4BG-33612-00268
4 vaccinations
6 coded responses
38 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 784 / TX
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Pfizer-BioNTech
-
2021-03-06
Registered in v-safe
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
-
2021-03-26
Dose 2 — Pfizer-BioNTech
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-31
- 2021-04-01
- 2021-04-03
- 2021-04-09
- 2021-04-16
- 2021-04-26
- 2021-05-01
-
2021-05-07
Survey response — day 42, dose 2MedDRA: Sciatica — Feeling: FairFree text: I have sciatica pain re starting this week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-26
Survey response — 3 months, dose 2MedDRA: Chest injury, Fall, Joint injury, Limb injury, Nasal injury — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I fell forward when doing yard work and hurt my R big toe, the bridge of my nose, my R ribs and my R knee.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-26
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-08
- 2021-09-26
-
2021-11-13
Dose 3 — Pfizer-BioNTech
-
2021-11-20
Survey response — day 7, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2021-11-28
- 2021-12-04
- 2021-12-12
- 2021-12-20
- 2022-02-13
- 2022-05-14
-
2022-10-04
Dose 4 — Pfizer-BioNTech
-
2022-10-04
Survey response — day 0, dose 4MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2022-10-05
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue — Feeling: Good · Site: PainFree text: When I reported being tired yesterday, that probably didn't have anything to do with the shot.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-06
- 2022-10-11
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-10
-
2022-11-17
Survey response — day 42, dose 4MedDRA: Dizziness, Hyperhidrosis, Mobility decreased, Vertigo — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I had a severe vertigo attack yesterday about 5pm. I experienced dizziness, the room was spinning and I was sweating profusely. I went down to the floor and crawled to bed.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Pfizer-BioNTech | |
| 2 | 2021-03-26 | Pfizer-BioNTech | |
| 3 | 2021-11-13 | Pfizer-BioNTech | No |
| 4 | 2022-10-04 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — day 42, dose 2
Symptoms: I have sciatica pain re starting this week.
Release 9 — 3 months, dose 2
Symptoms: I fell forward when doing yard work and hurt my R big toe, the bridge of my nose, my R ribs and my R knee.
Release 10 — day 7, dose 3
Systemic reaction (other): No
Release 12 — day 0, dose 4
Systemic reaction (other): No
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): When I reported being tired yesterday, that probably didn't have anything to do with the shot.
Release 12 — day 42, dose 4
Symptoms: I had a severe vertigo attack yesterday about 5pm. I experienced dizziness, the room was spinning and I was sweating profusely. I went down to the floor and crawled to bed.
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 | Chest injury | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fall | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Joint injury | ✓ | ✓ | ✓ |
| SD | Limb injury | ✓ | ✓ | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Nasal injury | ✓ | ✓ | ✓ |
| SD | Sciatica | ✓ | ✓ | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release