3SE-68557-44235
4 vaccinations
4 coded responses
29 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 972 / OR
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Pfizer-BioNTech
-
2021-01-12
Dose 2 — Pfizer-BioNTech
-
2021-01-12
Survey response — day 0, dose 1MedDRA: Myalgia, Pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: This was my 2nd covid vaccine. Pain getting the shot. Could feel substance going in to my body. Six hours after shot now. Muscle still sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
- 2021-01-14
- 2021-01-18
- 2021-01-19
- 2021-01-26
- 2021-02-04
- 2021-02-09
- 2021-02-18
- 2021-02-23
- 2021-04-13
- 2021-07-13
-
2021-09-15
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-09-28
Survey response — day 7, dose 3MedDRA: Injection site pain — Feeling: GoodFree text: Yes. My name is (b)(6). I am being sent check-ins for both names. Both are me. Also, when I got the Booster shot there was no pain or reactions for 8 hours. At the eight hour mark my right arm where I got the Pfizer shot had pain.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-01
- 2021-10-06
- 2021-10-13
- 2021-10-22
- 2021-10-29
- 2021-12-15
-
2022-04-08
Dose 4 — Pfizer-BioNTech
- 2022-04-14
- 2022-04-15
-
2022-04-22
Survey response — day 14, dose 4MedDRA: Diarrhoea — Feeling: FairFree text: I just had lunch and came back home and I immediately had diarrhea.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-29
-
2022-05-06
Survey response — day 28, dose 4MedDRA: Headache — Feeling: FairFree text: Strong headache todayMedDRA releases: 2024-11 · check-in free text available
- 2022-05-13
- 2022-05-20
- 2022-07-08
- 2022-10-07
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Pfizer-BioNTech | |
| 2 | 2021-01-12 | Pfizer-BioNTech | |
| 3 | 2021-09-15 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-08 | Pfizer-BioNTech | No |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): This was my 2nd covid vaccine. Pain getting the shot. Could feel substance going in to my body. Six hours after shot now. Muscle still sore.
Release 9 — day 7, dose 3
Systemic reaction (other): Yes. My name is (b)(6). I am being sent check-ins for both names. Both are me. Also, when I got the Booster shot there was no pain or reactions for 8 hours. At the eight hour mark my right arm where I got the Pfizer shot had pain.
redacted (b)(6)
Release 11 — day 14, dose 4
Symptoms: I just had lunch and came back home and I immediately had diarrhea.
Release 11 — day 28, dose 4
Symptoms: Strong headache today
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 | Diarrhoea | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SRO | Injection site pain | ○ | ○ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release