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3DK-18642-54164

3 vaccinations 9 coded responses 24 check-ins 9 free-text entries 0 call cases
Sex
Male
Age at first dose
46-50
ZIP prefix
462 / IN
Registered
2021-03-20
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-20
    Registered in v-safe
  2. 2021-03-20
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-20
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal pain upper, Secretion discharge — Feeling: Good · Site: Pain · Abdominal pain
    Free text: Expelling mucous overnight / stomach pains
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  7. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eye swelling, Ocular hyperaemia — Feeling: Fair · Joint pains, Diarrhea
    Free text: Swollen / red eyes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-27
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-10
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-14
    Dose 2 — Pfizer-BioNTech
  14. 2021-04-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Conjunctivitis, Eye swelling — Feeling: Fair · Site: Pain · Fever
    Free text: Swollen eyes / pink eye type reaction
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Rash — Feeling: Poor · Site: Swelling · Joint pains, Rash, not including the immediate area around the injection site
    Free text: Joint pain in my finger and rash on my forehead
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Abdominal pain, Rash, not including the immediate area around the injection site
    Adult check-in
  17. 2021-04-21
    Health check-in — day 7, dose 2
    Feeling: Good · Joint pains
    Adult check-in
  18. 2021-04-28
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-05-05
    Survey response — day 21, dose 2
    MedDRA: Pain in extremity — Feeling: Fair
    Free text: My middle finger joints are still painful from 3 days after 2nd shot. It has not abated.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-12
    Survey response — day 28, dose 2
    MedDRA: Arthralgia — Feeling: Fair
    Free text: My right hand middle finger continues to have joint pain never felt before until 3rd day after 2nd Pfizer shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-05-19
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-05-28
    Survey response — day 42, dose 2
    MedDRA: Gout — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Gout flare up
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-07-16
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-10-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-11-24
    Dose 3 — Moderna
  26. 2022-04-14
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-05-25
    Survey response — 6 months, dose 3
    MedDRA: Joint injury — Feeling: Good
    Free text: Knee damage (not Covid related)
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-11-24
    Survey response — 12 months, dose 3
    MedDRA: COVID-19, Sinusitis — Feeling: Fair · Be unable to work or attend school
    Free text: Had Covid 19 again in mud-September 2022 for a week. I had a sinus infection for 2 weeks in November, 2022 as well. I'm now back to health.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-20Pfizer-BioNTech
22021-04-14Pfizer-BioNTech
32021-11-24Moderna No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Expelling mucous overnight / stomach pains

2021-03-25

Systemic reaction (other): Swollen / red eyes

Release 7 — days 1–6 daily, dose 2

2021-04-18

Systemic reaction (other): Swollen eyes / pink eye type reaction

2021-04-19

Systemic reaction (other): Joint pain in my finger and rash on my forehead

Release 8 — day 21, dose 2

2021-05-05

Symptoms: My middle finger joints are still painful from 3 days after 2nd shot. It has not abated.

Release 8 — day 28, dose 2

2021-05-12

Symptoms: My right hand middle finger continues to have joint pain never felt before until 3rd day after 2nd Pfizer shot.

Release 8 — day 42, dose 2

2021-05-28

Symptoms: Gout flare up

Release 11 — 6 months, dose 3

2022-05-25

Symptoms: Knee damage (not Covid related)

Release 12 — 12 months, dose 3

2022-11-24

Symptoms: Had Covid 19 again in mud-September 2022 for a week. I had a sinus infection for 2 weeks in November, 2022 as well. I'm now back to health.

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
SDArthralgia ✓ ✓ ✓
SDCOVID-19 · · ✓
SDGout ✓ ✓ ✓
SDJoint injury · · ✓
SDPain in extremity ✓ ✓ ✓
SDSinusitis · · ✓
SROAbdominal pain upper ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROConjunctivitis ✓ ✓ ✓
SROEye swelling ✓ ✓ ✓
SROOcular hyperaemia ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSecretion discharge ✓ ✓ ✓

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