478-22687-04519
5 vaccinations
4 coded responses
14 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 906 / CA
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Dose 1 — Pfizer-BioNTech
-
2021-03-10
Dose 2 — Pfizer-BioNTech
-
2021-03-11
Registered in v-safe
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
-
2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea — Feeling: GoodFree text: I had runny nose last night, but it went away before the night was over. It may have been due to allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Nausea, Self-medication, Toothache — Feeling: Good · NauseaFree text: After taking a regular aspirin for a toothache before bedtime, I woke to feeling of nausea a couple of times, but it went away by morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-15
- 2021-04-21
-
2021-06-12
Survey response — 3 months, dose 2MedDRA: Abdominal pain, Pain, Upper respiratory tract congestion — Feeling: FairFree text: Feeling of chest congestion and some discomfort along the diaghram, from left to right side. Also, slight lower abdominal pain that lasted a few days last week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-10
-
2021-11-30
Dose 3 — Pfizer-BioNTech
-
2022-04-29
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-07-31
-
2022-11-25
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2023-04-30
Survey response — 12 months, dose 4MedDRA: Fatigue, Feeling of body temperature change, Nasal congestion, Somnolence — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Pfizer-BioNTech | |
| 2 | 2021-03-10 | Pfizer-BioNTech | |
| 3 | 2021-11-30 | Pfizer-BioNTech | No |
| 4 | 2022-04-29 | Pfizer-BioNTech | Flu |
| 5 | 2022-11-25 | Pfizer-BioNTech | Flu |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I had runny nose last night, but it went away before the night was over. It may have been due to allergies.
Systemic reaction (other): After taking a regular aspirin for a toothache before bedtime, I woke to feeling of nausea a couple of times, but it went away by morning.
Release 9 — 3 months, dose 2
Symptoms: Feeling of chest congestion and some discomfort along the diaghram, from left to right side. Also, slight lower abdominal pain that lasted a few days last week.
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 | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling of body temperature change | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Upper respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Toothache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release