3Q7-14569-27132
2 vaccinations
3 coded responses
11 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 201 / VA
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Dose 1 — Pfizer-BioNTech
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 2 — Pfizer-BioNTech
-
2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: My symptoms were worse yesterday (3/18), but I could not input in the 3/18 comments pageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-25
- 2021-03-31
- 2021-04-07
- 2021-04-16
- 2021-04-22
- 2021-04-28
- 2021-06-17
-
2021-09-19
Survey response — 6 months, dose 2MedDRA: Chest pain, Musculoskeletal chest pain, Sciatica — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Believe my below listed health issues are unrelated to my COVID-19 vaccines:1. Severe pain/tenderness on right side of chest (not cardiac related).2. Right arm sciaticaMedDRA releases: 2024-11 · check-in free text available
-
2021-09-19
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-22
- 2021-09-27
-
2021-09-27
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-03-17
Survey response — 12 months, dose 2MedDRA: Cervix disorder, Prostate cancer — Feeling: FairFree text: I have been diagnosed with prostrate cancer and am currently experiencing significant cervical problems- neither of which I'm sure are related the COVID-19..:-)MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Pfizer-BioNTech | |
| 2 | 2021-03-17 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): My symptoms were worse yesterday (3/18), but I could not input in the 3/18 comments page
Release 9 — 6 months, dose 2
Symptoms: Believe my below listed health issues are unrelated to my COVID-19 vaccines:1. Severe pain/tenderness on right side of chest (not cardiac related).2. Right arm sciatica
Release 11 — 12 months, dose 2
Symptoms: I have been diagnosed with prostrate cancer and am currently experiencing significant cervical problems- neither of which I'm sure are related the COVID-19..:-)
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 | Cervix disorder | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Musculoskeletal chest pain | · | · | ✓ |
| SD | Prostate cancer | · | · | ✓ |
| SD | Sciatica | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release