496-15607-01328
2 vaccinations
5 coded responses
15 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 891 / NV
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-03-30
Dose 1 — Pfizer-BioNTech
-
2021-04-08
Registered in v-safe
-
2021-04-08
Survey response — day 7, dose 1MedDRA: Fatigue, Self-medication, Somnolence — Feeling: GoodFree text: Day after first inject, moderate fatigue, naps, 1 otc TylenolMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-20
-
2021-04-23
Dose 2 — Pfizer-BioNTech
-
2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Feeling need for a ( healthy) afternoon snackMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
-
2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Surgery, Vitreous floaters — Feeling: Good · Fatigue or tirednessFree text: Post ARC surgery, I see L side black floaters , x 2 days now non existentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
-
2021-07-23
Survey response — 3 months, dose 2MedDRA: Pain in extremity, Pre-existing disease — Feeling: GoodFree text: Previous leg physical trauma I was rx PT by my physician ( I rest, ice)?I have some pts which presents as accute pain I had a two minute bout in my hamstring its also 108* in LV, NV idk?? The intense accute pain always resolves and, a normal dayMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-22
-
2022-04-23
Survey response — 12 months, dose 2MedDRA: Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Knee, orthopedic issue due to age related osteoarthritisMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Pfizer-BioNTech | |
| 2 | 2021-04-23 | Pfizer-BioNTech |
Free text
Release 7 — day 7, dose 1
Systemic reaction (other): Day after first inject, moderate fatigue, naps, 1 otc Tylenol
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Feeling need for a ( healthy) afternoon snack
Systemic reaction (other): Post ARC surgery, I see L side black floaters , x 2 days now non existent
Release 9 — 3 months, dose 2
Symptoms: Previous leg physical trauma I was rx PT by my physician ( I rest, ice)?I have some pts which presents as accute pain I had a two minute bout in my hamstring its also 108* in LV, NV idk?? The intense accute pain always resolves and, a normal day
Release 11 — 12 months, dose 2
Symptoms: Knee, orthopedic issue due to age related osteoarthritis
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 | Pain in extremity | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Surgery | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Vitreous floaters | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release