66V-17219-40706
2 vaccinations
3 coded responses
17 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 857 / AZ
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Dose 1 — Pfizer-BioNTech
-
2021-03-16
Registered in v-safe
-
2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Fatigue, Pain — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessFree text: I feel fine overall but just fatigued with body aches and some chills. No measurable fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-18
- 2021-03-20
- 2021-03-22
-
2021-03-29
Survey response — day 14, dose 1MedDRA: Electric shock sensation, Neuralgia, Pain in extremity — Feeling: GoodFree text: I'm unsure if it's related. I was having an involuntary nerve firing in the arm I received the shot in. It lasted for 2 days last week but is fine now. It was on the front forearm as if electronically stimulated. But again all is fine now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
-
2021-04-12
Dose 2 — Pfizer-BioNTech
- 2021-04-14
- 2021-04-17
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
-
2021-07-12
Survey response — 3 months, dose 2MedDRA: Attention deficit hyperactivity disorder, Brain fog — Feeling: GoodFree text: I feel like I've had brain fog a lot. I do have ADHD and have taken medication for it for years so i dont know that this is COVID related but I definitely have the brain fog. It's the one thing I noticed took longer to see any improvement from.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2022-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Pfizer-BioNTech | |
| 2 | 2021-04-12 | Pfizer-BioNTech |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I feel fine overall but just fatigued with body aches and some chills. No measurable fever.
Release 6 — day 14, dose 1
Symptoms: I'm unsure if it's related. I was having an involuntary nerve firing in the arm I received the shot in. It lasted for 2 days last week but is fine now. It was on the front forearm as if electronically stimulated. But again all is fine now.
Release 9 — 3 months, dose 2
Symptoms: I feel like I've had brain fog a lot. I do have ADHD and have taken medication for it for years so i dont know that this is COVID related but I definitely have the brain fog. It's the one thing I noticed took longer to see any improvement from.
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 | Attention deficit hyperactivity disorder | ✓ | ✓ | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Electric shock sensation | ✓ | · | ✓ |
| SD | Neuralgia | ✓ | · | ✓ |
| SD | Pain in extremity | ○ | ✓ | ○ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release