain, Headache — Feeling: GoodFree text: Early Wednesday morning I experienced abdominal cramps and headache. I cancelled my vaccination appt. Today I rescheduled vaccination for 3/31/2021.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Dose 2 — Pfizer-BioNTech
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: No.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
-
2021-04-14
Survey response — day 14, dose 2MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My lower back pain is worse today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-06-30
- 2021-09-29
-
2021-10-06
Dose 3 — Pfizer-BioNTech
- 2022-03-31
-
2022-05-02
Dose 4 — Pfizer-BioNTech
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-05
- 2022-05-06
- 2022-05-07
- 2022-05-08
- 2022-05-09
-
2022-05-16
Survey response — day 14, dose 4MedDRA: Abdominal discomfort, Asthenopia, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Very tired. Eyes feel tired. Experiencing upset stomach in morning hours.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-23
-
2022-05-30
Survey response — day 28, dose 4MedDRA: Fatigue — Feeling: GoodFree text: Feeling tired all the time. Want to sleep.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-06
- 2022-06-13
- 2022-08-01
-
2022-11-02
Survey response — 6 months, dose 4MedDRA: Hypoaesthesia — Feeling: GoodFree text: Numbness in my feet when I lay down.MedDRA releases: 2024-11 · check-in free text available
-
2023-05-02
Survey response — 12 months, dose 4MedDRA: Neuropathy peripheral, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-05-02
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
-
2023-05-03
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Pfizer-BioNTech | |
| 2 | 2021-03-31 | Pfizer-BioNTech | |
| 3 | 2021-10-06 | Pfizer-BioNTech | No |
| 4 | 2022-05-02 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Woke up last night and my pajama shoulder was wet where I was vaccinated
Systemic reaction (other): Felt feverish after grocery shopping at five different stores. Probably wore myself out. Fell better now.
Release 5 — day 7, dose 1
Systemic reaction (other): Itchy scan, but not anywhere near shot site
Release 6 — day 21, dose 1
Symptoms: Early Wednesday morning I experienced abdominal cramps and headache. I cancelled my vaccination appt. Today I rescheduled vaccination for 3/31/2021.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): No.
Release 7 — day 14, dose 2
Symptoms: My lower back pain is worse today.
Release 11 — day 14, dose 4
Symptoms: Very tired. Eyes feel tired. Experiencing upset stomach in morning hours.
Release 11 — day 28, dose 4
Symptoms: Feeling tired all the time. Want to sleep.
Release 12 — 6 months, dose 4
Symptoms: Numbness in my feet when I lay down.
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 | Office visit | · | · | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Asthenopia | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Neuropathy peripheral | · | · | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release