495-29794-52613
5 vaccinations
10 coded responses
65 check-ins
10 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 331 / FL
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-18
Registered in v-safe
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2021-03-18
Dose 1 — Pfizer-BioNTech
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2021-03-18
Survey response — day 0, dose 1MedDRA: Paraesthesia — Feeling: GoodFree text: Brief tingling sensation on the left hemisphere of my head.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Dissociation — Feeling: Good · HeadacheFree text: Feeling of having my head disconnected.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: GoodFree text: TirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
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2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Tinnitus — Feeling: GoodFree text: Ringing of the right ear while breathing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-25
- 2021-04-01
-
2021-04-08
Dose 2 — Pfizer-BioNTech
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2021-04-08
Survey response — day 0, dose 2MedDRA: Vision blurred — Feeling: Fair · HeadacheFree text: Occasional blurry visionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Headache, Joint pains · Be unable to workAdult check-in
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · HeadacheAdult check-in
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains · Be unable to do your normal daily activitiesAdult check-in
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2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · HeadacheAdult check-in
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-22
- 2021-04-29
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2021-05-06
Survey response — day 28, dose 2MedDRA: Diarrhoea, Dysgeusia, Pain, Pyrexia — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Body aches, fever, diarrhea, bad taste buds. I was told by my endocrinologist that I might have a mild version of covid19 as a side effect of the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Report sent to call center — day 28, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-13
- 2021-05-20
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2021-07-08
Survey response — 3 months, dose 2MedDRA: Arthralgia, Bone pain, Diarrhoea, Dysgeusia, Headache, Pain, 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 consultationFree text: A month after the second shot, I had fever, headache, body, bones, & joint pain, bad taste of everything, and constant diarrhea. I was in bed for a day & a half. Most of the symptoms dissipated within a week. I still have pain on both elbows.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-08
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-12
- 2021-07-15
- 2021-10-07
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2021-10-08
Dose 3 — Pfizer-BioNTechCo-administered: Flu
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2021-10-08
Survey response — day 0, dose 3MedDRA: Paraesthesia — Feeling: GoodFree text: Tingling sensation on the left side of my head.MedDRA releases: 2024-11 · check-in free text available
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2021-10-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Joint painsAdult check-in
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2021-10-10
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Joint pains, DiarrheaAdult check-in
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2021-10-11
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling · Joint pains, DiarrheaAdult check-in
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2021-10-12
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling · Headache, Joint painsAdult check-in
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2021-10-13
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Itching · Joint pains, DiarrheaAdult check-in
- 2021-10-14
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-06
- 2021-11-12
- 2021-11-19
- 2022-01-08
- 2022-04-08
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2022-04-19
Dose 4 — Pfizer-BioNTechCo-administered: Pneumonia
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
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2022-05-03
Survey response — day 14, dose 4MedDRA: Diarrhoea — Feeling: GoodFree text: Diarrhea on occasions.MedDRA releases: 2024-11 · check-in free text available
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2022-05-10
Survey response — day 21, dose 4MedDRA: Diarrhoea — Feeling: FairFree text: Persistent diarrhea.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-07-19
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2022-10-12
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-13
- 2022-10-14
- 2022-10-15
- 2022-10-17
- 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 | 2021-03-18 | Pfizer-BioNTech | |
| 2 | 2021-04-08 | Pfizer-BioNTech | |
| 3 | 2021-10-08 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-19 | Pfizer-BioNTech | Pneumonia |
| 5 | 2022-10-12 | Pfizer-BioNTech | Flu |
Call center
2 call center cases
2 unsuccessful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Brief tingling sensation on the left hemisphere of my head.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Feeling of having my head disconnected.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Tiredness
Systemic reaction (other): Ringing of the right ear while breathing.
Release 7 — day 0, dose 2
Systemic reaction (other): Occasional blurry vision
Release 8 — day 28, dose 2
Symptoms: Body aches, fever, diarrhea, bad taste buds. I was told by my endocrinologist that I might have a mild version of covid19 as a side effect of the vaccine.
Release 9 — 3 months, dose 2
Symptoms: A month after the second shot, I had fever, headache, body, bones, & joint pain, bad taste of everything, and constant diarrhea. I was in bed for a day & a half. Most of the symptoms dissipated within a week. I still have pain on both elbows.
Release 10 — day 0, dose 3
Systemic reaction (other): Tingling sensation on the left side of my head.
Release 11 — day 14, dose 4
Symptoms: Diarrhea on occasions.
Release 11 — day 21, dose 4
Symptoms: Persistent diarrhea.
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 | Bone pain | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dysgeusia | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Dissociation | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release