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5ZK-73727-15564

4 vaccinations 6 coded responses 30 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
920 / CA
Registered
2021-04-14
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2021-04-14
    Registered in v-safe
  2. 2021-04-14
    Dose 1 — Pfizer-BioNTech
  3. 2021-04-14
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-04-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-04-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Malaise — Feeling: Poor · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: I felt last night like my COVID symptoms had returned.I feel a little better today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-21
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-12
    Dose 2 — Pfizer-BioNTech
  12. 2021-05-12
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-05-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-23
    Survey response — day 42, dose 2
    MedDRA: Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Something has changed in my body and my health.On Tuesday June 15 2021.They ran tests on my brain and my stomach.They found nothing.But still my health has changed and I cannot find a doctor who can help me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-08-11
    Survey response — 3 months, dose 2
    MedDRA: Discomfort, Hyperhidrosis, Myalgia, Pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Everytime I eat I break out into a heavy sweat.Quite uncomfortable.My body and my muscles ache and throb for periods of time during the day.I dont have any idea what is causing this
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  25. 2021-11-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-23
    Dose 3 — Pfizer-BioNTech
  27. 2022-05-11
    Dose 4 — Pfizer-BioNTech
  28. 2022-05-15
    Survey response — days 1–6 daily, dose 4
    MedDRA: Myalgia, Pain — Feeling: Good · Joint pains, Muscle or body aches
    Free text: Throbbing pains in my right leg and buttocks muscle after I eat
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-05-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  30. 2022-05-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Joint pains
    Adult check-in
  31. 2022-05-18
    Health check-in — day 7, dose 4
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  32. 2022-05-25
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  33. 2022-06-01
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-06-08
    Survey response — day 28, dose 4
    MedDRA: Myalgia, Pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: I am having throbbing from my right buttocks muscle down through my right calf.It comes and goes and is extremely painful when it occurs.Feels like a clot building up
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-06-15
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-14Pfizer-BioNTech
22021-05-12Pfizer-BioNTech
32021-11-23Pfizer-BioNTech No
42022-05-11Pfizer-BioNTech No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-19

Systemic reaction (other): No

2021-04-20

Systemic reaction (other): I felt last night like my COVID symptoms had returned.I feel a little better today

Release 9 — day 42, dose 2

2021-06-23

Symptoms: Something has changed in my body and my health.On Tuesday June 15 2021.They ran tests on my brain and my stomach.They found nothing.But still my health has changed and I cannot find a doctor who can help me.

Release 9 — 3 months, dose 2

2021-08-11

Symptoms: Everytime I eat I break out into a heavy sweat.Quite uncomfortable.My body and my muscles ache and throb for periods of time during the day.I dont have any idea what is causing this

Release 11 — days 1–6 daily, dose 4

2022-05-15

Systemic reaction (other): Throbbing pains in my right leg and buttocks muscle after I eat

Release 11 — day 28, dose 4

2022-06-08

Symptoms: I am having throbbing from my right buttocks muscle down through my right calf.It comes and goes and is extremely painful when it occurs.Feels like a clot building up

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
SDDiscomfort ✓ · ✓
SDHyperhidrosis ✓ · ✓
SDMyalgia ✓ · ✓
SDPain ✓ · ✓
SDUnevaluable event ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROMyalgia · · ✓
SRONo adverse event ✓ ✓ ✓
SROPain · · ✓

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