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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

  1. 2021-03-30
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-08
    Registered in v-safe
  3. 2021-04-08
    Survey response — day 7, dose 1
    MedDRA: Fatigue, Self-medication, Somnolence — Feeling: Good
    Free text: Day after first inject, moderate fatigue, naps, 1 otc Tylenol
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-04-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-04-23
    Dose 2 — Pfizer-BioNTech
  7. 2021-04-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Feeling need for a ( healthy) afternoon snack
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-04-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Surgery, Vitreous floaters — Feeling: Good · Fatigue or tiredness
    Free text: Post ARC surgery, I see L side black floaters , x 2 days now non existent
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-30
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-05-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-14
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-21
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-28
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-07-23
    Survey response — 3 months, dose 2
    MedDRA: Pain in extremity, Pre-existing disease — Feeling: Good
    Free 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 day
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 2021-10-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-04-23
    Survey response — 12 months, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities
    Free text: Knee, orthopedic issue due to age related osteoarthritis
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-30Pfizer-BioNTech
22021-04-23Pfizer-BioNTech

Free text

Release 7 — day 7, dose 1

2021-04-08

Systemic reaction (other): Day after first inject, moderate fatigue, naps, 1 otc Tylenol

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Feeling need for a ( healthy) afternoon snack

2021-04-29

Systemic reaction (other): Post ARC surgery, I see L side black floaters , x 2 days now non existent

Release 9 — 3 months, dose 2

2021-07-23

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

2022-04-23

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

FieldPreferred term2021-092023-042024-11
SDPain in extremity ✓ · ✓
SDPre-existing disease ✓ · ✓
SROFatigue ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓
SROSurgery ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓
SROVitreous floaters ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release