3KK-12772-00039
4 vaccinations
6 coded responses
24 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 891 / NV
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
2BJ-27414-71424
Child or adolescent in my care · Female · 2021-10-01
Timeline
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2021-01-19
Registered in v-safe
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2021-01-19
Dose 1 — Pfizer-BioNTech
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2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: Light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-24
- 2021-01-25
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2021-01-26
Survey response — day 7, dose 1MedDRA: Dizziness — Feeling: Good · Site: Pain, SwellingFree text: Light HeadednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
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2021-02-05
Dose 2 — Pfizer-BioNTech
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2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to workAdult check-in
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2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Chills, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-02-11
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2021-02-12
Health check-in — day 7, dose 2Feeling: Good · Site: Swelling · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-19
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2021-02-26
Survey response — day 21, dose 2MedDRA: Chills, Dizziness, Impaired work ability, Influenza like illness — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: My usual flu like symptoms, chills and light headedness, I didnt go to work stayed home for 3 days, called in sick to work.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — day 28, dose 2MedDRA: Influenza — Feeling: FairFree text: Feels like mild flu.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-19
- 2021-05-07
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2021-08-06
Survey response — 6 months, dose 2MedDRA: Arthropod bite, Dermatitis allergic, Self-medication — Feeling: GoodFree text: Allergy reaction rashes like symptoms from a mosquito bites which multiply all over my body, over the counter medication help and stop it. No other symptoms.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-08
Dose 3 — Pfizer-BioNTechCo-administered: Flu:Other
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2022-02-05
Survey response — 12 months, dose 2MedDRA: Chills, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I had fever, chills, sore throat but when I checked for Covid test it came out Negative, must be pollen allergy related, but I'm feeling better now.MedDRA releases: 2024-11 · check-in free text available
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2022-09-17
Dose 4 — Pfizer-BioNTech
- 2022-10-05
- 2022-10-08
- 2022-10-15
- 2022-10-22
- 2022-12-17
- 2023-03-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Pfizer-BioNTech | |
| 2 | 2021-02-05 | Pfizer-BioNTech | |
| 3 | 2021-11-08 | Pfizer-BioNTech | Flu:Other |
| 4 | 2022-09-17 | Pfizer-BioNTech | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Light headed
Release 2 — day 7, dose 1
Systemic reaction (other): Light Headedness
Release 4 — day 21, dose 2
Symptoms: My usual flu like symptoms, chills and light headedness, I didnt go to work stayed home for 3 days, called in sick to work.
Release 5 — day 28, dose 2
Symptoms: Feels like mild flu.
Release 9 — 6 months, dose 2
Symptoms: Allergy reaction rashes like symptoms from a mosquito bites which multiply all over my body, over the counter medication help and stop it. No other symptoms.
Release 11 — 12 months, dose 2
Symptoms: I had fever, chills, sore throat but when I checked for Covid test it came out Negative, must be pollen allergy related, but I'm feeling better now.
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 | Arthropod bite | ✓ | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Dermatitis allergic | ✓ | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Impaired work ability | ✓ | ✓ | ✓ |
| SD | Influenza | ✓ | ✓ | ✓ |
| SD | Influenza like illness | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | ✓ | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release