3NE-15618-46687
5 vaccinations
9 coded responses
44 check-ins
9 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 644 / MO
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Registered in v-safe
-
2021-02-04
Dose 1 — Pfizer-BioNTech
-
2021-02-04
Survey response — day 0, dose 1MedDRA: Burning sensation, Immediate post-injection reaction, Injection site pain — Feeling: Good · Site: PainFree text: About an hour after the shot, I experienced a brief sharp burning sensation in the right arm joint between the fore and upper arm of injection arm. It went away after a couple seconds. Not sure if related, now just normal soreness at injection site and slight burning sensation. suteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-11
- 2021-02-18
-
2021-02-26
Dose 2 — Pfizer-BioNTech
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Cold sweat — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I'm okay now but early this morning broke out with chills and cold sweatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Pain in extremity — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Pain that feels like it's right under the skin, especiallly inside both upper arms but also eslewhere, and a pounding headache when bending forward. This all syarted a day before my second vaccination, the day before was the worst. I also get light headed. Scheduled physical exam for Tuesday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Office visit, Pain, Pain in extremity, Pain of skin — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Pain under skin persistant underside upper right arm, radiates outward across torso side, chest neck and face and sometimes legs but always the arm area descibed. · Healthcare visit (other): Annual physical, doing fasting labs, MRI for head to determine whatever is immediately occurring.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Dysgeusia, Headache, Medical counselling, Nausea, Retching, Sensitive skin — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Sensitive under skin sensation inside of upper right arm · Healthcare visit (other): Labs scheduled for 4 March. Thursday. Headache has diminished to nothing tonight, this morning it was so bad after all last night, when I woke up today I had a couple gag reflexes fro nausea and coffee tasted off, no interest in coffee or eating until 11:30 a.m. , my usual routine for that is 4 hours earlier. earlierMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Office visit — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Sensative under right upper arm. · Healthcare visit (other): Blood labsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-05
Survey response — day 7, dose 2MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Plus the sensative area under upper under armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-13
- 2021-05-28
- 2021-08-27
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2021-11-09
Dose 3 — Pfizer-BioNTech
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2022-01-25
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-02-26
Survey response — 12 months, dose 2MedDRA: Arthritis, Bladder disorder, Blood cholesterol increased, Pre-existing disease, Red blood cell macrocytes, Renal disorder — Feeling: GoodFree text: Higher cholesterol, slightly enlarged red blood cells and slightly higher than the normal kidney disease for my age group, arthritis, aging bladder indication, etc. but I am not aware of any certain associated Covid long haul trouble.MedDRA releases: 2024-11 · check-in free text available
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2022-04-04
Dose 4 — Pfizer-BioNTech
- 2022-04-22
- 2022-04-25
- 2022-05-02
- 2022-05-11
- 2022-05-16
- 2022-07-04
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2022-09-23
Dose 5 — Pfizer-BioNTech
- 2022-09-23
- 2022-09-24
- 2022-09-25
-
2022-09-26
Survey response — days 1–6 daily, dose 5MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: I bumped my arm against the car door where the onjection was and it hurt so bad for about a half minute only.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-09
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-12-23
- 2023-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Pfizer-BioNTech | |
| 2 | 2021-02-26 | Pfizer-BioNTech | |
| 3 | 2021-11-09 | Pfizer-BioNTech | No |
| 4 | 2022-04-04 | Pfizer-BioNTech | No |
| 5 | 2022-09-23 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): About an hour after the shot, I experienced a brief sharp burning sensation in the right arm joint between the fore and upper arm of injection arm. It went away after a couple seconds. Not sure if related, now just normal soreness at injection site and slight burning sensation. sute
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I'm okay now but early this morning broke out with chills and cold sweat
Systemic reaction (other): Pain that feels like it's right under the skin, especiallly inside both upper arms but also eslewhere, and a pounding headache when bending forward. This all syarted a day before my second vaccination, the day before was the worst. I also get light headed. Scheduled physical exam for Tuesday.
Systemic reaction (other): Pain under skin persistant underside upper right arm, radiates outward across torso side, chest neck and face and sometimes legs but always the arm area descibed.
Healthcare visit (other): Annual physical, doing fasting labs, MRI for head to determine whatever is immediately occurring.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Sensitive under skin sensation inside of upper right arm
Healthcare visit (other): Labs scheduled for 4 March. Thursday. Headache has diminished to nothing tonight, this morning it was so bad after all last night, when I woke up today I had a couple gag reflexes fro nausea and coffee tasted off, no interest in coffee or eating until 11:30 a.m. , my usual routine for that is 4 hours earlier. earlier
Systemic reaction (other): Sensative under right upper arm.
Healthcare visit (other): Blood labs
Release 5 — day 7, dose 2
Systemic reaction (other): Plus the sensative area under upper under arm
Release 11 — 12 months, dose 2
Symptoms: Higher cholesterol, slightly enlarged red blood cells and slightly higher than the normal kidney disease for my age group, arthritis, aging bladder indication, etc. but I am not aware of any certain associated Covid long haul trouble.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I bumped my arm against the car door where the onjection was and it hurt so bad for about a half minute only.
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 | Decreased appetite | ✓ | ✓ | ✓ |
| HCVO | Dysgeusia | ✓ | ✓ | ✓ |
| HCVO | Headache | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Nausea | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Retching | ✓ | ✓ | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Bladder disorder | · | · | ✓ |
| SD | Blood cholesterol increased | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Red blood cell macrocytes | · | · | ✓ |
| SD | Renal disorder | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release