633-21759-84356
4 vaccinations
7 coded responses
45 check-ins
7 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 300 / GA
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-11
Registered in v-safe
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2021-02-11
Dose 1 — Pfizer-BioNTech
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2021-02-11
Survey response — day 0, dose 1MedDRA: Erythema, Pre-existing disease, Self-medication, Skin burning sensation — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I have CIDP abd have for 10 years. Advancing now to upper body am have Plasma Exchange Therapy every week for last 6 months. I am not sure this was present before shot, but on way hone noticed burning in skin at left leg to hip. Got hone and extremely red like an infection! Put Neosporin on it to see if gets better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Tenderness — Feeling: Good · Joint painsFree text: Redness inside skin like infection on groin area where left hip is in front of body. Painful to the touch. Gotten better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
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2021-02-25
Survey response — day 14, dose 1MedDRA: Arthralgia, Asthenia, Condition aggravated, Pre-existing disease — Feeling: FairFree text: CIDP I have had worsened and feeling weak. Most likely from that not my shot. My right shoulder hurts but have arthritis so mostly due to that I guess.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Dose 2 — Pfizer-BioNTech
- 2021-03-04
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2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Fatigue or tirednessAdult check-in
- 2021-03-07
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2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-06-03
- 2021-09-04
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2021-09-30
Dose 3 — Pfizer-BioNTech
- 2021-10-06
- 2021-10-07
- 2021-10-14
- 2021-10-21
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2021-10-28
Survey response — day 28, dose 3MedDRA: Asthenia, Condition aggravated, Dizziness, Orthostatic hypertension, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Increase in conditions I have had before COVID came along. But orthostatic hypertension issues due to my CIDP Weakness, dizziness, etc.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-11
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2021-12-30
Survey response — 3 months, dose 3MedDRA: Cough, Pneumonia, SARS-CoV-2 test positive — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Have occasional bad cough but no fever or sore throat. (b)(6) was diagnosed with pneumonia and had COVID test and today advised I tested positive for COVID. Go figure.MedDRA releases: 2024-11 · check-in free text available
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2021-12-30
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-06
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2022-04-04
Survey response — 6 months, dose 3MedDRA: Bursitis, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Bursitis of hip. · Healthcare visit (other): In officeMedDRA releases: 2024-11 · check-in free text available
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2022-04-04
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-05
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2022-07-22
Dose 4 — Pfizer-BioNTech
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2022-07-23
Survey response — days 1–6 daily, dose 4MedDRA: Chest discomfort, Dyspnoea, Fatigue, Pre-existing disease — Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Already suffer extreme fatigue due to CIDP, but after the 2nd booster of yesterday I am totally exhausted also so tightness in chest and labored breathing.MedDRA releases: 2024-11 · check-in free text available
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2022-07-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2022-07-25
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-07-26
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-07-27
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2022-07-28
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2022-07-29
Health check-in — day 7, dose 4Feeling: Poor · Joint pains, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2022-08-05
- 2022-08-12
- 2022-08-19
- 2022-08-26
- 2022-09-03
- 2023-01-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Pfizer-BioNTech | |
| 2 | 2021-03-04 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
| 4 | 2022-07-22 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): I have CIDP abd have for 10 years. Advancing now to upper body am have Plasma Exchange Therapy every week for last 6 months. I am not sure this was present before shot, but on way hone noticed burning in skin at left leg to hip. Got hone and extremely red like an infection! Put Neosporin on it to see if gets better.
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Redness inside skin like infection on groin area where left hip is in front of body. Painful to the touch. Gotten better today.
Release 4 — day 14, dose 1
Symptoms: CIDP I have had worsened and feeling weak. Most likely from that not my shot. My right shoulder hurts but have arthritis so mostly due to that I guess.
Release 10 — day 28, dose 3
Symptoms: Increase in conditions I have had before COVID came along. But orthostatic hypertension issues due to my CIDP Weakness, dizziness, etc.
Release 10 — 3 months, dose 3
Symptoms: Have occasional bad cough but no fever or sore throat. (b)(6) was diagnosed with pneumonia and had COVID test and today advised I tested positive for COVID. Go figure.
redacted (b)(6)
Release 11 — 6 months, dose 3
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Already suffer extreme fatigue due to CIDP, but after the 2nd booster of yesterday I am totally exhausted also so tightness in chest and labored breathing.
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Bursitis | · | · | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Orthostatic hypertension | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Chest discomfort | · | · | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Skin burning sensation | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release