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5ME-65565-26317

4 vaccinations 31 coded responses 45 check-ins 31 free-text entries 3 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
981 / WA
Registered
2021-03-06
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-06
    Registered in v-safe
  2. 2021-03-06
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-06
    Survey response — day 0, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Muscle or body aches
    Adult check-in
  5. 2021-03-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-13
    Survey response — day 7, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-20
    Survey response — day 14, dose 1
    MedDRA: Epistaxis, Pain in extremity, Peripheral swelling — Feeling: Good
    Free text: 5 days ago: Had a nose bleed with no pain 4 days ago: Had a swelling on my thigh about 4 inches above right knee. The mass was sore for two days. Pain went away but the swelling is about 3/4s gone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-27
    Dose 2 — Pfizer-BioNTech
  13. 2021-03-27
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: INone
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-03
    Survey response — day 7, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-09-25
    Survey response — 6 months, dose 2
    MedDRA: Headache, Respiratory tract congestion — Feeling: Good
    Free text: Congestion, headache
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-10-02
    Dose 3 — Pfizer-BioNTech
  29. 2021-10-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site pain — Feeling: Fair · Site: Pain
    Free text: Soreness around injection site
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-10-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-10-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Muscle or body aches
    Free text: Swollen glands in left armpit
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-10-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-10-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-10-09
    Survey response — day 7, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-10-16
    Survey response — day 14, dose 3
    MedDRA: Rash, Unevaluable event — Feeling: Fair
    Free text: Little rashes like chicken pox. I am sure I am not describing it correctly. Simpson's started 2 nights ago and have cleared
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-10-24
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-10-30
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-06
    Survey response — day 35, dose 3
    MedDRA: Memory impairment, Somnolence — Feeling: Good · Be unable to do your normal daily activities
    Free text: I have been sleeping a lot and I forget things more all through the stages. I ignored it but it's been persistent, hence the notation.
    MedDRA releases: 2024-11 · check-in free text available
  40. 2021-11-13
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-01
    Survey response — 3 months, dose 3
    MedDRA: Cough, Lymphadenopathy, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Congestion, cough, swollen glands on left jaw under the lower jaw
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-01-01
    Report sent to call center — 3 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  43. 2022-01-04
  44. 2022-04-02
    Survey response — 6 months, dose 3
    MedDRA: Amnesia, Depressed mood, Fatigue, Hypersomnia, Somnolence — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit
    Free text: Memory loss . I have a hard time remembering things such as appointments, when bills are due, names of places and things. I sleep a lot and after two or three hours after I wake up I get drowsy and ready to nap again. I am depressed.
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-04-02
    Report sent to call center — 6 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
  46. 2022-04-04
  47. 2022-04-07
  48. 2022-04-20
    Dose 4 — Pfizer-BioNTech
  49. 2022-05-14
    Survey response — day 21, dose 4
    MedDRA: Depressed mood, Loss of personal independence in daily activities, Memory impairment, Somnolence — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My forgetfulness is getting worse I am depressed unable to get going to do regular chores and even getting out of be some days I am constantly sleepy
    MedDRA releases: 2024-11 · check-in free text available
  50. 2022-05-18
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  51. 2022-05-25
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  52. 2022-06-01
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-07-27
    Survey response — 3 months, dose 4
    MedDRA: Body temperature increased, Headache, Hypopnoea, Myalgia, Oropharyngeal pain, SARS-CoV-2 test — Feeling: Poor · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I have head ache , sore throat fever(temps 100 degrees last night and 99 degrees F right now. Muscle aches Breathing is a little shallow · Healthcare visit (other): Went for COVID19 TEST
    MedDRA releases: 2024-11 · check-in free text available
  54. 2022-07-27
    Report sent to call center — 3 months, dose 4
    Get care from a doctor or other healthcare professional
    1 call case(s)
  55. 2022-07-28
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  56. 2022-07-28
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  57. 2022-07-28
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  58. 2022-10-21
    Survey response — 6 months, dose 4
    MedDRA: COVID-19 — Feeling: Good
    Free text: Contacted COVID 2 times
    MedDRA releases: 2024-11 · check-in free text available
  59. 2023-04-23
    Health check-in — 12 months, dose 4
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Pfizer-BioNTech
22021-03-27Pfizer-BioNTech
32021-10-02Pfizer-BioNTech No
42022-04-20Pfizer-BioNTech No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-06

