526-71365-41062
5 vaccinations
11 coded responses
63 check-ins
11 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 799 / TX
- Registered
- 2020-12-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-21
Registered in v-safe
-
2020-12-21
Dose 1 — Pfizer-BioNTech
- 2020-12-21
- 2020-12-22
- 2020-12-23
- 2020-12-24
- 2020-12-25
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2021-01-04
-
2021-01-08
Dose 2 — Pfizer-BioNTech
- 2021-01-08
-
2021-01-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
-
2021-01-15
Survey response — day 7, dose 2MedDRA: Night sweats — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tirednessFree text: Night sweats last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-22
Survey response — day 14, dose 2MedDRA: Abdominal distension, Abdominal pain lower, Constipation — Feeling: GoodFree text: Lower abdominal constipation with bloating.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-04-09
- 2021-07-09
-
2021-10-04
Dose 3 — Pfizer-BioNTech
- 2021-10-04
-
2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2021-10-06
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral, Tenderness — Feeling: Good · Site: PainFree text: Right armpit swelling quite significant and moderately tender on the same side as the injection.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-07
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: Good · Site: PainFree text: Armpit edema on vaccinated arm persists todayMedDRA releases: 2024-11 · check-in free text available
-
2021-10-08
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: GoodFree text: Armpit swelling on side of injection persists todayMedDRA releases: 2024-11 · check-in free text available
-
2021-10-09
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral, Scleral haemorrhage — Feeling: GoodFree text: Small amount of armpit edema remaining on vaccinated side. Noticed left eye sclera hemorrhage this morning.MedDRA releases: 2024-11 · check-in free text available
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2021-10-10
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral, Scleral haemorrhage — Feeling: GoodFree text: Small amount of armpit edema on injection side and left eye with scleral hemorrhage remains this morningMedDRA releases: 2024-11 · check-in free text available
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2021-10-11
Survey response — day 7, dose 3MedDRA: Oedema peripheral, Scleral haemorrhage — Feeling: GoodFree text: Right axila edema and left eye scleral hemorrhage continue to slowly resolveMedDRA releases: 2024-11 · check-in free text available
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
-
2021-11-15
Survey response — day 42, dose 3MedDRA: Increased upper airway secretion, Throat irritation — Feeling: FairFree text: Scratchy throat with mucus in my upper airwaysMedDRA releases: 2024-11 · check-in free text available
- 2022-01-03
- 2022-04-04
-
2022-05-23
Dose 4 — Pfizer-BioNTech
- 2022-05-23
-
2022-05-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-05-25
- 2022-05-26
- 2022-05-27
- 2022-05-28
- 2022-05-29
- 2022-06-01
- 2022-06-06
- 2022-06-13
- 2022-06-20
- 2022-06-27
- 2022-07-04
- 2022-08-22
-
2022-10-10
Dose 5 — Pfizer-BioNTech
- 2022-10-15
- 2022-10-16
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
-
2022-11-21
Survey response — day 42, dose 5MedDRA: Nasopharyngitis — Feeling: GoodFree text: Cold symptomsMedDRA releases: 2024-11 · check-in free text available
- 2023-01-09
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-21 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech | |
| 3 | 2021-10-04 | Pfizer-BioNTech | No |
| 4 | 2022-05-23 | Pfizer-BioNTech | No |
| 5 | 2022-10-10 | Pfizer-BioNTech | No |
Free text
Release 2 — day 7, dose 2
Systemic reaction (other): Night sweats last night.
Release 2 — day 14, dose 2
Symptoms: Lower abdominal constipation with bloating.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): No
Systemic reaction (other): Right armpit swelling quite significant and moderately tender on the same side as the injection.
Systemic reaction (other): Armpit edema on vaccinated arm persists today
Systemic reaction (other): Armpit swelling on side of injection persists today
Systemic reaction (other): Small amount of armpit edema remaining on vaccinated side. Noticed left eye sclera hemorrhage this morning.
Systemic reaction (other): Small amount of armpit edema on injection side and left eye with scleral hemorrhage remains this morning
Release 10 — day 7, dose 3
Systemic reaction (other): Right axila edema and left eye scleral hemorrhage continue to slowly resolve
Release 10 — day 42, dose 3
Symptoms: Scratchy throat with mucus in my upper airways
Release 12 — day 42, dose 5
Symptoms: Cold 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 | Abdominal distension | ✓ | ✓ | ✓ |
| SD | Abdominal pain lower | ✓ | ✓ | ✓ |
| SD | Constipation | ✓ | ✓ | ✓ |
| SD | Increased upper airway secretion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Scleral haemorrhage | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release