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3G4-13960-03864

2 vaccinations 4 coded responses 16 check-ins 4 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
969
Registered
2021-01-09
Relationship
Self
Race
Native Hawaiian or other Pacific Islander
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-09
    Registered in v-safe
  2. 2021-01-09
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-09
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: The slight pain was just at the injection site. And started about eight hours after the injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: As mentioned earlier slight soreness at the injection site about 8 hours after the shot. The soreness cleared the next morning-about 24 hours after the injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-16
    Survey response — day 7, dose 1
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: A slight bit of sniffling in the sinus area. Possibly though due to the rainy weather in our area.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-29
    Dose 2 — Pfizer-BioNTech
  11. 2021-01-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Somnolence — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: 24 hours after my 2nd shot I spent the day feeling tired and sleepy. Tired in a sense of not being fatigued or exhausted. Primary relaxed and sleepy most of the day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  13. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-02-05
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-02-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-07-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-01-29
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-09Pfizer-BioNTech
22021-01-29Pfizer-BioNTech

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-10

Systemic reaction (other): The slight pain was just at the injection site. And started about eight hours after the injection.

2021-01-11

Systemic reaction (other): As mentioned earlier slight soreness at the injection site about 8 hours after the shot. The soreness cleared the next morning-about 24 hours after the injection.

Release 2 — day 7, dose 1

2021-01-16

Systemic reaction (other): A slight bit of sniffling in the sinus area. Possibly though due to the rainy weather in our area.

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): 24 hours after my 2nd shot I spent the day feeling tired and sleepy. Tired in a sense of not being fatigued or exhausted. Primary relaxed and sleepy most of the day.

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
SROFatigue ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓

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