5H7-32400-98755
4 vaccinations
4 coded responses
47 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 088 / NJ
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-14
Dose 1 — Pfizer-BioNTech
-
2021-03-17
Registered in v-safe
- 2021-03-17
- 2021-03-18
-
2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion, Rhinorrhoea — Feeling: GoodFree text: Runny nose and nasal congestion most of today. Mild. Resolving on its own.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-21
- 2021-03-28
- 2021-04-04
-
2021-04-05
Dose 2 — Pfizer-BioNTech
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort, Decreased appetite, Diarrhoea, Eructation, Fatigue, Self-medication, Somnolence — Feeling: Good · Site: ItchingFree text: GI upset 4 days after 2nd shot. Burping, mild diarrhea, stomach discomfort, no appetite. Didnt eat or drink much and felt fatigued as a result. Napped a few hours. Took some Tums and drank Gatorade that afternoon and evening. Slept well and better next day (Day 5 after shot). Resolved and no issues since.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-07-05
- 2021-10-04
-
2021-10-05
Dose 3 — Pfizer-BioNTech
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-09
- 2021-10-10
- 2021-10-11
- 2021-10-12
- 2021-10-19
- 2021-10-26
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2022-01-04
- 2022-04-05
-
2022-04-28
Dose 4 — Moderna
- 2022-04-28
-
2022-04-29
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · ChillsFree text: Possibly chills but outside temp about 60 and strong windsMedDRA releases: 2024-11 · check-in free text available
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-05
- 2022-05-12
- 2022-05-19
-
2022-05-26
Survey response — day 28, dose 4MedDRA: Nasal congestion, Oropharyngeal pain, Productive cough, Respiratory symptom, SARS-CoV-2 test negative, Self-medication, Sinus congestion — Feeling: GoodFree text: URI. Sx: sore throat, nasal/sinus congestion, phlegm/sputum. Treated w Sudafed, Aleve, Mucinex. Tested Covid negative 2xMedDRA releases: 2024-11 · check-in free text available
- 2022-06-02
- 2022-06-09
- 2022-07-28
- 2022-10-27
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-14 | Pfizer-BioNTech | |
| 2 | 2021-04-05 | Pfizer-BioNTech | |
| 3 | 2021-10-05 | Pfizer-BioNTech | No |
| 4 | 2022-04-28 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Runny nose and nasal congestion most of today. Mild. Resolving on its own.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): GI upset 4 days after 2nd shot. Burping, mild diarrhea, stomach discomfort, no appetite. Didnt eat or drink much and felt fatigued as a result. Napped a few hours. Took some Tums and drank Gatorade that afternoon and evening. Slept well and better next day (Day 5 after shot). Resolved and no issues since.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Possibly chills but outside temp about 60 and strong winds
Release 11 — day 28, dose 4
Symptoms: URI. Sx: sore throat, nasal/sinus congestion, phlegm/sputum. Treated w Sudafed, Aleve, Mucinex. Tested Covid negative 2x
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 | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Eructation | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | · | ✓ |
| SRO | Somnolence | ✓ | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release