47L-20898-98966
4 vaccinations
5 coded responses
52 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 662 / KS
- Registered
- 2021-03-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-21
Registered in v-safe
-
2021-03-21
Dose 1 — Pfizer-BioNTech
-
2021-03-21
Survey response — day 0, dose 1MedDRA: Lacrimation increased, Nasal congestion, Pruritus — Feeling: Good · Site: PainFree text: Itchy, watery eyes and slight nasal congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Lacrimation increased, Nasal congestion, Pruritus — Feeling: Good · Site: PainFree text: Itchy, watery eyes and nasal congestion reported yesterday may have been unrelated to vaccination and caused by outdoor conditions insteadMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
-
2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Pain was minimal this morning and only evident when pressure was applied on or near injection site. All pain was gone by the end of the day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-04-04
-
2021-04-11
Dose 2 — Pfizer-BioNTech
- 2021-04-11
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: No pain in muscle and shoulder near injection site, but both feel mildly tender when going through natural motion today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-25
- 2021-05-02
- 2021-05-09
- 2021-05-16
- 2021-05-23
- 2021-07-11
- 2021-10-10
-
2021-11-12
Dose 3 — Pfizer-BioNTech
- 2021-11-12
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-26
- 2021-12-04
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2022-02-11
- 2022-05-13
-
2022-10-12
Dose 4 — Pfizer-BioNTech
- 2022-10-14
- 2022-10-15
- 2022-10-16
-
2022-10-17
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: GoodFree text: Received flu shot in opposite arm todayMedDRA releases: 2024-11 · check-in free text available
- 2022-10-18
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-11-16
- 2022-11-23
- 2023-01-11
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-21 | Pfizer-BioNTech | |
| 2 | 2021-04-11 | Pfizer-BioNTech | |
| 3 | 2021-11-12 | Pfizer-BioNTech | No |
| 4 | 2022-10-12 | Pfizer-BioNTech | No |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Itchy, watery eyes and slight nasal congestion
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Itchy, watery eyes and nasal congestion reported yesterday may have been unrelated to vaccination and caused by outdoor conditions instead
Systemic reaction (other): Pain was minimal this morning and only evident when pressure was applied on or near injection site. All pain was gone by the end of the day.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): No pain in muscle and shoulder near injection site, but both feel mildly tender when going through natural motion today.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Received flu shot in opposite arm today
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 |
|---|---|---|---|---|
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lacrimation increased | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release