639-27710-58895
3 vaccinations
5 coded responses
19 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 959 / CA
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Dose 1 — Pfizer-BioNTech
-
2021-02-15
Registered in v-safe
-
2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Motion sickness — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Felt carsick on the way home, like when you get hungry. Went away as soon as I ate something.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-18
-
2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Insomnia — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: hard time sleeping last night. very tired todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Survey response — day 7, dose 1MedDRA: Migraine — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: migraine headache, but have had these in the past. seems to be okay at this time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
-
2021-03-07
Dose 2 — Pfizer-BioNTech
- 2021-03-07
- 2021-03-13
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-04-11
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2021-04-19
Survey response — day 42, dose 2MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Dizziness from inner earMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-06
- 2021-09-06
- 2022-03-08
-
2022-06-23
Dose 3 — Other-Unknown
- 2022-09-22
-
2022-12-26
Survey response — 6 months, dose 3MedDRA: Atrial fibrillation, Blood pressure increased, Electrocardiogram abnormal, Fall, Heart rate increased, Office visit — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fell and possibly broke rib. Blood pressure and heart rate went up after this. When I went to doctor for the blood pressure and heart rate EKG showed that I was in atrial fibulation.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Pfizer-BioNTech | |
| 2 | 2021-03-07 | Pfizer-BioNTech | |
| 3 | 2022-06-23 | Other-Unknown | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Felt carsick on the way home, like when you get hungry. Went away as soon as I ate something.
Systemic reaction (other): hard time sleeping last night. very tired today
Release 4 — day 7, dose 1
Systemic reaction (other): migraine headache, but have had these in the past. seems to be okay at this time.
Release 7 — day 42, dose 2
Symptoms: Dizziness from inner ear
Release 12 — 6 months, dose 3
Symptoms: Fell and possibly broke rib. Blood pressure and heart rate went up after this. When I went to doctor for the blood pressure and heart rate EKG showed that I was in atrial fibulation.
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 | Atrial fibrillation | · | · | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Electrocardiogram abnormal | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Motion sickness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release