43D-20087-01862
6 vaccinations
8 coded responses
68 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 007 / PR
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-09
Registered in v-safe
-
2021-01-09
Dose 1 — Pfizer-BioNTech
- 2021-01-09
- 2021-01-10
- 2021-01-11
-
2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: I feel as fine as any day prior to taking the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-24
- 2021-01-30
-
2021-01-31
Dose 2 — Pfizer-BioNTech
- 2021-01-31
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-02
-
2021-02-03
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body achesFree text: Had dental procedure done. There might be some confunding.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Had a dental procedure the day before last there might be some confounding on the symptoms iam feeling. Currently on antibiotics since the day of the procedure.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: GoodFree text: Light headed at times. Not sure if it is do to the vaccine or to a dental procedure done after I got the immunization injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-07
- 2021-02-14
- 2021-02-21
- 2021-02-28
- 2021-03-07
- 2021-03-14
- 2021-05-02
- 2021-08-01
-
2021-09-24
Dose 3 — Pfizer-BioNTech
-
2021-09-25
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoneMedDRA releases: 2024-11 · check-in free text available
-
2021-09-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal painAdult check-in
- 2021-09-27
- 2021-09-28
- 2021-09-29
- 2021-09-30
- 2021-10-01
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-12-24
-
2022-03-25
Dose 4 — Pfizer-BioNTech
- 2022-03-26
- 2022-03-26
- 2022-03-27
- 2022-03-28
- 2022-03-29
- 2022-03-30
- 2022-03-31
- 2022-04-01
- 2022-04-08
- 2022-04-15
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-06-24
-
2022-06-29
Dose 5 — Moderna
- 2022-09-23
-
2022-10-11
Dose 6 — ModernaCo-administered: Flu
- 2022-10-11
-
2022-10-12
Health check-in — days 1–6 daily, dose 6Feeling: Good · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-10-13
-
2022-10-14
Survey response — days 1–6 daily, dose 6MedDRA: Injection site rash — Feeling: GoodFree text: Little rash area of injectionMedDRA releases: 2024-11 · check-in free text available
- 2022-10-15
- 2022-10-16
- 2022-10-17
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2022-11-22
-
2023-01-10
Survey response — 3 months, dose 6MedDRA: Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: GoodMedDRA releases: 2024-11
-
2023-04-11
Survey response — 6 months, dose 6MedDRA: SARS-CoV-2 test positive — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Pfizer-BioNTech | |
| 2 | 2021-01-31 | Pfizer-BioNTech | |
| 3 | 2021-09-24 | Pfizer-BioNTech | No |
| 4 | 2022-03-25 | Pfizer-BioNTech | No |
| 5 | 2022-06-29 | Moderna | No |
| 6 | 2022-10-11 | Moderna | Flu |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I feel as fine as any day prior to taking the vaccine.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Had dental procedure done. There might be some confunding.
Systemic reaction (other): Had a dental procedure the day before last there might be some confounding on the symptoms iam feeling. Currently on antibiotics since the day of the procedure.
Systemic reaction (other): Light headed at times. Not sure if it is do to the vaccine or to a dental procedure done after I got the immunization injection.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): None
Release 12 — days 1–6 daily, dose 6
Systemic reaction (other): Little rash area of injection
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 | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Injection site rash | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release