3MD-90006-86760
5 vaccinations
8 coded responses
55 check-ins
8 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 300 / GA
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Pfizer-BioNTech
-
2021-01-16
Survey response — day 0, dose 1MedDRA: Rash — Feeling: Good · Site: Pain, Swelling · Rash, not including the immediate area around the injection siteFree text: Rash was more like hives.... was mild and lasted about 1 hr. Forearm near my rist. I get them sometimes ...usually use a anti itch cream. Didnt do anything and it went awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-23
- 2021-01-30
-
2021-02-06
Dose 2 — Pfizer-BioNTech
- 2021-02-13
- 2021-02-21
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-05-08
- 2021-08-07
-
2021-10-01
Dose 3 — Pfizer-BioNTech
-
2021-10-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-04
- 2021-10-05
-
2021-10-06
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event, Urticaria — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Medium to Large Whlep/Hives different parrs of my body. But was occuring before the 3rd shot and have continued. Apt. To see my PCP on 10/11/2021 · Healthcare visit (other): Appointment set with my PCP for 10/11/2021MedDRA releases: 2024-11 · check-in free text available
-
2021-10-06
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-07
Survey response — days 1–6 daily, dose 3MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore ThroatMedDRA releases: 2024-11 · check-in free text available
-
2021-10-08
Survey response — day 7, dose 3MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Chills, Headache, DiarrheaFree text: Sore throat and mild coughMedDRA releases: 2024-11 · check-in free text available
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-08
-
2021-11-11
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-12
- 2021-12-31
- 2022-04-01
-
2022-04-27
Dose 4 — Pfizer-BioNTech
- 2022-04-27
-
2022-04-28
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Arm Soreness where injected.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-29
-
2022-04-30
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteAdult check-in
-
2022-05-01
Health check-in — days 1–6 daily, dose 4Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-27
- 2022-06-01
- 2022-06-08
- 2022-07-29
-
2022-10-05
Dose 5 — Pfizer-BioNTech
- 2022-10-06
- 2022-10-07
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-19
-
2022-10-26
Survey response — day 21, dose 5MedDRA: Arthralgia, Injection site pain — Feeling: GoodFree text: Arm shoulder area of the injection lhas been sore...the last 2 days only in the morning when i get up. Dicipates in a hour... dont feel it again until the next morning.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-02
-
2022-11-09
Survey response — day 35, dose 5MedDRA: Arthralgia, Pain in extremity — Feeling: GoodFree text: Periodic soreness in the Arm-shoulder area of the vac injection. Not every day... Couplentes a week.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-16
Survey response — day 42, dose 5MedDRA: Arthralgia, Injection site pain, Vaccine positive rechallenge — Feeling: GoodFree text: Still have that pain in the left shoulder and injection area. It's the same type 9f soreness experience after all my COVID vacines. But they went away in all instances with in 48 hours. This has lasted for weeksMedDRA releases: 2024-11 · check-in free text available
- 2023-01-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Pfizer-BioNTech | |
| 2 | 2021-02-06 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-04-27 | Pfizer-BioNTech | No |
| 5 | 2022-10-05 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Rash was more like hives.... was mild and lasted about 1 hr. Forearm near my rist. I get them sometimes ...usually use a anti itch cream. Didnt do anything and it went away
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Medium to Large Whlep/Hives different parrs of my body. But was occuring before the 3rd shot and have continued. Apt. To see my PCP on 10/11/2021
Healthcare visit (other): Appointment set with my PCP for 10/11/2021
Systemic reaction (other): Sore Throat
Release 10 — day 7, dose 3
Systemic reaction (other): Sore throat and mild cough
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Arm Soreness where injected.
Release 12 — day 21, dose 5
Symptoms: Arm shoulder area of the injection lhas been sore...the last 2 days only in the morning when i get up. Dicipates in a hour... dont feel it again until the next morning.
Release 12 — day 35, dose 5
Symptoms: Periodic soreness in the Arm-shoulder area of the vac injection. Not every day... Couplentes a week.
Release 12 — day 42, dose 5
Symptoms: Still have that pain in the left shoulder and injection area. It's the same type 9f soreness experience after all my COVID vacines. But they went away in all instances with in 48 hours. This has lasted for weeks
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Vaccine positive rechallenge | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release