3XW-69698-71983
4 vaccinations
7 coded responses
41 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 471 / IN
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 1 — Pfizer-BioNTech
- 2021-03-09
-
2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Injection site discomfort — Feeling: GoodFree text: Deep muscle soreness (not pain) at the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
-
2021-03-30
Dose 2 — Pfizer-BioNTech
- 2021-03-30
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: Good · Site: Swelling · Muscle or body achesFree text: Swelling in the armpit area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
-
2021-06-29
Survey response — 3 months, dose 2MedDRA: Heart rate irregular, Hypertension, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: High blood pressure and uncontrollable heart rate. Some days my heart rate is fine and some days I can't stop it from zooming to over 170 bpm with minimal effort. · Healthcare visit (other): Scheduled an appointment with my regular doctor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-29
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-02
- 2021-09-28
-
2021-11-23
Dose 3 — Pfizer-BioNTech
- 2022-03-30
-
2022-04-25
Dose 4 — Pfizer-BioNTech
- 2022-04-25
-
2022-04-26
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-04-27
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen lymph node in the armpit of the arm that had the shotMedDRA releases: 2024-11 · check-in free text available
-
2022-04-28
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, SwellingFree text: Swollen lymph node in the armpit if the arm that had the shotMedDRA releases: 2024-11 · check-in free text available
- 2022-04-29
- 2022-04-30
- 2022-05-01
- 2022-05-02
-
2022-05-09
Survey response — day 14, dose 4MedDRA: Headache, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Developed a fever, headache, sore throat. Tested negative for covid twiceMedDRA releases: 2024-11 · check-in free text available
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-07-25
-
2022-10-24
Survey response — 6 months, dose 4MedDRA: COVID-19, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had a cold, had covidMedDRA releases: 2024-11 · check-in free text available
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Pfizer-BioNTech | |
| 2 | 2021-03-30 | Pfizer-BioNTech | |
| 3 | 2021-11-23 | Pfizer-BioNTech | No |
| 4 | 2022-04-25 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Deep muscle soreness (not pain) at the injection site.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling in the armpit area.
Release 9 — 3 months, dose 2
Symptoms: High blood pressure and uncontrollable heart rate. Some days my heart rate is fine and some days I can't stop it from zooming to over 170 bpm with minimal effort.
Healthcare visit (other): Scheduled an appointment with my regular doctor.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen lymph node in the armpit of the arm that had the shot
Systemic reaction (other): Swollen lymph node in the armpit if the arm that had the shot
Release 11 — day 14, dose 4
Symptoms: Developed a fever, headache, sore throat. Tested negative for covid twice
Release 12 — 6 months, dose 4
Symptoms: Had a cold, had covid
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Heart rate irregular | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release