Systemic reaction (other): No

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): No

2021-03-09

Systemic reaction (other): No

2021-03-10

Systemic reaction (other): No

2021-03-11

Systemic reaction (other): No

2021-03-12

Systemic reaction (other): No

Release 5 — day 7, dose 1

2021-03-13

Systemic reaction (other): No

Release 6 — day 14, dose 1

2021-03-20

Symptoms: 5 days ago: Had a nose bleed with no pain 4 days ago: Had a swelling on my thigh about 4 inches above right knee. The mass was sore for two days. Pain went away but the swelling is about 3/4s gone.

Release 6 — day 0, dose 2

2021-03-27

Systemic reaction (other): INone

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): No

2021-03-29

Systemic reaction (other): No

2021-03-30

Systemic reaction (other): No

2021-03-31

Systemic reaction (other): No

2021-04-01

Systemic reaction (other): No

2021-04-02

Systemic reaction (other): No

Release 6 — day 7, dose 2

2021-04-03

Systemic reaction (other): No

Release 9 — 6 months, dose 2

2021-09-25

Symptoms: Congestion, headache

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): Soreness around injection site

2021-10-04

Systemic reaction (other): No

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): None

2021-10-06

Systemic reaction (other): Swollen glands in left armpit

2021-10-07

Systemic reaction (other): None

2021-10-08

Systemic reaction (other): None

Release 10 — day 7, dose 3

2021-10-09

Systemic reaction (other): None

Release 10 — day 14, dose 3

2021-10-16

Symptoms: Little rashes like chicken pox. I am sure I am not describing it correctly. Simpson's started 2 nights ago and have cleared

Release 10 — day 35, dose 3

2021-11-06

Symptoms: I have been sleeping a lot and I forget things more all through the stages. I ignored it but it's been persistent, hence the notation.

Release 10 — 3 months, dose 3

2022-01-01

Symptoms: Congestion, cough, swollen glands on left jaw under the lower jaw

Release 11 — 6 months, dose 3

2022-04-02

Symptoms: Memory loss . I have a hard time remembering things such as appointments, when bills are due, names of places and things. I sleep a lot and after two or three hours after I wake up I get drowsy and ready to nap again. I am depressed.

Release 11 — day 21, dose 4

2022-05-14

Symptoms: My forgetfulness is getting worse I am depressed unable to get going to do regular chores and even getting out of be some days I am constantly sleepy

Release 12 — 3 months, dose 4

2022-07-27

Symptoms: I have head ache , sore throat fever(temps 100 degrees last night and 99 degrees F right now. Muscle aches Breathing is a little shallow
Healthcare visit (other): Went for COVID19 TEST

Release 12 — 6 months, dose 4

2022-10-21

Symptoms: Contacted COVID 2 times

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
HCVOSARS-CoV-2 test · · ✓
SDAmnesia · · ✓
SDBody temperature increased · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDDepressed mood · · ✓
SDEpistaxis ✓ ✓ ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDHypersomnia · · ✓
SDHypopnoea · · ✓
SDLoss of personal independence in daily activities · · ✓
SDLymphadenopathy · · ✓
SDMemory impairment · · ✓
SDMyalgia · · ✓
SDOropharyngeal pain · · ✓
SDPain in extremity ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDRash · · ✓
SDRespiratory tract congestion · · ✓
SDSomnolence · · ✓
SDUnevaluable event · · ✓
SROInjection site pain · · ✓
SROLymphadenopathy · · ✓
SRONo adverse event ✓ ✓ ✓

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

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