5SY-17565-89707
4 vaccinations
10 coded responses
35 check-ins
10 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 951 / CA
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- Other
- Ethnicity
- N/A
Timeline
-
2021-04-05
Registered in v-safe
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2021-04-05
Dose 1 — Pfizer-BioNTech
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2021-04-05
Survey response — day 0, dose 1MedDRA: Dizziness, Injection site pain, Pain — Feeling: Good · Site: PainFree text: Mild pain at injection site radiates down the arm somewhat. Possibly some very slight light-headednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
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2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Pre-existing disease — Feeling: Good · Site: PainFree text: I may have some tightness in my lungs - but it could also be my normal allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Site pain is really minor by now... but you asked :)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-10
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Fever · Headache, Fatigue or tiredness, NauseaFree text: I'm not sure this was related to the vaccine as I had no similar syptoms previously and I'm 5-6 days post vaccine - but I'm just reporting how I felt today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
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2021-04-19
Survey response — day 14, dose 1MedDRA: Cough, Sneezing, Wheezing — Feeling: FairFree text: I noticed some wheezing and coughing today. I took my inhaler - could just be allergies or a cold. I have no fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
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2021-04-29
Dose 2 — Pfizer-BioNTech
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2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Extreme fatigue yesterday, less so todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Based on last 24 hours - symptoms improving from prio 24MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-07-29
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2021-10-28
Survey response — 6 months, dose 2MedDRA: Dyspnoea, Heart rate increased, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Some occasional shortness of breath and increased heart rate. There is no reason to necessarily believe this is associated with any vaccine or other illness. · Healthcare visit (other): Waiting for appt.MedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-11-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-12-06
Dose 3 — Pfizer-BioNTech
- 2022-04-29
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2022-09-12
Dose 4 — Pfizer-BioNTech
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2022-09-13
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness, Feeling hot, Pain of skin — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Slight dizzyness & occasiinal skin pain (like a low fever)MedDRA releases: 2024-11 · check-in free text available
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2022-09-17
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
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2022-09-18
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-09-19
- 2022-09-26
- 2022-10-03
- 2022-10-10
- 2022-10-17
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2022-10-24
Survey response — day 42, dose 4MedDRA: Oropharyngeal pain, Throat irritation — Feeling: FairFree text: Scratchy / sore throat. I believe this is simply a minor cold. I do not think this is COVId or vaccine related. I will likely test this evening to make sure.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-12
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Pfizer-BioNTech | |
| 2 | 2021-04-29 | Pfizer-BioNTech | |
| 3 | 2021-12-06 | Pfizer-BioNTech | No |
| 4 | 2022-09-12 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Mild pain at injection site radiates down the arm somewhat. Possibly some very slight light-headedness
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I may have some tightness in my lungs - but it could also be my normal allergies.
Systemic reaction (other): Site pain is really minor by now... but you asked :)
Systemic reaction (other): I'm not sure this was related to the vaccine as I had no similar syptoms previously and I'm 5-6 days post vaccine - but I'm just reporting how I felt today.
Release 7 — day 14, dose 1
Symptoms: I noticed some wheezing and coughing today. I took my inhaler - could just be allergies or a cold. I have no fever.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Extreme fatigue yesterday, less so today
Systemic reaction (other): Based on last 24 hours - symptoms improving from prio 24
Release 10 — 6 months, dose 2
Symptoms: Some occasional shortness of breath and increased heart rate. There is no reason to necessarily believe this is associated with any vaccine or other illness.
Healthcare visit (other): Waiting for appt.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Slight dizzyness & occasiinal skin pain (like a low fever)
Release 12 — day 42, dose 4
Symptoms: Scratchy / sore throat. I believe this is simply a minor cold. I do not think this is COVId or vaccine related. I will likely test this evening to make sure.
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 | Unevaluable event | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Wheezing | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain of skin | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release