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3XB-34761-54039

2 vaccinations 3 coded responses 22 check-ins 3 free-text entries 0 call cases
Sex
Male
Age at first dose
21-25
ZIP prefix
945 / CA
Registered
2021-04-02
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-02
    Registered in v-safe
  2. 2021-04-02
    Dose 1 — Pfizer-BioNTech
  3. 2021-04-02
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Chills
    Adult check-in
  4. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · Muscle or body aches
    Adult check-in
  5. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Chills
    Adult check-in
  7. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Inflammation, Lymphadenopathy — Feeling: Good
    Free text: Inflamed supraclavicular and inguinal lymph nodes 24 hrs after injection. Still present 5 days later
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-26
    Dose 2 — Pfizer-BioNTech
  14. 2021-04-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Fatigue, Headache, Self-medication — Feeling: Good · Site: Pain · Be unable to work, Be unable to do your normal daily activities
    Free text: About 16 hours after my 2nd dose, I experienced a mild fever (99-100 F), accompanied by a headache that subsided with acetaminophen. Moderate-severe chills 24 hours after injection with sudden onset fatigue. Symptoms were not noticeable 45 hours after injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-31
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-10-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-04-27
    Survey response — 12 months, dose 2
    MedDRA: Cough, Headache, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I had a mild cough and headache with a 104 degree fever back in February. I got tested and it was negative for COVID19
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-02Pfizer-BioNTech
22021-04-26Pfizer-BioNTech

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Inflamed supraclavicular and inguinal lymph nodes 24 hrs after injection. Still present 5 days later

Release 8 — days 1–6 daily, dose 2

2021-04-30

Systemic reaction (other): About 16 hours after my 2nd dose, I experienced a mild fever (99-100 F), accompanied by a headache that subsided with acetaminophen. Moderate-severe chills 24 hours after injection with sudden onset fatigue. Symptoms were not noticeable 45 hours after injection

Release 11 — 12 months, dose 2

2022-04-27

Symptoms: I had a mild cough and headache with a 104 degree fever back in February. I got tested and it was negative for COVID19

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
SDCough · · ✓
SDHeadache · · ✓
SDPyrexia · · ✓
SDSARS-CoV-2 test negative · · ✓
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInflammation ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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