4RY-19989-63066
3 vaccinations
4 coded responses
23 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 921 / CA
- Registered
- 2021-04-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-21
Registered in v-safe
-
2021-04-21
Dose 1 — Pfizer-BioNTech
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-26
- 2021-04-27
-
2021-04-28
Survey response — day 7, dose 1MedDRA: Arthralgia, Arthritis, Pre-existing disease — Feeling: Good · Joint painsFree text: Joint pains due to arthritisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Survey response — day 14, dose 1MedDRA: Dyspepsia — Feeling: GoodFree text: Unbearable indigestion for 3 days straight, but believe its due to past ulcers.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
-
2021-05-20
Dose 2 — Pfizer-BioNTech
-
2021-05-21
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea — Feeling: Good · Fatigue or tiredness, DiarrheaFree text: Diarrhea was merely loose stool, 4 times total in the 24 hour period of receiving the 2nd vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-22
- 2021-05-23
- 2021-05-24
- 2021-05-25
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-06-19
- 2021-06-24
- 2021-07-01
-
2021-12-28
Dose 3 — Pfizer-BioNTech
-
2022-05-20
Survey response — 12 months, dose 2MedDRA: COVID-19, Exposure to SARS-CoV-2, Malaise, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: In January 2022 I believe I contracted Covid. I was sick in bed for 2 weeks and about 3 days prior after visiting my nephew who the day after my visit tested positive. I didnt get a test until after this and assume it was neg as i was not contactedMedDRA releases: 2024-11 · check-in free text available
- 2022-06-28
- 2022-12-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-21 | Pfizer-BioNTech | |
| 2 | 2021-05-20 | Pfizer-BioNTech | |
| 3 | 2021-12-28 | Pfizer-BioNTech | No |
Free text
Release 8 — day 7, dose 1
Systemic reaction (other): Joint pains due to arthritis
Release 8 — day 14, dose 1
Symptoms: Unbearable indigestion for 3 days straight, but believe its due to past ulcers.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Diarrhea was merely loose stool, 4 times total in the 24 hour period of receiving the 2nd vaccine
Release 11 — 12 months, dose 2
Symptoms: In January 2022 I believe I contracted Covid. I was sick in bed for 2 weeks and about 3 days prior after visiting my nephew who the day after my visit tested positive. I didnt get a test until after this and assume it was neg as i was not contacted cut off by CDC
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 | Dyspepsia | ✓ | ✓ | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Arthritis | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release