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347-87146-77573

4 vaccinations 8 coded responses 53 check-ins 8 free-text entries 0 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
920 / CA
Registered
2021-04-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-02
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-03
    Registered in v-safe
  3. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-09
    Survey response — day 7, dose 1
    MedDRA: Fatigue, Pain — Feeling: Good · Fever
    Free text: A little achy... and lite tiredness .... nothing major at this time
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-23
    Dose 2 — Pfizer-BioNTech
  12. 2021-04-23
    Survey response — day 0, dose 2
    MedDRA: Immediate post-injection reaction, Paraesthesia — Feeling: Good
    Free text: Tingling sensation right side of face... (like when foot falls asleep)... but very suttle feeling about 15-20 min after shot in right arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  16. 2021-04-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · None
    Adult check-in
  17. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  18. 2021-04-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Fair · Fatigue or tiredness
    Free text: Wake up after night of sleep not feeling 100%
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-30
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-14
    Survey response — day 21, dose 2
    MedDRA: Fatigue, Myalgia — Feeling: Good
    Free text: Slight muscle aches and tiredness... but really not sure if its due to vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-05-21
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-28
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-23
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-12-20
    Dose 3 — Pfizer-BioNTech
  28. 2021-12-20
    Survey response — day 0, dose 3
    MedDRA: Pre-existing disease — Feeling: Good · Site: Pain
    Free text: This is my booster. When I got my 2nd shot i woke and was sick hoping the same doesn't happen tonite
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-12-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  30. 2021-12-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-12-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-12-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-12-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-12-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Muscle or body aches
    Adult check-in
  35. 2021-12-27
    Health check-in — day 7, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  36. 2022-01-03
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-01-10
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-01-17
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  39. 2022-01-24
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-31
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-03-21
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  42. 2022-06-22
    Survey response — 6 months, dose 3
    MedDRA: Unevaluable event — Feeling: Fair
    Free text: Not sure if it's heart or anxiety
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-10-26
    Dose 4 — Pfizer-BioNTech
  44. 2022-10-26
    Survey response — day 0, dose 4
    MedDRA: Urticaria — Feeling: Good
    Free text: A hive on my arm
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-10-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  46. 2022-10-28
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  47. 2022-10-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  48. 2022-10-30
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  49. 2022-10-31
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  50. 2022-11-01
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  51. 2022-11-02
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  52. 2022-11-09
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-11-18
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-11-23
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-12-01
    Survey response — day 35, dose 4
    MedDRA: Injection site rash, Rash — Feeling: Good
    Free text: Rash like here and there .. some around where I got the shot?. Not sure if they're related
    MedDRA releases: 2024-11 · check-in free text available
  56. 2022-12-09
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  57. 2023-01-27
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in
  58. 2023-04-26
    Health check-in — 6 months, dose 4
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-02Pfizer-BioNTech
22021-04-23Pfizer-BioNTech
32021-12-20Pfizer-BioNTech No
42022-10-26Pfizer-BioNTech No

Free text

Release 7 — day 7, dose 1

2021-04-09

Systemic reaction (other): A little achy... and lite tiredness .... nothing major at this time

Release 7 — day 0, dose 2

2021-04-23

Systemic reaction (other): Tingling sensation right side of face... (like when foot falls asleep)... but very suttle feeling about 15-20 min after shot in right arm

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Wake up after night of sleep not feeling 100%

Release 8 — day 21, dose 2

2021-05-14

Symptoms: Slight muscle aches and tiredness... but really not sure if its due to vaccine

Release 10 — day 0, dose 3

2021-12-20

Systemic reaction (other): This is my booster. When I got my 2nd shot i woke and was sick hoping the same doesn't happen tonite

Release 12 — 6 months, dose 3

2022-06-22

Symptoms: Not sure if it's heart or anxiety

Release 12 — day 0, dose 4

2022-10-26

Systemic reaction (other): A hive on my arm

Release 12 — day 35, dose 4

2022-12-01

Symptoms: Rash like here and there .. some around where I got the shot?. Not sure if they're related

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

FieldPreferred term2021-092023-042024-11
SDFatigue ✓ ✓ ✓
SDInjection site rash · · ✓
SDMyalgia ✓ ✓ ✓
SDRash · · ✓
SDUnevaluable event · · ✓
SROAdverse reaction ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPre-existing disease · · ✓
SROUrticaria · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release