54L-14118-58636
5 vaccinations
11 coded responses
60 check-ins
11 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 982 / WA
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Pfizer-BioNTech
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
-
2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Hyponatraemia — Feeling: FairFree text: Light headed, probably hyponatremia - no fault of the injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-03-05
Dose 2 — Pfizer-BioNTech
- 2021-03-05
- 2021-03-06
-
2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-04-16
Survey response — day 42, dose 2MedDRA: Arthralgia, Muscular weakness — Feeling: Good · Be unable to do your normal daily activitiesFree text: My left knee suddenly weakened and started to hurt. I dont remember any trauma that might have caused this; however, I dont think this has anything to do with the vaccine. Im 67 years old and things might just be wearing out.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-04
-
2021-09-03
Survey response — 6 months, dose 2MedDRA: Aphasia, COVID-19, Hypoaesthesia, Speech disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My feet get numb when I ride my recumbent bicycle. This is totally new since COVID. I am also having problems with speech. I lose common words in conversation.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-29
Dose 3 — Pfizer-BioNTech
- 2021-09-29
- 2021-09-30
- 2021-10-01
-
2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Poor · Headache · Be unable to do your normal daily activitiesFree text: Light headedMedDRA releases: 2024-11 · check-in free text available
-
2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Balance disorder, Dizziness — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: Light headed and unstable on my feet.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Light headedMedDRA releases: 2024-11 · check-in free text available
- 2021-10-06
- 2021-10-13
- 2021-10-20
- 2021-10-27
- 2021-11-03
- 2021-11-11
-
2021-12-29
Survey response — 3 months, dose 3MedDRA: Adverse reaction, Herpes zoster, Hospitalisation — Feeling: Good · Be unable to do your normal daily activitiesFree text: My second shingles shot put me in the hospital. Shingles has been related to long covid. I'm wondering if my infection history relates to my shingles vaccine reaction?MedDRA releases: 2024-11 · check-in free text available
-
2022-03-30
Survey response — 6 months, dose 3MedDRA: Arthralgia, Joint instability, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Left knee has intermittent extreme pain with near collapse. I am seeing my doctor in a few days. My annual physical happened to be coming up so I'm waiting for that. · Healthcare visit (other): Annual physical.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-30
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-06
-
2022-04-07
Dose 4 — Moderna
-
2022-04-14
Survey response — day 7, dose 4MedDRA: Abdominal pain, Blood pressure decreased — Feeling: Poor · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: 117/72 BP Slightly low. Abdominal pain moderate yesterday. I believe I caught something from my wife.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
-
2022-04-28
Survey response — day 21, dose 4MedDRA: Myalgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Back muscle pain increasing.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-07
- 2022-05-12
- 2022-05-19
- 2022-07-07
-
2022-10-01
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-03
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-10-04
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-08
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-11-05
- 2022-11-12
-
2022-12-31
Survey response — 3 months, dose 5MedDRA: Tendonitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Achilles TendinitisMedDRA releases: 2024-11 · check-in free text available
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Pfizer-BioNTech | |
| 2 | 2021-03-05 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
| 4 | 2022-04-07 | Moderna | No |
| 5 | 2022-10-01 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Light headed, probably hyponatremia - no fault of the injection.
Release 7 — day 42, dose 2
Symptoms: My left knee suddenly weakened and started to hurt. I dont remember any trauma that might have caused this; however, I dont think this has anything to do with the vaccine. Im 67 years old and things might just be wearing out.
Release 9 — 6 months, dose 2
Symptoms: My feet get numb when I ride my recumbent bicycle. This is totally new since COVID. I am also having problems with speech. I lose common words in conversation.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Light headed
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Light headed and unstable on my feet.
Systemic reaction (other): Light headed
Release 10 — 3 months, dose 3
Symptoms: My second shingles shot put me in the hospital. Shingles has been related to long covid. I'm wondering if my infection history relates to my shingles vaccine reaction?
Release 11 — 6 months, dose 3
Symptoms: Left knee has intermittent extreme pain with near collapse. I am seeing my doctor in a few days. My annual physical happened to be coming up so I'm waiting for that.
Healthcare visit (other): Annual physical.
Release 11 — day 7, dose 4
Systemic reaction (other): 117/72 BP Slightly low. Abdominal pain moderate yesterday. I believe I caught something from my wife.
Release 11 — day 21, dose 4
Symptoms: Back muscle pain increasing.
Release 12 — 3 months, dose 5
Symptoms: Achilles Tendinitis
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Adverse reaction | · | · | ✓ |
| SD | Aphasia | ✓ | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | COVID-19 | ✓ | · | ✓ |
| SD | Herpes zoster | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Hypoaesthesia | ✓ | · | ✓ |
| SD | Joint instability | · | · | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Speech disorder | ✓ | · | ✓ |
| SD | Tendonitis | · | · | ✓ |
| SRO | Abdominal pain | · | · | ✓ |
| SRO | Balance disorder | · | · | ✓ |
| SRO | Blood pressure decreased | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hyponatraemia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release