5SM-33577-26103
2 vaccinations
11 coded responses
25 check-ins
11 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 672 / KS
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-27
Registered in v-safe
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2021-02-27
Dose 1 — Pfizer-BioNTech
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2021-02-27
Health check-in — day 0, dose 1Feeling: Good · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-02-28
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2021-03-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Fever · ChillsAdult check-in
- 2021-03-02
- 2021-03-03
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness postural — Feeling: GoodFree text: dizzy for the last 3 days when I stand.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: GoodFree text: dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — day 7, dose 1MedDRA: Cough, Dizziness — Feeling: GoodFree text: dizzy. coughing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
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2021-03-20
Dose 2 — Pfizer-BioNTech
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2021-03-20
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Itching · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
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2021-04-03
Survey response — day 14, dose 2MedDRA: Pruritus, Rash — Feeling: GoodFree text: Rash and itchy for the last two to three days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — day 21, dose 2MedDRA: Pruritus, Rash erythematous — Feeling: GoodFree text: Red rash and itchi g.on arms. Hands. Waist. Red rash on send hands. Waist areas. Very itchy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Survey response — day 28, dose 2MedDRA: Pruritus, Rash, Self-medication, Somnolence — Feeling: GoodFree text: I have rash and itching. Non stop. Itching day and night. Benydril reduces the itching sensation but it makes me sleepy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — day 35, dose 2MedDRA: Drug hypersensitivity, Pruritus — Feeling: GoodFree text: I still have my and itching. All over my arms.stomach .body..I am alergic.to penicillian since I was 6 to 8 years oldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Survey response — day 42, dose 2MedDRA: Pruritus, Rash — Feeling: GoodFree text: I still have my Itching and rash the rash is going away. .the itching is not as bad. I would itch all night in ny sleep . I amakergic to penicilianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-19
Survey response — 3 months, dose 2MedDRA: Office visit, Rash — Feeling: GoodFree text: I had a rash on my arms for 6 weeks. I went to a Dr fir a check up. He said he only had one other person with a rash. And that lets had covid.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-18
Survey response — 6 months, dose 2MedDRA: COVID-19, Dyspnoea, Office visit, Pericardial effusion, Rash, Rash erythematous, Ultrasound scan abnormal — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I had trouble breathing at times .. went to Dr he did a echo scan and I had alot of water around my heart. Which lasted for about three months. After second shot I had red rash on my arms for 5 weeks. Dr said it looked like it was I had covid · Healthcare visit (other): doctor office visit.MedDRA releases: 2024-11 · check-in free text available
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2021-09-18
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-22
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2022-03-20
Survey response — 12 months, dose 2MedDRA: Fatigue, Myalgia, Myocardial injury, Office visit, Rash — Feeling: Good · Be unable to do your normal daily activitiesFree text: Rash on left arms. Legs. neck area. My cardiologist said he had seen alot of people with weakened heart muscles . Dr did a treadmill ,he said my heart is damaged 40%...after my 3 booster shot I was tired with very sore muscles for 10 to 14 days.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Pfizer-BioNTech | |
| 2 | 2021-03-20 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): dizzy for the last 3 days when I stand.
Systemic reaction (other): dizzy
Release 5 — day 7, dose 1
Systemic reaction (other): dizzy. coughing.
Release 6 — day 14, dose 2
Symptoms: Rash and itchy for the last two to three days.
Release 7 — day 21, dose 2
Symptoms: Red rash and itchi g.on arms. Hands. Waist. Red rash on send hands. Waist areas. Very itchy.
Release 7 — day 28, dose 2
Symptoms: I have rash and itching. Non stop. Itching day and night. Benydril reduces the itching sensation but it makes me sleepy.
Release 7 — day 35, dose 2
Symptoms: I still have my and itching. All over my arms.stomach .body..I am alergic.to penicillian since I was 6 to 8 years old
Release 8 — day 42, dose 2
Symptoms: I still have my Itching and rash the rash is going away. .the itching is not as bad. I would itch all night in ny sleep . I amakergic to penicilian
Release 9 — 3 months, dose 2
Symptoms: I had a rash on my arms for 6 weeks. I went to a Dr fir a check up. He said he only had one other person with a rash. And that lets had covid.
Release 9 — 6 months, dose 2
Symptoms: I had trouble breathing at times .. went to Dr he did a echo scan and I had alot of water around my heart. Which lasted for about three months. After second shot I had red rash on my arms for 5 weeks. Dr said it looked like it was I had covid
Healthcare visit (other): doctor office visit.
Release 11 — 12 months, dose 2
Symptoms: Rash on left arms. Legs. neck area. My cardiologist said he had seen alot of people with weakened heart muscles . Dr did a treadmill ,he said my heart is damaged 40%...after my 3 booster shot I was tired with very sore muscles for 10 to 14 days. 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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Drug hypersensitivity | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Myocardial injury | · | · | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pericardial effusion | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SD | Ultrasound scan abnormal | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dizziness postural | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release