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3V6-24863-06839

3 vaccinations 9 coded responses 38 check-ins 9 free-text entries 6 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
535 / WI
Registered
2021-01-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-11
    Registered in v-safe
  2. 2021-01-11
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-11
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  5. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Therapeutic response unexpected — Feeling: Good · Site: Pain
    Free text: I lost my sense of smell several years ago but since receiving the vaccination I have my sense of smell back!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-28
    Dose 2 — Pfizer-BioNTech
  12. 2021-01-28
    Survey response — day 0, dose 2
    MedDRA: Dizziness — Feeling: Good · Site: Pain
    Free text: Light headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-11
    Survey response — day 14, dose 2
    MedDRA: Axillary pain — Feeling: Good
    Free text: The last three days I have had a significant pain inside around my right armpit for which I have no explanation.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-02-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-27
    Survey response — day 28, dose 2
    MedDRA: Axillary pain, Hypoaesthesia, Office visit, Pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit
    Free text: Symptoms: Numbness down my left leg and foot. Severe pain from my right underarm down through my right thigh and groin. All unexplained. · Healthcare visit (other): Face to face doctor appointment.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-02-27
    Report sent to call center — day 28, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-03-05
    Survey response — day 35, dose 2
    MedDRA: Arthralgia, Body temperature decreased, Groin pain, Muscle spasms, Pain, Pain in extremity, Pain of skin, Sensitive skin, Tenderness — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Continued unexplained loss of temperature sensitivity on left side of body and spasmodic pain in numerous locations ranging down right side of body and running down right leg from groin/hip to toes. Skin pain extremely sensitive to touch.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-03-05
    Report sent to call center — day 35, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  26. 2021-03-11
    Survey response — day 42, dose 2
    MedDRA: Condition aggravated, Hypoaesthesia, Pain, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Numbness along my left trunk and leg. Chronic pain throughout my right body.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-03-11
    Report sent to call center — day 42, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-05-01
    Survey response — 3 months, dose 2
    MedDRA: Acute disseminated encephalomyelitis, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Acute Disseminating Encephalomyelitis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  29. 2021-05-01
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  30. 2021-07-29
    Survey response — 6 months, dose 2
    MedDRA: Multiple sclerosis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Ive been diagnosed with Multiple Sclerosis.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  31. 2021-07-29
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  32. 2021-08-03
  33. 2021-08-06
  34. 2021-09-10
    Dose 3 — Pfizer-BioNTech
  35. 2021-09-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  36. 2021-09-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-09-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-09-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  39. 2021-09-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  40. 2021-09-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  41. 2021-09-17
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  42. 2021-09-24
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  43. 2021-10-01
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  44. 2021-10-08
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  45. 2021-10-15
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  46. 2021-10-22
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  47. 2021-12-10
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  48. 2022-03-11
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  49. 2022-09-10
    Survey response — 12 months, dose 3
    MedDRA: COVID-19, Cough, Dyspnoea, Headache, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit
    Free text: Headache, fever, congestion, cough, difficulty breathing (COVID related).
    MedDRA releases: 2024-11 · check-in free text available
  50. 2022-09-10
    Report sent to call center — 12 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
  51. 2022-09-12
  52. 2022-09-12
  53. 2022-09-12
  54. 2022-09-12
  55. 2022-09-12
  56. 2022-09-12

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Pfizer-BioNTech
22021-01-28Pfizer-BioNTech
32021-09-10Pfizer-BioNTech No

Call center

6 call center cases

6 unsuccessful

4 waits over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): I lost my sense of smell several years ago but since receiving the vaccination I have my sense of smell back!

Release 3 — day 0, dose 2

2021-01-28

Systemic reaction (other): Light headed

Release 4 — day 14, dose 2

2021-02-11

Symptoms: The last three days I have had a significant pain inside around my right armpit for which I have no explanation.

Release 4 — day 28, dose 2

2021-02-27

Symptoms: Numbness down my left leg and foot. Severe pain from my right underarm down through my right thigh and groin. All unexplained.
Healthcare visit (other): Face to face doctor appointment.

Release 5 — day 35, dose 2

2021-03-05

Symptoms: Continued unexplained loss of temperature sensitivity on left side of body and spasmodic pain in numerous locations ranging down right side of body and running down right leg from groin/hip to toes. Skin pain extremely sensitive to touch.

Release 5 — day 42, dose 2

2021-03-11

Symptoms: Numbness along my left trunk and leg. Chronic pain throughout my right body.

Release 8 — 3 months, dose 2

2021-05-01

Symptoms: Acute Disseminating Encephalomyelitis

Release 9 — 6 months, dose 2

2021-07-29

Symptoms: Ive been diagnosed with Multiple Sclerosis.

Release 12 — 12 months, dose 3

2022-09-10

Symptoms: Headache, fever, congestion, cough, difficulty breathing (COVID related).

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDAcute disseminated encephalomyelitis · · ✓
SDArthralgia ✓ ✓ ✓
SDAxillary pain ✓ ✓ ✓
SDBody temperature decreased ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDDyspnoea · · ✓
SDGroin pain ✓ ✓ ✓
SDHeadache · · ✓
SDHypoaesthesia ✓ ✓ ✓
SDMultiple sclerosis ✓ · ✓
SDMuscle spasms ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPain of skin ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDSensitive skin ✓ ✓ ✓
SDTenderness ✓ ✓ ✓
SDUnevaluable event ✓ ✓ ○
SRODizziness ✓ ✓ ✓
SROTherapeutic response unexpected ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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