5KD-31118-22828
3 vaccinations
6 coded responses
27 check-ins
6 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 837 / ID
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Pfizer-BioNTech
-
2021-01-18
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-18
Report sent to call center — day 0, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-19
- 2021-01-21
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: Fair · DiarrheaFree text: Running nose like a cold three times today about 4 hours apart.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-02-01
-
2021-02-08
Dose 2 — Pfizer-BioNTech
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2021-02-08
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain · HeadacheFree text: This has nothing to do with my report on today. But I do want to report about a month and a half ago for two weeks I had every COVID-19 symptom, low-grade fever barking dry cough aches fatigue, etc. I ended up in the emergency room due to blood clots. They also treated the COVID-19 symptoms. Over the course of those two weeks I had for Covid test, one of them the 24 hour extended, the flu a and B test which I already had a flu shot for, all were negative, waited a couple of weeks after it was over and the doctor did the blood test, all four tests and blood tests were negative.The concern was is this a variant that none of the test picked up? Or were the test faulty, because three different doctors definitely identified my symptoms as COVID-19 having dealt with hundreds of them in the hospital. Thank you for doing what youre doing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-11
- 2021-02-12
- 2021-02-13
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2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Sneezing — Feeling: GoodFree text: I have been randomly sneezing since the second dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
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2021-02-22
Survey response — day 14, dose 2MedDRA: Influenza like illness — Feeling: GoodFree text: On the 20th it felt like I had the flu all day and then it cleared up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-05-10
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2021-08-09
Survey response — 6 months, dose 2MedDRA: Injection site pain, Sneezing — Feeling: GoodFree text: The site of the vaccine injections on my left shoulder is still very sore. Also I sneezed for three months after receiving the vaccine.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-17
Dose 3 — Pfizer-BioNTech
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2021-09-29
Survey response — day 42, dose 3MedDRA: Fall, Humerus fracture, Rib fracture — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Broken humerus and 4 ribs from fall.MedDRA releases: 2024-11 · check-in free text available
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2021-09-29
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2021-09-30
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-16
- 2022-02-15
- 2022-08-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Pfizer-BioNTech | |
| 2 | 2021-02-08 | Pfizer-BioNTech | |
| 3 | 2021-08-17 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Running nose like a cold three times today about 4 hours apart.
Release 3 — day 0, dose 2
Systemic reaction (other): This has nothing to do with my report on today. But I do want to report about a month and a half ago for two weeks I had every COVID-19 symptom, low-grade fever barking dry cough aches fatigue, etc. I ended up in the emergency room due to blood clots. They also treated the COVID-19 symptoms. Over the course of those two weeks I had for Covid test, one of them the 24 hour extended, the flu a and B test which I already had a flu shot for, all were negative, waited a couple of weeks after it was over and the doctor did the blood test, all four tests and blood tests were negative.The concern was is this a variant that none of the test picked up? Or were the test faulty, because three different doctors definitely identified my symptoms as COVID-19 having dealt with hundreds of them in the hospital. Thank you for doing what youre doing.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I have been randomly sneezing since the second dose.
Release 4 — day 14, dose 2
Symptoms: On the 20th it felt like I had the flu all day and then it cleared up.
Release 9 — 6 months, dose 2
Symptoms: The site of the vaccine injections on my left shoulder is still very sore. Also I sneezed for three months after receiving the vaccine.
Release 9 — day 42, dose 3
Symptoms: Broken humerus and 4 ribs from fall.
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 | Fall | · | · | ✓ |
| SD | Humerus fracture | · | · | ✓ |
| SD | Influenza like illness | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | · | ✓ |
| SD | Rib fracture | · | · | ✓ |
| SD | Sneezing | ✓ | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release