458-16509-81398
2 vaccinations
3 coded responses
18 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 122 / NY
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-22
Dose 1 — Pfizer-BioNTech
-
2021-02-25
Registered in v-safe
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-10
-
2021-03-15
Dose 2 — Pfizer-BioNTech
-
2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Dizziness, Fatigue, Myalgia — Feeling: GoodFree text: I had a sore shoulder for 2 days right after receiving the shot. I experienced tiredness and some light-headiness. Minor joint and muscle aches, but all cleared by the third day. Feeling fine now (day 4).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
-
2021-04-19
Survey response — day 35, dose 2MedDRA: Dizziness, Feeling abnormal, Respiratory tract congestion — Feeling: FairFree text: Bothered by seasonal allergies, congestion/ stuffy head. Light headedness for a few days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Survey response — day 42, dose 2MedDRA: Dizziness, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Mild dizziness... went to my Dr and there are a few posible reasons: mild dehydration, mfg switch of my BP medication, allergies and posibly the last covid shot... symptoms persisted for about 10 days... i feel better yesterday and today. · Healthcare visit (other): Dr,s officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-14
- 2021-09-13
- 2022-03-15
-
2022-04-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-22 | Pfizer-BioNTech | |
| 2 | 2021-03-15 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I had a sore shoulder for 2 days right after receiving the shot. I experienced tiredness and some light-headiness. Minor joint and muscle aches, but all cleared by the third day. Feeling fine now (day 4).
Release 7 — day 35, dose 2
Symptoms: Bothered by seasonal allergies, congestion/ stuffy head. Light headedness for a few days.
Release 8 — day 42, dose 2
Symptoms: Mild dizziness... went to my Dr and there are a few posible reasons: mild dehydration, mfg switch of my BP medication, allergies and posibly the last covid shot... symptoms persisted for about 10 days... i feel better yesterday and today.
Healthcare visit (other): Dr,s office
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release