5Z7-16772-27612
5 vaccinations
6 coded responses
51 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 220 / VA
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Pfizer-BioNTech
- 2021-01-29
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Note that the arm pain is largely when I lift the arm to the side, not if I raise it forward.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
- 2021-02-19
-
2021-02-20
Dose 2 — Pfizer-BioNTech
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Pain, Therapeutic response unexpected — Feeling: Good · Site: PainFree text: When the pain was greatest, last night, my persistent nasal infection suddenly cleared up for a few hours. Go figure....MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
-
2021-03-06
Survey response — day 14, dose 2MedDRA: Fatigue — Feeling: GoodFree text: Fatigue. But a contributing factor was having to spend two days picking up debris after a neighbors tree fell in our yard!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-05
- 2021-05-22
- 2021-08-21
-
2021-10-04
Dose 3 — Pfizer-BioNTech
- 2022-02-20
-
2022-04-20
Dose 4 — Pfizer-BioNTech
- 2022-04-22
-
2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
-
2022-05-25
Survey response — day 35, dose 4MedDRA: Arthropod bite — Feeling: GoodFree text: What look like, and probably are, bug bites, maybe 20 or 25 of them.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-01
- 2022-07-20
-
2022-10-15
Dose 5 — Moderna
- 2022-10-16
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-22
- 2022-10-29
- 2022-11-05
- 2022-11-12
-
2022-11-19
Survey response — day 35, dose 5MedDRA: Diarrhoea — Feeling: GoodFree text: Loose stool.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-26
- 2023-01-14
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Pfizer-BioNTech | |
| 2 | 2021-02-20 | Pfizer-BioNTech | |
| 3 | 2021-10-04 | Pfizer-BioNTech | No |
| 4 | 2022-04-20 | Pfizer-BioNTech | No |
| 5 | 2022-10-15 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Note that the arm pain is largely when I lift the arm to the side, not if I raise it forward.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): When the pain was greatest, last night, my persistent nasal infection suddenly cleared up for a few hours. Go figure....
Release 5 — day 14, dose 2
Symptoms: Fatigue. But a contributing factor was having to spend two days picking up debris after a neighbors tree fell in our yard!
Release 11 — day 35, dose 4
Symptoms: What look like, and probably are, bug bites, maybe 20 or 25 of them.
Release 12 — day 35, dose 5
Symptoms: Loose stool.
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 | Arthropod bite | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Therapeutic response unexpected | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release