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5X3-65030-37622

2 vaccinations 7 coded responses 17 check-ins 7 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
945 / CA
Registered
2021-03-04
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-02-23
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-04
    Registered in v-safe
  3. 2021-03-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-16
    Dose 2 — Pfizer-BioNTech
  6. 2021-03-16
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-03-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-25
    Survey response — day 7, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-30
    Survey response — day 14, dose 2
    MedDRA: Condition aggravated, Eye disorder, Pre-existing disease — Feeling: Good
    Free text: On Sunday, March 28, I had a weird sensation with my eyes, mostly on my right eye while playing soccer. When I got out of the game, I notice that most of my problem was on the right eye. Made an appt. with Ophthamolohist for 4/7. Had this before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-21
    Survey response — day 35, dose 2
    MedDRA: Body temperature decreased, Oropharyngeal discomfort — Feeling: Good
    Free text: On and off I experienced low body temperature in the 96 range along with some discomfort with my throat. I am back to normal temperatures now in the 97-98 range.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-09-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-23Pfizer-BioNTech
22021-03-16Pfizer-BioNTech

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): None

Release 6 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): None

2021-03-20

Systemic reaction (other): None

2021-03-22

Systemic reaction (other): None

Release 6 — day 7, dose 2

2021-03-25

Systemic reaction (other): None

Release 6 — day 14, dose 2

2021-03-30

Symptoms: On Sunday, March 28, I had a weird sensation with my eyes, mostly on my right eye while playing soccer. When I got out of the game, I notice that most of my problem was on the right eye. Made an appt. with Ophthamolohist for 4/7. Had this before. cut off by CDC

Release 7 — day 35, dose 2

2021-04-21

Symptoms: On and off I experienced low body temperature in the 96 range along with some discomfort with my throat. I am back to normal temperatures now in the 97-98 range.

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

FieldPreferred term2021-092023-042024-11
SDBody temperature decreased ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDEye disorder ✓ ✓ ✓
SDOropharyngeal discomfort ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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