456-17212-52609
4 vaccinations
5 coded responses
37 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 832 / ID
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Dose 1 — Pfizer-BioNTech
-
2021-02-12
Registered in v-safe
- 2021-02-12
-
2021-02-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-05
-
2021-03-11
Dose 2 — Pfizer-BioNTech
- 2021-03-11
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-13
- 2021-03-14
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Good · HeadacheFree text: Lymph nope soreness in armpit of other armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-17
- 2021-03-18
-
2021-03-25
Survey response — day 14, dose 2MedDRA: Back pain, Body temperature increased, Fatigue, Headache, Musculoskeletal discomfort, Neck pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache, temperature of 100 to 101, neck and backache , fatigue .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — day 21, dose 2MedDRA: Fatigue, Headache, Oxygen saturation decreased, Pyrexia — 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 visitFree text: Fever of 101.5,Fatigue, Headache,Low blood oxygen dipping to 72%.When for testing. Now on Bactrim and progesterone. Oxygen now in 90 sHeadache gone.No Covid-19 or flu detected .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-09
- 2021-04-15
- 2021-04-22
-
2021-06-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-06-12
- 2021-09-09
-
2021-10-05
Dose 3 — Pfizer-BioNTech
-
2022-03-13
Survey response — 12 months, dose 2MedDRA: Arthralgia, Fatigue, Headache, Influenza like illness, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Flu like symtoms (body & joint aches headache and extreme tireness) with 101 degree temp. Temp went to mormal overnight but symptoms remained for 48 hours. About seven later, symptoms and temperature repeated and then subsided as before.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-23
Dose 4 — Pfizer-BioNTech
- 2022-05-23
-
2022-05-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-05-28
- 2022-05-29
- 2022-06-01
- 2022-06-06
- 2022-06-14
- 2022-06-20
- 2022-06-27
- 2022-07-04
-
2022-08-22
Survey response — 3 months, dose 4MedDRA: Cough, Influenza like illness, Nasopharyngitis, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Flu like cold with racking cough. Fever of 101, but dropped to normal next day. Cough lasted more than two weeks. Took two at home covid tests. Four days apart. Both negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Pfizer-BioNTech | |
| 2 | 2021-03-11 | Pfizer-BioNTech | |
| 3 | 2021-10-05 | Pfizer-BioNTech | No |
| 4 | 2022-05-23 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Lymph nope soreness in armpit of other arm
Release 6 — day 14, dose 2
Symptoms: Headache, temperature of 100 to 101, neck and backache , fatigue .
Release 6 — day 21, dose 2
Symptoms: Fever of 101.5,Fatigue, Headache,Low blood oxygen dipping to 72%.When for testing. Now on Bactrim and progesterone. Oxygen now in 90 sHeadache gone.No Covid-19 or flu detected .
Release 11 — 12 months, dose 2
Symptoms: Flu like symtoms (body & joint aches headache and extreme tireness) with 101 degree temp. Temp went to mormal overnight but symptoms remained for 48 hours. About seven later, symptoms and temperature repeated and then subsided as before.
Release 12 — 3 months, dose 4
Symptoms: Flu like cold with racking cough. Fever of 101, but dropped to normal next day. Cough lasted more than two weeks. Took two at home covid tests. Four days apart. Both negative.
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 | Arthralgia | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Body temperature increased | ✓ | ✓ | ○ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Musculoskeletal discomfort | ✓ | ✓ | ○ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Oxygen saturation decreased | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release