662-94775-86785
6 vaccinations
13 coded responses
58 check-ins
12 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 66+
- ZIP prefix
- 931 / CA
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-30
Registered in v-safe
-
2021-01-30
Dose 1 — Pfizer-BioNTech
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2021-01-30
Survey response — day 0, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: Very slight headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
-
2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Unevaluable event — Feeling: Good · HeadacheFree text: Lite headache not related to vaccines sinusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-05
-
2021-02-07
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Good · HeadacheFree text: Not. Sure why think its sinusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
-
2021-02-18
Dose 2 — Pfizer-BioNTech
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
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2021-03-25
Survey response — day 35, dose 2MedDRA: Pruritus — Feeling: GoodFree text: Not sure, but itchy picky on back mostly and on upper trunk sides mostly when stretching or lying down .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-05-20
-
2021-08-21
Survey response — 6 months, dose 2MedDRA: Pain in extremity — Feeling: GoodFree text: Foot painMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-30
Dose 3 — Pfizer-BioNTech
- 2021-09-30
-
2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Musculoskeletal discomfort — Feeling: Good · Muscle or body achesFree text: Slight soreness on shoulder mild discomfortMedDRA releases: 2024-11 · check-in free text available
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2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia — Feeling: Good · Fatigue or tirednessFree text: I had slight pain on shoulder but almost all goneMedDRA releases: 2024-11 · check-in free text available
- 2021-10-03
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2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Vertigo — Feeling: GoodFree text: I did have a brief spell of vertigo yesterday and last night but all gone todayMedDRA releases: 2024-11 · check-in free text available
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-11-04
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2021-11-11
Survey response — day 42, dose 3MedDRA: Pain in extremity — Feeling: GoodFree text: Deep pain in right arm off and onMedDRA releases: 2024-11 · check-in free text available
- 2021-12-30
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2022-03-31
Survey response — 6 months, dose 3MedDRA: Atrial fibrillation — Feeling: GoodFree text: AfibMedDRA releases: 2024-11 · check-in free text available
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2022-06-21
Dose 4 — Pfizer-BioNTech
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2022-06-24
Dose 5 — Pfizer-BioNTech
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2022-06-24
Survey response — day 0, dose 5MedDRA: Feeling hot, Flushing — Feeling: Good · Site: Itching · FeverFree text: Felt 2 short feeling of flushing heatMedDRA releases: 2024-11 · check-in free text available
- 2022-06-25
- 2022-06-26
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-08
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2022-07-15
Survey response — day 21, dose 5MedDRA: Flushing, Salivary gland enlargement — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have swollen saliva gland but don't know if it's do to vivid vaccine, and flush feeling when eating this condition is about tree weeks off and onMedDRA releases: 2024-11 · check-in free text available
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2022-07-15
Report sent to call center — day 21, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-19
- 2022-07-22
- 2022-07-29
- 2022-08-05
- 2022-09-23
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2022-10-05
Dose 6 — Pfizer-BioNTech
- 2022-10-11
- 2022-10-13
- 2022-10-19
- 2022-10-28
- 2022-11-02
- 2022-11-10
- 2022-11-16
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2023-01-04
Survey response — 3 months, dose 6MedDRA: Adverse reaction — Feeling: FairMedDRA releases: 2024-11
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Pfizer-BioNTech | |
| 2 | 2021-02-18 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
| 4 | 2022-06-21 | Pfizer-BioNTech | No |
| 5 | 2022-06-24 | Pfizer-BioNTech | No |
| 6 | 2022-10-05 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Very slight headache
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Lite headache not related to vaccines sinus
Release 3 — day 7, dose 1
Systemic reaction (other): Not. Sure why think its sinus
Release 6 — day 35, dose 2
Symptoms: Not sure, but itchy picky on back mostly and on upper trunk sides mostly when stretching or lying down .
Release 9 — 6 months, dose 2
Symptoms: Foot pain
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Slight soreness on shoulder mild discomfort
Systemic reaction (other): I had slight pain on shoulder but almost all gone
Systemic reaction (other): I did have a brief spell of vertigo yesterday and last night but all gone today
Release 10 — day 42, dose 3
Symptoms: Deep pain in right arm off and on
Release 11 — 6 months, dose 3
Symptoms: Afib
Release 12 — day 0, dose 5
Systemic reaction (other): Felt 2 short feeling of flushing heat
Release 12 — day 21, dose 5
Symptoms: I have swollen saliva gland but don't know if it's do to vivid vaccine, and flush feeling when eating this condition is about tree weeks off and on
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 | Adverse reaction | · | · | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Flushing | · | · | ✓ |
| SD | Pain in extremity | ✓ | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Salivary gland enlargement | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Flushing | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal discomfort | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Vertigo | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release