3SM-25353-12682
3 vaccinations
5 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 152 / PA
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Dose 1 — Pfizer-BioNTech
-
2021-03-11
Registered in v-safe
- 2021-03-11
- 2021-03-17
-
2021-03-24
Dose 2 — Pfizer-BioNTech
- 2021-03-24
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-06-24
- 2021-09-23
-
2021-10-02
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-10-02
Survey response — day 0, dose 3MedDRA: Feeling cold, Headache, Hypersomnia, Malaise, Middle insomnia, Myalgia, Oropharyngeal pain, Pyrexia — Feeling: Good · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Felt lousy with headache, sore throat, myalgia, subjective fever (awakened during the night feeling cold and donned sweat pants and a long sleeve shirt). In bed sleeping most of the first day after the shot.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Malaise, Mobility decreased, Myalgia, Pyrexia — Feeling: GoodFree text: I was ill and in bed with fever, myalgia and malaise from about 20 hrs to 48 hours after the shot. I have been entirely well since then. toMedDRA releases: 2024-11 · check-in free text available
-
2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: I am well.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-09
-
2021-10-16
Survey response — day 14, dose 3MedDRA: Cough, Diarrhoea, Fatigue, Headache, Lymph node pain, Malaise, Myalgia, Oropharyngeal pain, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have nasal swab PCR confirmed Covid. First ill 10/9 with mild headache, sore throat, tender anterior cervical nodes, diarrhea, myalgia and malaise. PCR confirmed 10/13. Now improving: residual mild headache, malaise and fatigue. Min cough. No SOB.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-23
- 2021-10-30
-
2021-11-06
Survey response — day 35, dose 3MedDRA: Limb injury, Pain in extremity — Feeling: Fair · 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: Pain in my right upper leg. Over use injury.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-06
Report sent to call center — day 35, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-12
- 2021-11-13
- 2021-11-17
- 2022-01-01
- 2022-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Pfizer-BioNTech | |
| 2 | 2021-03-24 | Pfizer-BioNTech | |
| 3 | 2021-10-02 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — day 0, dose 3
Systemic reaction (other): Felt lousy with headache, sore throat, myalgia, subjective fever (awakened during the night feeling cold and donned sweat pants and a long sleeve shirt). In bed sleeping most of the first day after the shot.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): I was ill and in bed with fever, myalgia and malaise from about 20 hrs to 48 hours after the shot. I have been entirely well since then. to
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I am well.
Release 10 — day 14, dose 3
Symptoms: I have nasal swab PCR confirmed Covid. First ill 10/9 with mild headache, sore throat, tender anterior cervical nodes, diarrhea, myalgia and malaise. PCR confirmed 10/13. Now improving: residual mild headache, malaise and fatigue. Min cough. No SOB. cut off by CDC
Release 10 — day 35, dose 3
Symptoms: Pain in my right upper leg. Over use injury.
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 | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Limb injury | · | · | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Feeling cold | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Hypersomnia | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Middle insomnia | · | · | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release