65E-11387-85738
2 vaccinations
4 coded responses
18 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 981 / WA
- Registered
- 2021-04-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-24
Registered in v-safe
-
2021-04-24
Dose 1 — Pfizer-BioNTech
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2021-04-24
Survey response — day 0, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: I received the shot <5 minutes ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Survey response — days 1–6 daily, dose 1MedDRA: Throat irritation — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Scratchy throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-28
- 2021-04-29
- 2021-05-01
- 2021-05-08
-
2021-05-15
Dose 2 — Pfizer-BioNTech
- 2021-05-15
- 2021-05-22
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2021-05-29
Survey response — day 14, dose 2MedDRA: Dizziness, Nausea — Feeling: GoodFree text: I experienced an unpleasant sensation somewhat like nausea & dizziness heavily the day after the second vaccine (so 2 weeks ago), and decreasingly during the week after that vaccine, but then once again 2 days ago (13 days post-2nd-vaccine).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-05
- 2021-06-12
- 2021-06-19
- 2021-06-26
- 2021-08-16
- 2021-11-13
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2022-05-15
Survey response — 12 months, dose 2MedDRA: COVID-19, Cough, Eye pain, Headache, Pyrexia, Rhinorrhoea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I had covid 3 weeks ago. My fever went to 38.4 one day. Otherwise, runny nose, slight cough, mild headache, & sore eyeballs.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-24 | Pfizer-BioNTech | |
| 2 | 2021-05-15 | Pfizer-BioNTech |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): I received the shot <5 minutes ago.
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Scratchy throat
Release 8 — day 14, dose 2
Symptoms: I experienced an unpleasant sensation somewhat like nausea & dizziness heavily the day after the second vaccine (so 2 weeks ago), and decreasingly during the week after that vaccine, but then once again 2 days ago (13 days post-2nd-vaccine).
Release 11 — 12 months, dose 2
Symptoms: I had covid 3 weeks ago. My fever went to 38.4 one day. Otherwise, runny nose, slight cough, mild headache, & sore eyeballs.
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Eye pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release