3SK-33205-53374
5 vaccinations
10 coded responses
61 check-ins
10 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 275 / NC
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Pfizer-BioNTech
-
2021-01-22
Survey response — day 0, dose 1MedDRA: Balance disorder, Pain — Feeling: GoodFree text: One sensation about a 1-1/2 hours (momentary loss of balance, vertigo-like, but I attributed that to needing water. Except for a bit of soreness, Ive felt very fine ever since.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
-
2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Arm still soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-29
- 2021-02-05
- 2021-02-12
-
2021-02-13
Dose 2 — Pfizer-BioNTech
- 2021-02-13
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-02-16
- 2021-02-17
- 2021-02-18
-
2021-02-20
Survey response — day 7, dose 2MedDRA: Discharge, Rhinorrhoea — Feeling: GoodFree text: Runny nose, clear dischargeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-03-06
- 2021-03-14
- 2021-03-20
- 2021-03-27
- 2021-05-15
- 2021-08-14
-
2021-09-26
Dose 3 — Pfizer-BioNTech
-
2021-09-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-09-28
-
2021-09-29
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-10
- 2021-10-19
- 2021-10-24
- 2021-10-31
- 2021-12-26
- 2022-03-27
-
2022-04-18
Dose 4 — Moderna
- 2022-04-18
-
2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-20
Survey response — days 1–6 daily, dose 4MedDRA: Musculoskeletal stiffness — Feeling: GoodFree text: Stiff right neck, mildMedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
- 2022-04-22
- 2022-04-23
-
2022-04-24
Survey response — days 1–6 daily, dose 4MedDRA: Musculoskeletal stiffness — Feeling: GoodFree text: Stiff right neck, noticed morning after booster shotMedDRA releases: 2024-11 · check-in free text available
-
2022-04-26
Survey response — day 7, dose 4MedDRA: Neck pain — Feeling: GoodFree text: Right neck pain for the last 7 days , likely unrelated to vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-31
- 2022-07-18
-
2022-09-07
Dose 5 — Moderna
-
2022-09-08
Survey response — days 1–6 daily, dose 5MedDRA: Injection site pain — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Injection site is a bit sore.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-09
Survey response — days 1–6 daily, dose 5MedDRA: Headache — Feeling: Good · HeadacheFree text: Earlier this morning, I experienced sporadic headache, a quick, sharp pain that has disappeared.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-10
- 2022-09-11
-
2022-09-12
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: GoodFree text: No other symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-09-16
- 2022-09-21
- 2022-09-28
- 2022-10-06
- 2022-10-12
- 2022-10-19
- 2022-12-07
- 2023-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Pfizer-BioNTech | |
| 2 | 2021-02-13 | Pfizer-BioNTech | |
| 3 | 2021-09-26 | Pfizer-BioNTech | No |
| 4 | 2022-04-18 | Moderna | No |
| 5 | 2022-09-07 | Moderna | No |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): One sensation about a 1-1/2 hours (momentary loss of balance, vertigo-like, but I attributed that to needing water. Except for a bit of soreness, Ive felt very fine ever since.
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Arm still sore
Release 4 — day 7, dose 2
Systemic reaction (other): Runny nose, clear discharge
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): None
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Stiff right neck, mild
Systemic reaction (other): Stiff right neck, noticed morning after booster shot
Release 11 — day 7, dose 4
Systemic reaction (other): Right neck pain for the last 7 days , likely unrelated to vaccine.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Injection site is a bit sore.
Systemic reaction (other): Earlier this morning, I experienced sporadic headache, a quick, sharp pain that has disappeared.
Systemic reaction (other): No other symptoms
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 |
|---|---|---|---|---|
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Discharge | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release