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
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Pfizer-BioNTech
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
-
2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: GoodFree 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
-
2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Contusion — Feeling: GoodFree 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
- 2021-02-04
- 2021-02-11
-
2021-02-18
Dose 2 — Pfizer-BioNTech
- 2021-02-25
-
2021-03-04
Survey response — day 14, dose 2MedDRA: Injection site pain, Lymphadenopathy — Feeling: GoodFree text: My vaccination arm is very sore at the muscle vaccinated and the glands in my throat seem swollen for the last two daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
-
2021-03-18
Survey response — day 28, dose 2MedDRA: Mobility decreased, Neck pain, Pain, Supraclavicular fossa pain — Feeling: FairFree 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
- 2021-03-25
- 2021-04-01
- 2021-05-20
- 2021-08-19
-
2021-10-22
Dose 3 — Pfizer-BioNTech
- 2022-02-18
-
2022-04-07
Dose 4 — Pfizer-BioNTech
- 2022-04-18
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-20
- 2022-07-07
-
2022-09-13
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-06
Survey response — 6 months, dose 4MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had COVID-19 for 14 day this past July.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-13
- 2022-10-18
- 2022-10-25
- 2022-12-13
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Pfizer-BioNTech | |
| 2 | 2021-02-18 | Pfizer-BioNTech | |
| 3 | 2021-10-22 | Pfizer-BioNTech | No |
| 4 | 2022-04-07 | Pfizer-BioNTech | No |
| 5 | 2022-09-13 | Pfizer-BioNTech | Flu |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): A significant bruise on the bicep of the vaccinated arm appeared. No known cause; no pain associated with it.
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
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | COVID-19 | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Supraclavicular fossa pain | ✓ | ✓ | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release