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4R5-12180-46693

5 vaccinations 5 coded responses 31 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
221 / VA
Registered
2021-01-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-28
    Registered in v-safe
  2. 2021-01-28
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-28
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising — Feeling: Good
    Free text: A significant bruise on the bicep of the vaccinated arm appeared. No known cause; no pain associated with it.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Contusion — Feeling: Good
    Free text: In addition to a bruise on the bicep of my vaccinated arm, today I discovered new bruises on my left and right thighs. No cause; but no pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-18
    Dose 2 — Pfizer-BioNTech
  13. 2021-02-25
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-04
    Survey response — day 14, dose 2
    MedDRA: Injection site pain, Lymphadenopathy — Feeling: Good
    Free text: My vaccination arm is very sore at the muscle vaccinated and the glands in my throat seem swollen for the last two days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-18
    Survey response — day 28, dose 2
    MedDRA: Mobility decreased, Neck pain, Pain, Supraclavicular fossa pain — Feeling: Fair
    Free text: The left side of my neck and collarbone area became very sore and limited the amount of pain-free movement of my head. I almost contacted my doctor for advice.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-01
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-20
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-19
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-10-22
    Dose 3 — Pfizer-BioNTech
  22. 2022-02-18
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-04-07
    Dose 4 — Pfizer-BioNTech
  24. 2022-04-18
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  25. 2022-04-21
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-04-28
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-05-05
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-05-12
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-05-20
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-07-07
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-09-13
    Dose 5 — Pfizer-BioNTech
    Co-administered: Flu
  32. 2022-10-06
    Survey response — 6 months, dose 4
    MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities
    Free text: I had COVID-19 for 14 day this past July.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-10-13
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  34. 2022-10-18
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  35. 2022-10-25
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  36. 2022-12-13
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  37. 2023-03-14
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Pfizer-BioNTech
22021-02-18Pfizer-BioNTech
32021-10-22Pfizer-BioNTech No
42022-04-07Pfizer-BioNTech No
52022-09-13Pfizer-BioNTech Flu

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-02

Systemic reaction (other): A significant bruise on the bicep of the vaccinated arm appeared. No known cause; no pain associated with it.

2021-02-03

Systemic reaction (other): In addition to a bruise on the bicep of my vaccinated arm, today I discovered new bruises on my left and right thighs. No cause; but no pain.

Release 5 — day 14, dose 2

2021-03-04

Symptoms: My vaccination arm is very sore at the muscle vaccinated and the glands in my throat seem swollen for the last two days

Release 5 — day 28, dose 2

2021-03-18

Symptoms: The left side of my neck and collarbone area became very sore and limited the amount of pain-free movement of my head. I almost contacted my doctor for advice.

Release 12 — 6 months, dose 4

2022-10-06

Symptoms: I had COVID-19 for 14 day this past July.

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
SDCOVID-19 · · ✓
SDInjection site pain ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDMobility decreased ✓ ✓ ✓
SDNeck pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDSupraclavicular fossa pain ✓ ✓ ✓
SROContusion ✓ ✓ ✓
SROInjection site bruising ✓ ✓ ✓

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