3JV-30158-12067
4 vaccinations
7 coded responses
31 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 900 / CA
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-02
Dose 1 — Pfizer-BioNTech
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 2 — Pfizer-BioNTech
- 2021-03-23
-
2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Pain — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tirednessFree text: Pain kicked in 9 hours after injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Injection site pain has gone down to minor; I can touch it without feeling any ache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
-
2021-05-04
Survey response — day 42, dose 2MedDRA: Vertigo — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Vertigo attack: three days nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-22
- 2021-09-21
-
2021-10-14
Dose 3 — Pfizer-BioNTech
-
2022-03-23
Survey response — 12 months, dose 2MedDRA: Apathy, Asthenia, Depressed mood, Feeling abnormal, Insomnia, Muscular weakness — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My legs feel weak; I have no energy to do anything or any inclination to get going. Feeling sick depresses me; I turn on the tv but don't watch any program. I'm not getting enough sleep: I either can't fall asleep or wake up too early.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-26
Dose 4 — Pfizer-BioNTech
- 2022-04-26
-
2022-04-27
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-04-28
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-29
- 2022-05-01
-
2022-05-02
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
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2022-06-07
Survey response — day 42, dose 4MedDRA: Apathy, Asthenia, Fatigue, Somnolence — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue, feeling weak, no strength. Had to go back to bed, slept for several hours . Didn't feel like doing anything! No motivation. Positive note: no temperature. I feel much better today.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-26
- 2022-10-25
-
2023-04-26
Survey response — 12 months, dose 4MedDRA: Cataract operation — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Pfizer-BioNTech | |
| 2 | 2021-03-23 | Pfizer-BioNTech | |
| 3 | 2021-10-14 | Pfizer-BioNTech | No |
| 4 | 2022-04-26 | Pfizer-BioNTech | No |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Pain kicked in 9 hours after injection.
Systemic reaction (other): Injection site pain has gone down to minor; I can touch it without feeling any ache.
Release 8 — day 42, dose 2
Symptoms: Vertigo attack: three days now
Release 11 — 12 months, dose 2
Symptoms: My legs feel weak; I have no energy to do anything or any inclination to get going. Feeling sick depresses me; I turn on the tv but don't watch any program. I'm not getting enough sleep: I either can't fall asleep or wake up too early.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): None
Release 11 — day 42, dose 4
Symptoms: Fatigue, feeling weak, no strength. Had to go back to bed, slept for several hours . Didn't feel like doing anything! No motivation. Positive note: no temperature. I feel much better today.
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 | Apathy | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Cataract operation | · | · | ✓ |
| SD | Depressed mood | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release