3CM-17066-36193
5 vaccinations
3 coded responses
39 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 430 / OH
- Registered
- 2021-02-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Dose 1 — Pfizer-BioNTech
-
2021-02-28
Registered in v-safe
-
2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Abnormal dreams, Nightmare — Feeling: GoodFree text: Got the shot on a Tuesday. Thursday morning I woke up after having thw weirdest dream/nightmare of my life. Obviously, I don't know if it was from the shot, but decided to report it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-09
-
2021-03-16
Dose 2 — Pfizer-BioNTech
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-21
-
2021-04-29
Survey response — day 42, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: My INR jumped from 2.6 to 3.6 from the day after my 2nd injection to my next test this month. No idea if or why that would be vaccine related but decided to report it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-15
- 2021-09-14
-
2021-09-28
Dose 3 — Pfizer-BioNTech
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-12
- 2021-10-22
- 2021-10-27
- 2021-11-04
- 2021-11-13
- 2021-12-29
-
2022-03-29
Survey response — 6 months, dose 3MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have a cold. First in 5 years. Home Covid19 test was negative.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Dose 4 — Pfizer-BioNTech
- 2022-05-01
- 2022-05-03
- 2022-05-05
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-05-27
- 2022-06-03
- 2022-06-12
- 2022-07-30
-
2022-10-06
Dose 5 — Pfizer-BioNTech
- 2022-10-16
- 2022-10-20
- 2022-10-27
- 2022-11-06
- 2022-11-11
- 2022-11-18
- 2023-01-05
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Pfizer-BioNTech | |
| 2 | 2021-03-16 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
| 4 | 2022-04-29 | Pfizer-BioNTech | No |
| 5 | 2022-10-06 | Pfizer-BioNTech | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Got the shot on a Tuesday. Thursday morning I woke up after having thw weirdest dream/nightmare of my life. Obviously, I don't know if it was from the shot, but decided to report it.
Release 8 — day 42, dose 2
Symptoms: My INR jumped from 2.6 to 3.6 from the day after my 2nd injection to my next test this month. No idea if or why that would be vaccine related but decided to report it.
Release 11 — 6 months, dose 3
Symptoms: I have a cold. First in 5 years. Home Covid19 test was negative.
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 | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
| SRO | Nightmare | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release