36G-28165-58323
4 vaccinations
4 coded responses
52 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 930 / CA
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Dose 1 — Pfizer-BioNTech
-
2021-03-31
Registered in v-safe
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
-
2021-04-20
Dose 2 — Pfizer-BioNTech
- 2021-04-20
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-29
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-07-20
-
2021-10-19
Survey response — 6 months, dose 2MedDRA: Malaise, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I felt sick on 9/16. Standard cold symptoms (no fever) which lasted 2 days Sunday 9/19) Had Dr Appt on Monday 9/20 and received my Flu shot. Felt sick on 9/22. Last week (10/12) started feeling sick again - had covid test 10/14 - returned negativeMedDRA releases: 2024-11 · check-in free text available
-
2021-12-09
Dose 3 — Pfizer-BioNTech
- 2021-12-09
-
2021-12-10
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body achesAdult check-in
-
2021-12-11
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-12-12
- 2021-12-13
- 2021-12-14
- 2021-12-15
- 2021-12-16
- 2021-12-23
-
2021-12-30
Survey response — day 21, dose 3MedDRA: Cough, Dysphonia — Feeling: GoodFree text: Started getting a raspy throat and slight cough- however no fever and no loss of tasteMedDRA releases: 2024-11 · check-in free text available
- 2022-01-06
- 2022-01-13
- 2022-01-20
- 2022-03-10
-
2022-04-18
Dose 4 — Pfizer-BioNTech
- 2022-04-18
-
2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches · Be unable to work or attend schoolAdult check-in
- 2022-04-20
- 2022-04-21
- 2022-04-22
- 2022-04-24
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
-
2022-07-18
Survey response — 3 months, dose 4MedDRA: Cough, Malaise, SARS-CoV-2 test negative — 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: Coughing feeling sick (no fever). Home COVID test came back Negative (tested 2x)MedDRA releases: 2024-11 · check-in free text available
-
2022-07-18
Report sent to call center — 3 months, dose 4Be 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)
- 2022-07-19
- 2022-10-17
-
2023-04-18
Survey response — 12 months, dose 4MedDRA: Cough, Malaise, Office visit, SARS-CoV-2 test negative — 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 visitMedDRA releases: 2024-11
-
2023-04-18
Report sent to call center — 12 months, dose 4Be 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)
-
2023-04-19
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-04-19
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Pfizer-BioNTech | |
| 2 | 2021-04-20 | Pfizer-BioNTech | |
| 3 | 2021-12-09 | Pfizer-BioNTech | No |
| 4 | 2022-04-18 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 10 — 6 months, dose 2
Symptoms: I felt sick on 9/16. Standard cold symptoms (no fever) which lasted 2 days Sunday 9/19) Had Dr Appt on Monday 9/20 and received my Flu shot. Felt sick on 9/22. Last week (10/12) started feeling sick again - had covid test 10/14 - returned negative cut off by CDC
Release 10 — day 21, dose 3
Symptoms: Started getting a raspy throat and slight cough- however no fever and no loss of taste
Release 12 — 3 months, dose 4
Symptoms: Coughing feeling sick (no fever). Home COVID test came back Negative (tested 2x)
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 | Cough | · | · | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release