4ZA-21488-16808
4 vaccinations
4 coded responses
36 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 305 / GA
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Dose 1 — Pfizer-BioNTech
-
2021-02-23
Registered in v-safe
- 2021-02-23
-
2021-03-02
Dose 2 — Pfizer-BioNTech
- 2021-03-02
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-08
- 2021-04-13
- 2021-06-01
-
2021-08-31
Survey response — 6 months, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: GoodFree text: Shoulder in the arm that had the Phizer vaccine was given has gotten sore more then what it was prior to the shot. Othereise all else is normal.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-28
Dose 3 — Pfizer-BioNTech
-
2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Injection site pain — Feeling: Good · Site: Pain · Joint painsFree text: Sore shoulder where shots 1 and 2 were taken and just sore at the injection area of number 3 shot.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-12
-
2021-10-19
Survey response — day 21, dose 3MedDRA: Arthralgia — Feeling: GoodFree text: Just continued right shoulder pain when sleeping. Has been since the first shot but did not mention in previous check ins.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-26
- 2021-11-02
- 2021-11-09
-
2021-12-28
Survey response — 3 months, dose 3MedDRA: Cough, Exposure to SARS-CoV-2 — Feeling: GoodFree text: Slight cough only after family gatherings where 7 have reported COVID positive with mild symptoms.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-29
-
2022-04-05
Dose 4 — Pfizer-BioNTech
- 2022-04-15
- 2022-04-19
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-07-06
- 2022-10-04
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Pfizer-BioNTech | |
| 2 | 2021-03-02 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
| 4 | 2022-04-05 | Pfizer-BioNTech | No |
Free text
Release 9 — 6 months, dose 2
Symptoms: Shoulder in the arm that had the Phizer vaccine was given has gotten sore more then what it was prior to the shot. Othereise all else is normal.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Sore shoulder where shots 1 and 2 were taken and just sore at the injection area of number 3 shot.
Release 10 — day 21, dose 3
Symptoms: Just continued right shoulder pain when sleeping. Has been since the first shot but did not mention in previous check ins.
Release 10 — 3 months, dose 3
Symptoms: Slight cough only after family gatherings where 7 have reported COVID positive with mild symptoms.
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 | Arthralgia | · | · | ✓ |
| SD | Condition aggravated | ✓ | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release