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56Y-16966-85362

4 vaccinations 4 coded responses 15 check-ins 4 free-text entries 0 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
926 / CA
Registered
2021-08-20
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-19
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-09
    Dose 2 — Pfizer-BioNTech
  3. 2021-08-20
    Registered in v-safe
  4. 2021-08-20
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  5. 2021-08-20
    Survey response — day 0, dose 3
    MedDRA: Dizziness, Immediate post-injection reaction — Feeling: Good
    Free text: A little dizziness immediately after the shot and continuing off an hour for about an hour. Nothing bad, it was just noticeable
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  6. 2021-08-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-08-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-08-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  9. 2021-08-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  10. 2021-08-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  11. 2021-08-27
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  12. 2021-09-03
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  13. 2021-09-12
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-09-19
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-09-24
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-10-01
    Survey response — day 42, dose 3
    MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Good
    Free text: Over the last 24 hours a slightly sore throat and may be slightly swollen gland. Throat however looks pink and healthy and its not a stingingFeeling, and I think rather related to a little bit of a swollen gland.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-11-21
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  18. 2022-01-20
    Dose 4 — Pfizer-BioNTech
  19. 2022-02-20
    Survey response — 6 months, dose 3
    MedDRA: Dizziness, Malaise — Feeling: Good
    Free text: 3 days after last jab I experienced a bout of severe dizziness and a feeling of unwellness while in the shower I had to get out and lay down and then the symptoms went away shortly after it has not reoccurred
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-04-21
    Survey response — 3 months, dose 4
    MedDRA: Oropharyngeal pain, Patient isolation — Feeling: Good
    Free text: minor ache in throat For a few hoursthis last Monday. symptom reappeared yesterday for just a short while. Everything fine now i should note that I returned to office One day a wk which has been my first exposure to people in 2yrs. I wore kn95 mask
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-19Pfizer-BioNTech No
22021-04-09Pfizer-BioNTech No
32021-08-20Pfizer-BioNTech Flu
42022-01-20Pfizer-BioNTech No

Free text

Release 9 — day 0, dose 3

2021-08-20

Systemic reaction (other): A little dizziness immediately after the shot and continuing off an hour for about an hour. Nothing bad, it was just noticeable

Release 9 — day 42, dose 3

2021-10-01

Symptoms: Over the last 24 hours a slightly sore throat and may be slightly swollen gland. Throat however looks pink and healthy and its not a stingingFeeling, and I think rather related to a little bit of a swollen gland.

Release 11 — 6 months, dose 3

2022-02-20

Symptoms: 3 days after last jab I experienced a bout of severe dizziness and a feeling of unwellness while in the shower I had to get out and lay down and then the symptoms went away shortly after it has not reoccurred

Release 11 — 3 months, dose 4

2022-04-21

Symptoms: minor ache in throat For a few hoursthis last Monday. symptom reappeared yesterday for just a short while. Everything fine now i should note that I returned to office One day a wk which has been my first exposure to people in 2yrs. I wore kn95 mask 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

FieldPreferred term2021-092023-042024-11
SDDizziness · · ✓
SDLymphadenopathy · · ✓
SDMalaise · · ✓
SDOropharyngeal pain · · ✓
SDPatient isolation · · ✓
SRODizziness ✓ · ✓
SROImmediate post-injection reaction ✓ · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release