54P-54297-61703
2 vaccinations
8 coded responses
23 check-ins
8 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 441 / OH
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-13
Registered in v-safe
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2021-03-13
Dose 1 — Pfizer-BioNTech
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2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
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2021-03-20
Health check-in — day 7, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to workAdult check-in
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2021-03-27
Survey response — day 14, dose 1MedDRA: Fatigue, Insomnia, Myalgia, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Increased fatigue & chest congestion; difficulty sleeping; mild muscle aches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Dose 2 — Pfizer-BioNTech
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2021-04-03
Survey response — day 0, dose 2MedDRA: Hypersensitivity, Respiratory disorder — Feeling: Good · Site: PainFree text: Upper respiratory allergies to indoor environment.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Lower respiratory tract congestion, Pre-existing disease, Upper respiratory tract congestion — Feeling: Poor · Fatigue or tiredness · Be unable to workFree text: Upper/Lower Repiratory Congestion (Allergies)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — day 7, dose 2MedDRA: Diarrhoea — Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to workFree text: Diarrhea likely due to unrelated health issue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — day 14, dose 2MedDRA: Respiratory tract congestion — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Upper/Lower chest congestion. Worsening within past week. Most likely 2° to environmental allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — day 21, dose 2MedDRA: Cough, Lower respiratory tract congestion, Upper respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cough and upper and lower resp. congestion likely secondary to reaction from indoor environmental allergen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
- 2021-05-10
- 2021-05-15
- 2021-07-03
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2021-10-04
Survey response — 6 months, dose 2MedDRA: Anosmia, Chest discomfort, Dyspnoea, Medical counselling, Pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Loss of smell, tightness in chest, body aches, easily winded. · Healthcare visit (other): Drive through PCR testing site (physician's order required)MedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-11-22
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2021-11-22
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-04-03
Survey response — 12 months, dose 2MedDRA: Medical counselling, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Mid-Late September: I likely contracted a mild, breakthrough case of Covid. Sx consistent with COVID-19, including temp. lack of sense of smell. In early-mid November, I received my 3rd dose of Pfizer vaccine. · Healthcare visit (other): In Sept, phone call to PCP for authentic. of drive-through PCR test (returned negative after 7 days of sx)MedDRA releases: 2024-11 · check-in free text available
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2022-04-03
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Pfizer-BioNTech | |
| 2 | 2021-04-03 | Pfizer-BioNTech |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 6 — day 14, dose 1
Symptoms: Increased fatigue & chest congestion; difficulty sleeping; mild muscle aches.
Release 6 — day 0, dose 2
Systemic reaction (other): Upper respiratory allergies to indoor environment.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Upper/Lower Repiratory Congestion (Allergies)
Release 7 — day 7, dose 2
Systemic reaction (other): Diarrhea likely due to unrelated health issue.
Release 7 — day 14, dose 2
Symptoms: Upper/Lower chest congestion. Worsening within past week. Most likely 2° to environmental allergies.
Release 7 — day 21, dose 2
Symptoms: Cough and upper and lower resp. congestion likely secondary to reaction from indoor environmental allergen.
Release 9 — 6 months, dose 2
Symptoms: Loss of smell, tightness in chest, body aches, easily winded.
Healthcare visit (other): Drive through PCR testing site (physician's order required)
Release 11 — 12 months, dose 2
Symptoms: Mid-Late September: I likely contracted a mild, breakthrough case of Covid. Sx consistent with COVID-19, including temp. lack of sense of smell. In early-mid November, I received my 3rd dose of Pfizer vaccine.
Healthcare visit (other): In Sept, phone call to PCP for authentic. of drive-through PCR test (returned negative after 7 days of sx)
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 | Medical counselling | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Lower respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Upper respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Lower respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Respiratory disorder | ✓ | ✓ | ✓ |
| SRO | Upper respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release