4FR-28131-70887
4 vaccinations
5 coded responses
29 check-ins
5 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 61-65
- ZIP prefix
- 741 / OK
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Registered in v-safe
-
2021-02-19
Dose 1 — Pfizer-BioNTech
- 2021-02-19
-
2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: Shot appears to have been given more on waist, rather than hip.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-22
Survey response — days 1–6 daily, dose 1MedDRA: Product administered at inappropriate site — Feeling: Poor · Nausea · Be unable to do your normal daily activitiesFree text: As mentioned, injection was high on hip. Above briefs waistband.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite — Feeling: GoodFree text: Monday, didnt eat. Tuesday, ate late. Today, back to normal! Food is tasty again!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-03-01
- 2021-03-05
-
2021-03-12
Dose 2 — Pfizer-BioNTech
- 2021-03-18
- 2021-03-19
- 2021-03-28
- 2021-04-02
- 2021-04-10
- 2021-04-16
- 2021-04-23
- 2021-06-11
- 2021-09-11
-
2021-10-01
Dose 3 — Pfizer-BioNTech
- 2021-10-01
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-08
- 2021-10-17
-
2021-10-24
Survey response — day 21, dose 3MedDRA: Feeling abnormal, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Got a tetnus & a shingles shot. The next day only, about 24 hours after the shot, was so achy that I considered leaving work early. Looking back, I did a 3-hour dance class the evening after the shot & didn't really feel right after an hour or so..MedDRA releases: 2024-11 · check-in free text available
- 2021-11-07
- 2021-11-12
- 2021-12-31
- 2022-04-01
-
2022-04-07
Dose 4 — Pfizer-BioNTech
- 2022-05-15
-
2022-05-21
Survey response — day 42, dose 4MedDRA: Conjunctivitis, Ingrowing nail, Pharyngitis streptococcal — Feeling: Good · 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: Ingrown toenail, conjunctivitis, & strep throat.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-21
Report sent to call center — day 42, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-05-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Pfizer-BioNTech | |
| 2 | 2021-03-12 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-04-07 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Shot appears to have been given more on waist, rather than hip.
Systemic reaction (other): As mentioned, injection was high on hip. Above briefs waistband.
Systemic reaction (other): Monday, didnt eat. Tuesday, ate late. Today, back to normal! Food is tasty again!
Release 10 — day 21, dose 3
Symptoms: Got a tetnus & a shingles shot. The next day only, about 24 hours after the shot, was so achy that I considered leaving work early. Looking back, I did a 3-hour dance class the evening after the shot & didn't really feel right after an hour or so.. cut off by CDC
Release 11 — day 42, dose 4
Symptoms: Ingrown toenail, conjunctivitis, & strep throat.
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 | Conjunctivitis | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Ingrowing nail | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pharyngitis streptococcal | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Product administered at inappropriate site | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release