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
-
2021-03-19
Dose 1 — Pfizer-BioNTech
-
2021-04-09
Dose 2 — Pfizer-BioNTech
-
2021-08-20
Registered in v-safe
-
2021-08-20
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-08-20
Survey response — day 0, dose 3MedDRA: Dizziness, Immediate post-injection reaction — Feeling: GoodFree text: A little dizziness immediately after the shot and continuing off an hour for about an hour. Nothing bad, it was just noticeableMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-21
- 2021-08-22
- 2021-08-23
- 2021-08-24
- 2021-08-25
- 2021-08-27
- 2021-09-03
- 2021-09-12
- 2021-09-19
- 2021-09-24
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2021-10-01
Survey response — day 42, dose 3MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: GoodFree 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
- 2021-11-21
-
2022-01-20
Dose 4 — Pfizer-BioNTech
-
2022-02-20
Survey response — 6 months, dose 3MedDRA: Dizziness, Malaise — Feeling: GoodFree 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 reoccurredMedDRA releases: 2024-11 · check-in free text available
-
2022-04-21
Survey response — 3 months, dose 4MedDRA: Oropharyngeal pain, Patient isolation — Feeling: GoodFree 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 maskMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Pfizer-BioNTech | No |
| 2 | 2021-04-09 | Pfizer-BioNTech | No |
| 3 | 2021-08-20 | Pfizer-BioNTech | Flu |
| 4 | 2022-01-20 | Pfizer-BioNTech | No |
Free text
Release 9 — day 0, dose 3
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
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Dizziness | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Patient isolation | · | · | ✓ |
| SRO | Dizziness | ✓ | · | ✓ |
| SRO | Immediate post-injection reaction | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release