5NY-96571-62435
2 vaccinations
4 coded responses
19 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 923 / CA
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-09
Registered in v-safe
-
2021-01-09
Dose 1 — Pfizer-BioNTech
- 2021-01-09
-
2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-23
-
2021-01-30
Dose 2 — Pfizer-BioNTech
- 2021-01-30
-
2021-02-07
Survey response — day 7, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
-
2021-02-20
Survey response — day 21, dose 2MedDRA: Diarrhoea, Headache, Joint swelling, Lymphadenopathy, Musculoskeletal stiffness, Peripheral swelling — Feeling: PoorFree text: Headaches. Swollen lymph nodes, neck and lower back stiffness; and oddly... swelling in my left (only left) foot, knee, leg.Truly I havent felt good since the second dose three weeks ago. Yet... not terrible. It comes and it goes. Diarrhea is goneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Survey response — day 28, dose 2MedDRA: Abdominal discomfort, Adverse reaction, Feeling abnormal, Headache, Immediate post-injection reaction — Feeling: FairFree text: Upset stomach and recurring headaches. May not be related to the vaccination; however, the onset of a number of odd symptoms was immediately after the second vaccination. I have not felt right since the second dose was given- but not really badMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-13
- 2021-05-01
- 2021-07-31
-
2022-01-30
Survey response — 12 months, dose 2MedDRA: Cough, Ear pain, Headache, Migraine, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Had a slightly sore throat. That led to a bad earache. And that led to four days of migraines; after which I had on and off headaes for a couple weeks. After the migraines I got a slight dry cough. Tested for Covid several times. All tests were neg.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-30
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-24
-
2022-03-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Pfizer-BioNTech | |
| 2 | 2021-01-30 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 3 — day 7, dose 2
Systemic reaction (other): Dizziness
Release 4 — day 21, dose 2
Symptoms: Headaches. Swollen lymph nodes, neck and lower back stiffness; and oddly... swelling in my left (only left) foot, knee, leg.Truly I havent felt good since the second dose three weeks ago. Yet... not terrible. It comes and it goes. Diarrhea is gone
Release 4 — day 28, dose 2
Symptoms: Upset stomach and recurring headaches. May not be related to the vaccination; however, the onset of a number of odd symptoms was immediately after the second vaccination. I have not felt right since the second dose was given- but not really bad
Release 11 — 12 months, dose 2
Symptoms: Had a slightly sore throat. That led to a bad earache. And that led to four days of migraines; after which I had on and off headaes for a couple weeks. After the migraines I got a slight dry cough. Tested for Covid several times. All tests were neg. 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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release