4JF-21235-32106
5 vaccinations
4 coded responses
46 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 331 / FL
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 1 — Pfizer-BioNTech
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
-
2021-03-19
Dose 2 — Pfizer-BioNTech
- 2021-03-19
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-22
- 2021-03-23
-
2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Hot flush, Joint swelling — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: 1) I have had a red, soft, swollen circle around my right elbow since Saturday (the day after my second shot). Is the related to the vaccine? How should I treat it? 2) I have had minor hot flashes intermittently over the last two days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Skin swelling — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I still have red ring of puffy skin around my right elbow. Can you advise what that is and how to treat it?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Survey response — day 7, dose 2MedDRA: Erythema, Skin swelling — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Still have swollen red ring around my elbow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-06-18
-
2021-08-27
Dose 3 — Pfizer-BioNTech
-
2022-03-19
Survey response — 12 months, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Be unable to work or attend schoolFree text: Reoccurrence of metastatic malignant melanoma.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-11
Dose 4 — Pfizer-BioNTech
- 2022-04-24
- 2022-04-25
- 2022-05-02
- 2022-05-11
- 2022-05-16
- 2022-05-23
- 2022-07-11
-
2022-09-16
Dose 5 — Pfizer-BioNTech
- 2022-09-16
-
2022-09-17
Health check-in — days 1–6 daily, dose 5Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-12-18
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Pfizer-BioNTech | |
| 2 | 2021-03-19 | Pfizer-BioNTech | |
| 3 | 2021-08-27 | Pfizer-BioNTech | No |
| 4 | 2022-04-11 | Pfizer-BioNTech | No |
| 5 | 2022-09-16 | Pfizer-BioNTech | No |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): 1) I have had a red, soft, swollen circle around my right elbow since Saturday (the day after my second shot). Is the related to the vaccine? How should I treat it? 2) I have had minor hot flashes intermittently over the last two days.
Systemic reaction (other): I still have red ring of puffy skin around my right elbow. Can you advise what that is and how to treat it?
Release 6 — day 7, dose 2
Systemic reaction (other): Still have swollen red ring around my elbow.
Release 11 — 12 months, dose 2
Symptoms: Reoccurrence of metastatic malignant melanoma.
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 | Condition aggravated | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Joint swelling | ✓ | ✓ | ✓ |
| SRO | Skin swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release