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4FD-11250-09789

2 vaccinations 7 coded responses 23 check-ins 7 free-text entries 0 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
028 / RI
Registered
2021-03-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-06
    Registered in v-safe
  2. 2021-03-06
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-06
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus — Feeling: Good · Site: Pain
    Free text: My arms get itchy in small areas for short amounts of time. Maybe 3-4 times in 24 hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Sluggishness — Feeling: Fair · Site: Pain · Fever · Nausea · Be unable to work
    Free text: A little sluggish and dizzy this morning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Feeling abnormal — Feeling: Fair · Fatigue or tiredness, Nausea
    Free text: Feeling spacy and dizzy - mostly in the morning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  9. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  10. 2021-03-13
    Health check-in — day 7, dose 1
    Feeling: Good · Headache
    Adult check-in
  11. 2021-03-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-27
    Survey response — day 21, dose 1
    MedDRA: Abdominal pain upper, Decreased appetite, Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: This week my stomach was a little painful, and I wasn't as hungry, and I had mild headaches in and off.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-28
    Dose 2 — Pfizer-BioNTech
  14. 2021-03-28
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Abdominal pain
    Adult check-in
  15. 2021-03-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Self-medication — Feeling: Good · Site: Pain
    Free text: I took some acetaminophen today, and have felt good all day so far.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling jittery — Feeling: Good · Site: Pain · Fever · Joint pains
    Free text: I felt jittery today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-04
    Health check-in — day 7, dose 2
    Feeling: Good · Fever · None
    Adult check-in
  20. 2021-04-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-25
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Myalgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Week-long pain in R arm - in the forearm, elbow, and bicep area. It's worse when the elbow is bent for a time. This is not a regular ache or pain for me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-09-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-03-30
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Pfizer-BioNTech
22021-03-28Pfizer-BioNTech

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): My arms get itchy in small areas for short amounts of time. Maybe 3-4 times in 24 hours.

2021-03-08

Systemic reaction (other): A little sluggish and dizzy this morning.

2021-03-09

Systemic reaction (other): Feeling spacy and dizzy - mostly in the morning.

Release 6 — day 21, dose 1

2021-03-27

Symptoms: This week my stomach was a little painful, and I wasn't as hungry, and I had mild headaches in and off.

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): I took some acetaminophen today, and have felt good all day so far.

2021-03-30

Systemic reaction (other): I felt jittery today.

Release 7 — day 28, dose 2

2021-04-25

Symptoms: Week-long pain in R arm - in the forearm, elbow, and bicep area. It's worse when the elbow is bent for a time. This is not a regular ache or pain for me.

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
SDAbdominal pain upper ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDDecreased appetite ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMyalgia · · ✓
SDPain in extremity ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROFeeling jittery ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSluggishness ✓ ✓ ✓

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