42X-16719-08391
4 vaccinations
0 coded responses
28 check-ins
0 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 296 / SC
- Registered
- 2021-10-10
- Relationship
- Adult relative or friend
- Guardian
- PDQ-79580-39022
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Dose 1 — Pfizer-BioNTech
-
2021-04-10
Dose 2 — Pfizer-BioNTech
-
2021-10-10
Registered in v-safe
- 2021-10-10
-
2022-01-04
Dose 3 — Pfizer-BioNTech
-
2022-01-07
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-01-08
- 2022-01-09
- 2022-01-10
- 2022-01-13
- 2022-01-18
- 2022-01-25
- 2022-02-01
- 2022-02-10
- 2022-02-15
- 2022-04-05
- 2022-07-06
-
2022-12-02
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-12-02
-
2022-12-03
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-12-04
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Fair · Site: Pain · Fever · Chills, Joint pains, Fatigue or tirednessAdult check-in
-
2022-12-05
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Good · Fatigue or tirednessAdult check-in
-
2022-12-06
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-12-07
- 2022-12-08
- 2022-12-09
- 2022-12-16
- 2022-12-23
- 2022-12-30
- 2023-01-06
- 2023-01-13
- 2023-03-05
- 2023-06-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Pfizer-BioNTech | No |
| 2 | 2021-04-10 | Pfizer-BioNTech | No |
| 3 | 2022-01-04 | Pfizer-BioNTech | No |
| 4 | 2022-12-02 | Pfizer-BioNTech | Flu |
Free text
None.
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
No MedDRA codes.