4CZ-20161-35514
5 vaccinations
18 coded responses
51 check-ins
17 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 781 / TX
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Registered in v-safe
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2021-01-11
Dose 1 — Pfizer-BioNTech
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2021-01-11
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Fair · HeadacheFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Fair · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
- 2021-01-17
-
2021-01-18
Survey response — day 7, dose 1MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Good · Fatigue or tirednessFree text: Mountain Cedar AllergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
-
2021-02-01
Dose 2 — Pfizer-BioNTech
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-05-03
- 2021-08-02
-
2021-09-29
Dose 3 — Pfizer-BioNTech
- 2021-09-29
-
2021-09-30
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain, Self-medication — Feeling: Fair · Site: PainFree text: Feel better after using pain cream on injection areaMedDRA releases: 2024-11 · check-in free text available
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-06
- 2021-10-13
- 2021-10-20
- 2021-10-27
- 2021-11-03
- 2021-11-10
- 2021-12-29
- 2022-03-30
-
2022-04-15
Dose 4 — Pfizer-BioNTech
- 2022-04-15
- 2022-04-16
-
2022-04-18
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: Good · Site: Pain · Joint painsFree text: NOMedDRA releases: 2024-11 · check-in free text available
-
2022-04-20
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: GoodFree text: NOMedDRA releases: 2024-11 · check-in free text available
-
2022-04-21
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: Good · FeverFree text: No everything is fineMedDRA releases: 2024-11 · check-in free text available
- 2022-04-22
- 2022-04-30
- 2022-05-08
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2022-05-13
Survey response — day 28, dose 4MedDRA: Oropharyngeal pain, Self-medication — Feeling: FairFree text: Had a sore throat this week starting on Monday, been taking Coricidin COLD & FLU, that helped some but yesterday I gargled with warm saltwater with a tbsp of bacon soda in it, that helped me more, I'm feeling alot better.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-20
- 2022-05-27
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2022-07-15
Survey response — 3 months, dose 4MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I had covid-19 about the 2nd week of June, I did the home test from the government that came through the Postal serviceMedDRA releases: 2024-11 · check-in free text available
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2022-09-19
Dose 5 — Pfizer-BioNTech
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2022-09-19
Survey response — day 0, dose 5MedDRA: Nervousness — Feeling: Fair · NauseaFree text: NervousnessMedDRA releases: 2024-11 · check-in free text available
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2022-09-20
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Good · Site: Swelling · Joint painsFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-09-21
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Fair · Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-09-22
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Fair · Fever · Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-09-23
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Fair · Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-09-24
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Fair · Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-09-28
Survey response — day 7, dose 5MedDRA: No adverse event — Feeling: Fair · Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-10-03
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2022-10-10
Survey response — day 21, dose 5MedDRA: Arthralgia — Feeling: FairFree text: Some pain in my right shoulder joint, usually at night when laying down restingMedDRA releases: 2024-11 · check-in free text available
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-12-19
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2023-03-20
Survey response — 6 months, dose 5MedDRA: Arthralgia, Physiotherapy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-03-20
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Pfizer-BioNTech | |
| 2 | 2021-02-01 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
| 4 | 2022-04-15 | Pfizer-BioNTech | No |
| 5 | 2022-09-19 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): None
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): No
Release 2 — day 7, dose 1
Systemic reaction (other): Mountain Cedar Allergies
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Feel better after using pain cream on injection area
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): NO
Systemic reaction (other): NO
Systemic reaction (other): No everything is fine
Release 11 — day 28, dose 4
Symptoms: Had a sore throat this week starting on Monday, been taking Coricidin COLD & FLU, that helped some but yesterday I gargled with warm saltwater with a tbsp of bacon soda in it, that helped me more, I'm feeling alot better.
Release 12 — 3 months, dose 4
Symptoms: I had covid-19 about the 2nd week of June, I did the home test from the government that came through the Postal service
Release 12 — day 0, dose 5
Systemic reaction (other): Nervousness
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): No
Systemic reaction (other): No
Systemic reaction (other): No
Systemic reaction (other): No
Systemic reaction (other): No
Release 12 — day 7, dose 5
Systemic reaction (other): No
Release 12 — day 21, dose 5
Symptoms: Some pain in my right shoulder joint, usually at night when laying down resting
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 |
|---|---|---|---|---|
| HCVO | Physiotherapy | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Hypersensitivity | ○ | ✓ | ○ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Nervousness | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release