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5YF-65246-78738

3 vaccinations 3 coded responses 19 check-ins 3 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
917 / CA
Registered
2021-03-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-26
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-16
    Dose 2 — Pfizer-BioNTech
  3. 2021-03-16
    Registered in v-safe
  4. 2021-03-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  5. 2021-03-23
    Survey response — day 35, dose 2
    MedDRA: Discomfort, Feeling hot, Self-medication — Feeling: Good · Be unable to do your normal daily activities
    Free text: I felt feverish, although my temperature never got above 98.4. General feeling of physical discomfort throughout my body like I had as a child when I got the flu. Mediated with 1000 mg Tylenol 2 different times in 24 hrs. Had on 3/21. Ok next day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-31
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-05-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-08-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-10-19
    Dose 3 — Pfizer-BioNTech
  10. 2021-10-21
    Survey response — days 1–6 daily, dose 3
    MedDRA: Adverse reaction — Feeling: Good · Be unable to do your normal daily activities
    Free text: Had some of the above yesterday, but not today.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-10-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Diarrhea, Abdominal pain
    Adult check-in
  12. 2021-10-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  13. 2021-10-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  14. 2021-10-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  15. 2021-10-26
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  16. 2021-11-02
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  17. 2021-11-09
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  18. 2021-11-16
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  19. 2021-11-23
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  20. 2021-11-30
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  21. 2022-01-19
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-04-19
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  23. 2022-10-20
    Survey response — 12 months, dose 3
    MedDRA: Anosmia, Feeling hot, Headache, Medical counselling, Oropharyngeal pain, Quarantine, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Headache, sore throat, feverish w/o fever, loss of smell on cruise ship, beginning 10-11-22. Tested negative for covid on 10-12-22. Retested 10-19-22 the day got off ship & tested positive. Contacted Dr. who prescribed Paxlovid, 5 day isola & retest · Healthcare visit (other): Phone call & text 2 way
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-10-20
    Report sent to call center — 12 months, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  25. 2022-10-21
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Pfizer-BioNTech
22021-02-16Pfizer-BioNTech
32021-10-19Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — day 35, dose 2

2021-03-23

Symptoms: I felt feverish, although my temperature never got above 98.4. General feeling of physical discomfort throughout my body like I had as a child when I got the flu. Mediated with 1000 mg Tylenol 2 different times in 24 hrs. Had on 3/21. Ok next day. cut off by CDC

Release 10 — days 1–6 daily, dose 3

2021-10-21

Systemic reaction (other): Had some of the above yesterday, but not today.

Release 12 — 12 months, dose 3

2022-10-20

Symptoms: Headache, sore throat, feverish w/o fever, loss of smell on cruise ship, beginning 10-11-22. Tested negative for covid on 10-12-22. Retested 10-19-22 the day got off ship & tested positive. Contacted Dr. who prescribed Paxlovid, 5 day isola & retest cut off by CDC
Healthcare visit (other): Phone call & text 2 way

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
HCVOMedical counselling · · ✓
SDAnosmia · · ✓
SDDiscomfort ✓ ✓ ✓
SDFeeling hot ✓ ✓ ✓
SDHeadache · · ✓
SDMedical counselling · · ✓
SDOropharyngeal pain · · ✓
SDQuarantine · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSARS-CoV-2 test positive · · ✓
SDSelf-medication ✓ ✓ ✓
SROAdverse reaction · · ✓

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