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67J-10496-96037

2 vaccinations 9 coded responses 16 check-ins 9 free-text entries 0 call cases
Sex
Male
Age at first dose
36-40
ZIP prefix
009 / PR
Registered
2021-06-23
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-06-02
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-23
    Registered in v-safe
  3. 2021-06-23
    Dose 2 — Pfizer-BioNTech
  4. 2021-06-23
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-06-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Insomnia — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: I had a weird episode of insomnia last night. I usually have no trouble falling asleep.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-06-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Insomnia — Feeling: Fair · Site: Pain · Abdominal pain
    Free text: I had yet another episode of insomnia last night. I slept better than the night before though. I usually have no issues falling asleep.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-06-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: I have a mild chest pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-06-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Insomnia — Feeling: Fair · Fatigue or tiredness
    Free text: I did had some coughing and difficult to remain asleep last night
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-06-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-06-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Fatigue or tiredness
    Adult check-in
  11. 2021-06-30
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  12. 2021-07-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-07-14
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-07-21
    Survey response — day 28, dose 2
    MedDRA: Dyspnoea, Fatigue — Feeling: Fair
    Free text: Tiredness and mild shortness of breath.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-07-28
    Survey response — day 35, dose 2
    MedDRA: Influenza like illness — Feeling: Fair
    Free text: Moderate flu-like symptoms.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  16. 2021-08-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-09-22
    Survey response — 3 months, dose 2
    MedDRA: Asthenia, Headache, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities
    Free text: Headaches, weakness and sinus for a few days 2 weeks ago. My wife and kids too and our 11 year old got sick (vomiting and fever). All of them tested negative to covid antigen tests.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-12-22
    Survey response — 6 months, dose 2
    MedDRA: Mycoplasma infection — Feeling: Fair
    Free text: I had mycoplasma
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-06-23
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Constipation, Infection, Malaise — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I have been sick with mild infection, Covid 19 and unknown constipation.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-06-02Pfizer-BioNTech No
22021-06-23Pfizer-BioNTech No

Free text

Release 9 — days 1–6 daily, dose 2

2021-06-24

Systemic reaction (other): I had a weird episode of insomnia last night. I usually have no trouble falling asleep.

2021-06-25

Systemic reaction (other): I had yet another episode of insomnia last night. I slept better than the night before though. I usually have no issues falling asleep.

2021-06-26

Systemic reaction (other): I have a mild chest pain.

2021-06-27

Systemic reaction (other): I did had some coughing and difficult to remain asleep last night

Release 9 — day 28, dose 2

2021-07-21

Symptoms: Tiredness and mild shortness of breath.

Release 9 — day 35, dose 2

2021-07-28

Symptoms: Moderate flu-like symptoms.

Release 9 — 3 months, dose 2

2021-09-22

Symptoms: Headaches, weakness and sinus for a few days 2 weeks ago. My wife and kids too and our 11 year old got sick (vomiting and fever). All of them tested negative to covid antigen tests.

Release 10 — 6 months, dose 2

2021-12-22

Symptoms: I had mycoplasma

Release 12 — 12 months, dose 2

2022-06-23

Symptoms: I have been sick with mild infection, Covid 19 and unknown constipation.

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

FieldPreferred term2021-092023-042024-11
SDAsthenia · · ✓
SDConstipation · · ✓
SDCOVID-19 · · ✓
SDDyspnoea · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDInfection · · ✓
SDInfluenza like illness ✓ · ✓
SDMalaise · · ✓
SDMycoplasma infection · · ✓
SDUnevaluable event · · ✓
SROChest pain ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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