4CH-22322-95096
3 vaccinations
6 coded responses
26 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 606 / IL
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Dose 1 — Pfizer-BioNTech
-
2021-04-08
Registered in v-safe
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
-
2021-04-12
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia — Feeling: GoodFree text: I realized in talking with a friend yesterday that I had joint aches last week. At the time, I just thought oh, Im old, but no joint aches this week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-20
-
2021-04-27
Dose 2 — Pfizer-BioNTech
-
2021-04-27
Survey response — day 0, dose 2MedDRA: Headache — Feeling: Fair · HeadacheFree text: I had the headache when I woke up today, it isnt from the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
-
2021-07-27
Survey response — 3 months, dose 2MedDRA: Abdominal pain upper, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Right nostril has been runny off and on over a month. Stomach cramps occasionally in last two weeks.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-26
Survey response — 6 months, dose 2MedDRA: Rhinorrhoea — Feeling: GoodFree text: Right nostril was runny.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-15
Dose 3 — Pfizer-BioNTech
- 2022-04-27
-
2022-04-27
Survey response — 12 months, dose 2MedDRA: COVID-19, Gout — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I got Covid then I had an attack of gout.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-14
Survey response — 3 months, dose 3MedDRA: COVID-19, Gastritis, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Had Covid. Had flare-up of gastritis.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-14
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-15
- 2023-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Pfizer-BioNTech | |
| 2 | 2021-04-27 | Pfizer-BioNTech | |
| 3 | 2022-03-15 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I realized in talking with a friend yesterday that I had joint aches last week. At the time, I just thought oh, Im old, but no joint aches this week.
Release 8 — day 0, dose 2
Systemic reaction (other): I had the headache when I woke up today, it isnt from the shot.
Release 9 — 3 months, dose 2
Symptoms: Right nostril has been runny off and on over a month. Stomach cramps occasionally in last two weeks.
Release 10 — 6 months, dose 2
Symptoms: Right nostril was runny.
Release 11 — 12 months, dose 2
Symptoms: I got Covid then I had an attack of gout.
Release 12 — 3 months, dose 3
Symptoms: Had Covid. Had flare-up of gastritis.
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 | Abdominal pain upper | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Gastritis | · | · | ✓ |
| SD | Gout | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release