345-20841-78449
2 vaccinations
7 coded responses
20 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 604 / IL
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Dose 1 — Pfizer-BioNTech
-
2021-03-11
Registered in v-safe
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2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Somnolence — Feeling: Good · Site: Pain · HeadacheFree text: Slept later than usualMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessFree text: Allergies are flare-upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pain, Painful respiration, Pulmonary pain — Feeling: GoodFree text: On day 2 I missed checking in I had shooting pains on left side of my head and pain with deep breathing in my left side in my lungMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-16
- 2021-03-18
- 2021-03-24
-
2021-04-07
Dose 2 — Pfizer-BioNTech
- 2021-04-07
-
2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Sore injection spot for 3-4 hours this morning than nothing sinceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain — Feeling: Fair · Muscle or body achesFree text: Craping below my ribcageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-13
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2021-04-14
Survey response — day 7, dose 2MedDRA: Musculoskeletal stiffness — Feeling: Fair · Muscle or body achesFree text: StiffMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-07-08
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2021-10-06
Survey response — 6 months, dose 2MedDRA: Adverse reaction, Fatigue, Pruritus, Somnolence — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Something like a severe allergy to something i came in contact with . There was churh dinner at my sisters ,pick up a appliance went home got up stairs feeling real tired took 3 hour nap, woke went to bathroom setting down skin started iching, sweet,MedDRA releases: 2024-11 · check-in free text available
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2021-10-06
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-08
- 2021-11-12
- 2022-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Pfizer-BioNTech | |
| 2 | 2021-04-07 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Slept later than usual
Systemic reaction (other): Allergies are flare-up
Systemic reaction (other): On day 2 I missed checking in I had shooting pains on left side of my head and pain with deep breathing in my left side in my lung
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Sore injection spot for 3-4 hours this morning than nothing since
Systemic reaction (other): Craping below my ribcage
Release 7 — day 7, dose 2
Systemic reaction (other): Stiff
Release 10 — 6 months, dose 2
Symptoms: Something like a severe allergy to something i came in contact with . There was churh dinner at my sisters ,pick up a appliance went home got up stairs feeling real tired took 3 hour nap, woke went to bathroom setting down skin started iching, sweet, cut off by CDC
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 | Adverse reaction | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Painful respiration | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pulmonary pain | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release