36D-11837-40455
2 vaccinations
6 coded responses
20 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 189 / PA
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Pfizer-BioNTech
- 2020-12-29
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2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessFree text: Sore arm at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Libido increased — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Might be due to deep sleep from the fatigue, but increased libidoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-01
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2021-01-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Headache, NauseaAdult check-in
- 2021-01-03
- 2021-01-05
- 2021-01-13
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2021-01-15
Dose 2 — Pfizer-BioNTech
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2021-01-15
Survey response — day 0, dose 2MedDRA: Chest pain, Headache — Feeling: Good · Headache, Abdominal painFree text: About 15 minutes after leaving the injection site, I had a mid reaction: pain in my temple, constricted feeling and pain in my chest. I was driving so I stretched out a bit and breathed deeply for awhile. I feel fine now, so I think it was just a mild reaction.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-01-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-01-18
Survey response — days 1–6 daily, dose 2MedDRA: Immunisation reaction, Rash — Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: The rash came on after the first injection, in the middle of my back. But it might well be caused by exposure to wool. Also the second injection had much stronger symptoms than the first injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-19
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Unevaluable event — Feeling: Good · Site: Swelling · Headache, Muscle or body aches, Fatigue or tirednessFree text: Very mild cough, but it's been that way all along. Might be unrelated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
- 2021-01-22
- 2021-01-30
- 2021-02-06
- 2021-02-18
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2021-07-16
Survey response — 6 months, dose 2MedDRA: Gallbladder disorder, Gastrointestinal disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Gastric. Gall bladder, celiac most likely.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2022-01-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Pfizer-BioNTech | |
| 2 | 2021-01-15 | Pfizer-BioNTech |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Sore arm at injection site
Systemic reaction (other): Might be due to deep sleep from the fatigue, but increased libido
Release 2 — day 0, dose 2
Systemic reaction (other): About 15 minutes after leaving the injection site, I had a mid reaction: pain in my temple, constricted feeling and pain in my chest. I was driving so I stretched out a bit and breathed deeply for awhile. I feel fine now, so I think it was just a mild reaction.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): The rash came on after the first injection, in the middle of my back. But it might well be caused by exposure to wool. Also the second injection had much stronger symptoms than the first injection.
Systemic reaction (other): Very mild cough, but it's been that way all along. Might be unrelated.
Release 9 — 6 months, dose 2
Symptoms: Gastric. Gall bladder, celiac most likely.
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 | Gallbladder disorder | ✓ | · | ✓ |
| SD | Gastrointestinal disorder | ✓ | · | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ○ | ○ | ○ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Libido increased | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release