3FX-27260-04424
5 vaccinations
10 coded responses
64 check-ins
10 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 112 / NY
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-28
Dose 1 — Pfizer-BioNTech
-
2021-03-01
Registered in v-safe
-
2021-03-01
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Diarrhea, Abdominal painFree text: Was a bit dizzy last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-14
-
2021-03-21
Dose 2 — Pfizer-BioNTech
- 2021-03-21
- 2021-03-22
-
2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
-
2021-03-28
Survey response — day 7, dose 2MedDRA: Gout — Feeling: Good · Be unable to do your normal daily activitiesFree text: The last 2 times a week after the vaccine I got Gout which I never hadMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-11
- 2021-04-18
- 2021-04-25
-
2021-05-02
Survey response — day 42, dose 2MedDRA: Gout — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Never had Gout until I took the vaccine. I now am going through a second bout with GoutMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-22
- 2021-09-21
-
2021-10-25
Dose 3 — Pfizer-BioNTechCo-administered: Other
- 2021-10-25
- 2021-10-26
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Gout — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Minor Gout attackMedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Itching · Fatigue or tirednessAdult check-in
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Gout — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: Mild goutMedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Gout — Feeling: Fair · Site: Pain, Itching · HeadacheFree text: Some left over gout painMedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Survey response — day 7, dose 3MedDRA: Gout — Feeling: Good · Site: PainFree text: Left over gout painMedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-15
-
2021-11-22
Survey response — day 28, dose 3MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headaches, feeling very tiredMedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
- 2021-12-06
-
2022-01-24
Survey response — 3 months, dose 3MedDRA: Back pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Back pain which May be unrelatedMedDRA releases: 2024-11 · check-in free text available
-
2022-01-24
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-01-27
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-25
Dose 4 — Pfizer-BioNTech
- 2022-04-25
-
2022-04-26
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-28
- 2022-04-29
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-11
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-07-25
-
2022-10-20
Dose 5 — Pfizer-BioNTech
-
2022-10-20
Health check-in — day 0, dose 5Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tirednessAdult check-in
-
2022-10-21
Survey response — days 1–6 daily, dose 5MedDRA: Headache, Hypoaesthesia, Injection site pain, Medical counselling, Peripheral swelling — Feeling: Poor · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Had to call the pharmacy at 2am, pain in the injection area down to the elbow and my fingers were swelling up. My hand was also feeling numb and I had a bad headache.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-22
-
2022-10-24
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-25
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-26
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2022-11-24
- 2022-12-01
- 2023-01-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-28 | Pfizer-BioNTech | |
| 2 | 2021-03-21 | Pfizer-BioNTech | |
| 3 | 2021-10-25 | Pfizer-BioNTech | Other |
| 4 | 2022-04-25 | Pfizer-BioNTech | No |
| 5 | 2022-10-20 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Was a bit dizzy last night
Release 6 — day 7, dose 2
Systemic reaction (other): The last 2 times a week after the vaccine I got Gout which I never had
Release 8 — day 42, dose 2
Symptoms: Never had Gout until I took the vaccine. I now am going through a second bout with Gout
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Minor Gout attack
Systemic reaction (other): Mild gout
Systemic reaction (other): Some left over gout pain
Release 10 — day 7, dose 3
Systemic reaction (other): Left over gout pain
Release 10 — day 28, dose 3
Symptoms: Headaches, feeling very tired
Release 11 — 3 months, dose 3
Symptoms: Back pain which May be unrelated
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Had to call the pharmacy at 2am, pain in the injection area down to the elbow and my fingers were swelling up. My hand was also feeling numb and I had a bad headache.
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 | Back pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gout | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Gout | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Medical counselling | · | · | ✓ |
| SRO | Peripheral swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release