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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

  1. 2021-01-19
    Registered in v-safe
  2. 2021-01-19
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling · Muscle or body aches
    Free text: Light headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  6. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-01-26
    Survey response — day 7, dose 1
    MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling
    Free text: Light Headedness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-05
    Dose 2 — Pfizer-BioNTech
  10. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to work
    Adult check-in
  11. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · Chills, Fatigue or tiredness · Be unable to work
    Adult check-in
  12. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-12
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Swelling · None · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-02-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-02-26
    Survey response — day 21, dose 2
    MedDRA: Chills, Dizziness, Impaired work ability, Influenza like illness — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free 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
  16. 2021-03-05
    Survey response — day 28, dose 2
    MedDRA: Influenza — Feeling: Fair
    Free text: Feels like mild flu.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-06
    Survey response — 6 months, dose 2
    MedDRA: Arthropod bite, Dermatitis allergic, Self-medication — Feeling: Good
    Free 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
  21. 2021-11-08
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu:Other
  22. 2022-02-05
    Survey response — 12 months, dose 2
    MedDRA: 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 activities
    Free 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
  23. 2022-09-17
    Dose 4 — Pfizer-BioNTech
  24. 2022-10-05
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-10-08
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-10-15
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-10-22
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-12-17
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  29. 2023-03-18
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Pfizer-BioNTech
22021-02-05Pfizer-BioNTech
32021-11-08Pfizer-BioNTech Flu:Other
42022-09-17Pfizer-BioNTech No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Light headed

Release 2 — day 7, dose 1

2021-01-26

Systemic reaction (other): Light Headedness

Release 4 — day 21, dose 2

2021-02-26

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

2021-03-05

Symptoms: Feels like mild flu.

Release 9 — 6 months, dose 2

2021-08-06

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

2022-02-05

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

FieldPreferred term2021-092023-042024-11
SDArthropod bite ✓ · ✓
SDChills ✓ ✓ ✓
SDDermatitis allergic ✓ · ✓
SDDizziness ✓ ✓ ✓
SDImpaired work ability ✓ ✓ ✓
SDInfluenza ✓ ✓ ✓
SDInfluenza like illness ✓ ✓ ✓
SDOropharyngeal pain · · ✓
SDPyrexia · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSelf-medication ✓ · ✓
SRODizziness ✓ ✓ ✓

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