5HJ-25788-95951
4 vaccinations
3 coded responses
50 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 654 / MO
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Registered in v-safe
-
2021-01-23
Dose 1 — Pfizer-BioNTech
- 2021-01-23
-
2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-31
- 2021-02-06
-
2021-02-13
Dose 2 — Pfizer-BioNTech
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-07
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-05-15
- 2021-08-16
-
2021-09-30
Dose 3 — Pfizer-BioNTech
- 2021-09-30
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-11-04
- 2021-11-11
- 2021-12-30
-
2022-03-31
Survey response — 6 months, dose 3MedDRA: Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive — Feeling: GoodFree text: I tested positive for Covid19 in January. I did not require medical treatment. I had a sore throat for 3 days and mild nasal congestion. I have noticed no lingering symptoms.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-03
Dose 4 — Moderna
-
2022-05-04
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness, Abdominal painAdult check-in
- 2022-05-05
- 2022-05-07
- 2022-05-09
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-06-07
-
2022-06-14
Survey response — day 42, dose 4MedDRA: Arthralgia, Injection site pain — Feeling: GoodFree text: I experienced pain in the area of my injection for four days last week. My right shoulder was quite sore. It is well now. I don't know if the pain was related to the vaccine. I thought I should mention it.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-02
Survey response — 3 months, dose 4MedDRA: Dizziness, Dyspnoea — Feeling: FairFree text: Some periods of shortness of breath. And a little feeling lightheaded. Just occasionally.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-01
- 2023-05-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Pfizer-BioNTech | |
| 2 | 2021-02-13 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
| 4 | 2022-05-03 | Moderna | No |
Free text
Release 11 — 6 months, dose 3
Symptoms: I tested positive for Covid19 in January. I did not require medical treatment. I had a sore throat for 3 days and mild nasal congestion. I have noticed no lingering symptoms.
Release 12 — day 42, dose 4
Symptoms: I experienced pain in the area of my injection for four days last week. My right shoulder was quite sore. It is well now. I don't know if the pain was related to the vaccine. I thought I should mention it.
Release 12 — 3 months, dose 4
Symptoms: Some periods of shortness of breath. And a little feeling lightheaded. Just occasionally.
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 | Arthralgia | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release