5SN-12278-61653
2 vaccinations
3 coded responses
18 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 980 / WA
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-31
Registered in v-safe
-
2020-12-31
Dose 1 — Pfizer-BioNTech
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
-
2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Lip swelling, Mouth swelling — Feeling: GoodFree text: Tightness around my mouth and lips since last night. The areas that my mask cover.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-06
- 2021-01-07
- 2021-01-14
-
2021-01-21
Survey response — day 21, dose 1MedDRA: Helicobacter infection, Pre-existing disease, Unevaluable event — Feeling: GoodFree text: I was diagnosed with having H Pylori today. I have been having stomach pain and biting for the past year.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-22
Dose 2 — Pfizer-BioNTech
-
2021-02-11
Survey response — day 14, dose 2MedDRA: Abdominal pain upper, Diarrhoea, Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sever stomach pain and diarrhea for 1 day, started 12 hours after the vaccine. Chills for 12 hours started 12 hours after the vaccine. Stiffness in both shoulders. Started 2 weeks after the vaccine. Has been going on for 1 week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-04-23
- 2021-07-23
- 2022-01-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Pfizer-BioNTech | |
| 2 | 2021-01-22 | Pfizer-BioNTech |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Tightness around my mouth and lips since last night. The areas that my mask cover.
Release 2 — day 21, dose 1
Symptoms: I was diagnosed with having H Pylori today. I have been having stomach pain and biting for the past year.
Release 4 — day 14, dose 2
Symptoms: Sever stomach pain and diarrhea for 1 day, started 12 hours after the vaccine. Chills for 12 hours started 12 hours after the vaccine. Stiffness in both shoulders. Started 2 weeks after the vaccine. Has been going on for 1 week.
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 pain upper | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Helicobacter infection | ✓ | · | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ○ | ✓ | ○ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Mouth swelling | ✓ | ✓ | ✓ |
| SRO | Oral discomfort | ○ | ○ | ○ |
| SRO | Stomatitis | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release