3CH-72354-67344
3 vaccinations
4 coded responses
34 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 175 / PA
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Registered in v-safe
-
2021-01-11
Dose 1 — Pfizer-BioNTech
-
2021-01-11
Survey response — day 0, dose 1MedDRA: Musculoskeletal stiffness — Feeling: GoodFree text: Stiff neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-13
- 2021-01-14
-
2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: GoodFree text: Mild backacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
- 2021-01-17
- 2021-01-20
- 2021-01-25
-
2021-02-01
Dose 2 — Pfizer-BioNTech
- 2021-02-01
- 2021-02-02
- 2021-02-04
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: International normalised ratio increased, Pre-existing disease — Feeling: GoodFree text: I am on Coumadin for a heart valve replacement. After my first injection I had an INR drawn a day later and it was 4 +. My first injection was January 11th. My second injection was February 1st. I was due for another INR the following day and it too was 4+. I always run around 2.7 to 3.2. It may not mean anything but I thought I should let you know.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-05-03
- 2021-08-02
-
2021-09-27
Dose 3 — Pfizer-BioNTech
-
2021-09-30
Survey response — days 1–6 daily, dose 3MedDRA: Cold sweat, Nausea — Feeling: GoodFree text: About 12 hours after the vaccine I broke out in a cold sweat and was nauseated for about 2 hoursMedDRA releases: 2024-11 · check-in free text available
- 2021-10-01
- 2021-10-03
- 2021-10-05
- 2021-10-11
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-12-27
- 2022-03-28
- 2022-09-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Pfizer-BioNTech | |
| 2 | 2021-02-01 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Stiff neck
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Mild backache
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I am on Coumadin for a heart valve replacement. After my first injection I had an INR drawn a day later and it was 4 +. My first injection was January 11th. My second injection was February 1st. I was due for another INR the following day and it too was 4+. I always run around 2.7 to 3.2. It may not mean anything but I thought I should let you know.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): About 12 hours after the vaccine I broke out in a cold sweat and was nauseated for about 2 hours
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 |
|---|---|---|---|---|
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Cold sweat | · | · | ✓ |
| SRO | International normalised ratio increased | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release