5VP-26739-11038
4 vaccinations
4 coded responses
30 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 333 / FL
- Registered
- 2021-10-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Dose 1 — Pfizer-BioNTech
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2021-02-13
Dose 2 — Pfizer-BioNTech
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2021-10-13
Dose 3 — Pfizer-BioNTech
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2021-10-14
Registered in v-safe
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2021-10-14
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Injection site pain, Paraesthesia, Pyrexia — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessFree text: It's been 24 hours since receiving my 3rd shot. I felt much worse last evening. That's when I had chills, felt feverish, face and sinuses felt tingling. Arm at injection site was very sore last night. All symptoms present 25 hours later but better.MedDRA releases: 2024-11 · check-in free text available
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2021-10-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-16
- 2021-10-17
- 2021-10-18
- 2021-10-19
- 2021-10-20
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2021-10-27
Survey response — day 14, dose 3MedDRA: Brain fog, Malaise — Feeling: GoodFree text: Not sure if related to the vaccine but yesterday, 10/26/21, I just felt out of sorts all day. My mind seemed foggy. Otherwise, nothing else and today I am back to normal.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
- 2021-11-11
- 2021-11-17
- 2021-11-24
- 2022-01-12
- 2022-04-13
- 2022-10-13
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2022-10-19
Dose 4 — Pfizer-BioNTech
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2022-10-19
Health check-in — day 0, dose 4Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
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2022-10-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2022-10-21
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection siteAdult check-in
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2022-10-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea, Abdominal painAdult check-in
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2022-10-23
Health check-in — days 1–6 daily, dose 4Feeling: Good · Nausea, Rash, not including the immediate area around the injection siteAdult check-in
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2022-10-24
Survey response — days 1–6 daily, dose 4MedDRA: Mobility decreased, Muscle tightness — Feeling: Good · Muscle or body aches, Abdominal pain, Rash, not including the immediate area around the injection siteFree text: Lower back, right side, very tight and restricting some of my movements but only mildly.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-25
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-11-16
- 2022-11-23
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2022-11-30
Survey response — day 42, dose 4MedDRA: Ear disorder, Fatigue, Sinus disorder — Feeling: GoodFree text: Sinus and ear problems. Some days very tired. Probably not related to the vaccine or CoVid, but who knows for sure.MedDRA releases: 2024-11 · check-in free text available
- 2023-01-18
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Pfizer-BioNTech | No |
| 2 | 2021-02-13 | Pfizer-BioNTech | No |
| 3 | 2021-10-13 | Pfizer-BioNTech | No |
| 4 | 2022-10-19 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): It's been 24 hours since receiving my 3rd shot. I felt much worse last evening. That's when I had chills, felt feverish, face and sinuses felt tingling. Arm at injection site was very sore last night. All symptoms present 25 hours later but better. cut off by CDC
Release 10 — day 14, dose 3
Symptoms: Not sure if related to the vaccine but yesterday, 10/26/21, I just felt out of sorts all day. My mind seemed foggy. Otherwise, nothing else and today I am back to normal.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Lower back, right side, very tight and restricting some of my movements but only mildly.
Release 12 — day 42, dose 4
Symptoms: Sinus and ear problems. Some days very tired. Probably not related to the vaccine or CoVid, but who knows for 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 |
|---|---|---|---|---|
| SD | Brain fog | · | · | ✓ |
| SD | Ear disorder | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | Muscle tightness | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release