4J4-19372-67831
3 vaccinations
9 coded responses
27 check-ins
9 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 010 / MA
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Registered in v-safe
-
2021-03-22
Dose 1 — Pfizer-BioNTech
-
2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Joint painsFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Joint painsFree text: I dont think the joint pain is related. It is only in my knee and has been giving me trouble for a while. Just getting worse now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-04-05
-
2021-04-12
Dose 2 — Pfizer-BioNTech
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia — Feeling: Fair · Fatigue or tiredness, DiarrheaFree text: A spacey mind numbing feeling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Disturbance in attention, Feeling abnormal — Feeling: Good · Joint painsFree text: Still a bit spacey unable to focus well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-18
- 2021-04-19
- 2021-04-26
- 2021-05-03
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2021-05-11
Survey response — day 28, dose 2MedDRA: Anxiety, Insomnia, Knee operation, Mobility decreased, Surgery — Feeling: GoodFree text: I had knee surgery wed. May 5th as far as covid I do not have any lingering symptoms. Just anxiety fromLast of sleep and not being able to get around.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
- 2021-05-24
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2021-07-12
Survey response — 3 months, dose 2MedDRA: SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: I had all the symptoms of covid last weekBut test turned Out negative. Still looking for reason.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-11
Survey response — 6 months, dose 2MedDRA: Lyme disease — 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: Lyme diseaseMedDRA releases: 2024-11 · check-in free text available
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2021-10-11
Report sent to call center — 6 months, dose 2Be 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)
- 2021-10-29
-
2021-11-01
Dose 3 — Pfizer-BioNTechCo-administered: Flu
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2021-11-12
Survey response — day 7, dose 3MedDRA: No adverse event — Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-01-31
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2022-05-02
Survey response — 6 months, dose 3MedDRA: Asthenia, Cold sweat, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Diarrhea, cold sweats, lack of energy.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Pfizer-BioNTech | |
| 2 | 2021-04-12 | Pfizer-BioNTech | |
| 3 | 2021-11-01 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): No
Systemic reaction (other): I dont think the joint pain is related. It is only in my knee and has been giving me trouble for a while. Just getting worse now.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): A spacey mind numbing feeling.
Systemic reaction (other): Still a bit spacey unable to focus well.
Release 8 — day 28, dose 2
Symptoms: I had knee surgery wed. May 5th as far as covid I do not have any lingering symptoms. Just anxiety fromLast of sleep and not being able to get around.
Release 9 — 3 months, dose 2
Symptoms: I had all the symptoms of covid last weekBut test turned Out negative. Still looking for reason.
Release 10 — 6 months, dose 2
Symptoms: Lyme disease
Release 10 — day 7, dose 3
Systemic reaction (other): No
Release 11 — 6 months, dose 3
Symptoms: Diarrhea, cold sweats, lack of energy.
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 | Anxiety | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Cold sweat | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Knee operation | · | · | ✓ |
| SD | Lyme disease | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Surgery | ✓ | ✓ | ○ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release