692-68871-09658
5 vaccinations
17 coded responses
63 check-ins
17 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 019 / MA
- Registered
- 2021-03-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-27
Dose 1 — Pfizer-BioNTech
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2021-03-28
Registered in v-safe
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
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2021-04-10
Survey response — day 14, dose 1MedDRA: Acne, Oral herpes — Feeling: GoodFree text: Cold sore-like bump on lower lip. A few pimples on arm and leg.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Dose 2 — Pfizer-BioNTech
- 2021-04-17
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2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-04-19
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2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
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2021-05-01
Survey response — day 14, dose 2MedDRA: Arthralgia, Myalgia, Pre-existing disease, Tinnitus — Feeling: GoodFree text: Return of joint/muscle pain. May not be related to vaccine. Also, have had tinnitus since around the time of the first shot. Did not report this at any time. Figured it was unrelated. Not really sure now, so wanted to mention it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
- 2021-05-15
- 2021-05-22
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2021-05-29
Survey response — day 42, dose 2MedDRA: Diarrhoea — Feeling: GoodFree text: DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-18
- 2021-10-16
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2021-11-20
Dose 3 — Moderna
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2021-11-24
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Dermatitis acneiform — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesFree text: Painful, pimple-like, eruption in the armpit of the arm that got the shot.MedDRA releases: 2024-11 · check-in free text available
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2021-11-25
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Dermatitis acneiform, Swelling — Feeling: GoodFree text: Diminishing, but lingering, pain in the armpit. Same arm that got the shot. Pimple-like eruption. Swelling.MedDRA releases: 2024-11 · check-in free text available
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2021-11-26
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Dermatitis acneiform, Oedema peripheral — Feeling: GoodFree text: Pimple-like eruption under the arm where I got the shot is improving daily. Much less pain. No longer feels swollen.MedDRA releases: 2024-11 · check-in free text available
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2021-11-27
Survey response — day 7, dose 3MedDRA: Axillary pain, Rash — Feeling: GoodFree text: Disappearing pimple-like eruption under the arm that was vaccinated. No pain in that spot today.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2021-12-25
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2022-01-01
Survey response — day 42, dose 3MedDRA: Back pain, Sneezing — Feeling: FairFree text: Back pain, sneezingMedDRA releases: 2024-11 · check-in free text available
- 2022-02-19
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2022-05-12
Dose 4 — Moderna
- 2022-05-12
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2022-05-13
Survey response — days 1–6 daily, dose 4MedDRA: Nightmare — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: NightmaresMedDRA releases: 2024-11 · check-in free text available
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2022-05-14
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2022-05-15
- 2022-05-16
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2022-05-17
Survey response — days 1–6 daily, dose 4MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore Throat, Runny NoseMedDRA releases: 2024-11 · check-in free text available
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2022-05-18
Survey response — days 1–6 daily, dose 4MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Sore Throat, Runny NoseMedDRA releases: 2024-11 · check-in free text available
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2022-05-19
Survey response — day 7, dose 4MedDRA: Rhinorrhoea — Feeling: Fair · Joint pains, Muscle or body achesFree text: Runny NoseMedDRA releases: 2024-11 · check-in free text available
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-06-23
- 2022-08-11
- 2022-11-10
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2022-11-15
Dose 5 — ModernaCo-administered: Flu
- 2022-11-15
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2022-11-16
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-11-17
Survey response — days 1–6 daily, dose 5MedDRA: Dizziness — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
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2022-11-18
Health check-in — days 1–6 daily, dose 5Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2022-11-19
Survey response — days 1–6 daily, dose 5MedDRA: Rhinorrhoea — Feeling: Good · Joint pains, Muscle or body achesFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
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2022-11-20
Health check-in — days 1–6 daily, dose 5Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
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2022-11-21
Survey response — days 1–6 daily, dose 5MedDRA: Vertigo — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, NauseaFree text: VertigoMedDRA releases: 2024-11 · check-in free text available
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2022-11-22
Survey response — day 7, dose 5MedDRA: Rhinorrhoea — Feeling: Good · Headache, Fatigue or tirednessFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-11-29
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2022-12-06
Survey response — day 21, dose 5MedDRA: Diarrhoea — Feeling: FairFree text: DiarrheaMedDRA releases: 2024-11 · check-in free text available
- 2022-12-13
- 2022-12-20
- 2022-12-27
- 2023-02-14
- 2023-05-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Pfizer-BioNTech | |
| 2 | 2021-04-17 | Pfizer-BioNTech | |
| 3 | 2021-11-20 | Moderna | No |
| 4 | 2022-05-12 | Moderna | No |
| 5 | 2022-11-15 | Moderna | Flu |
Free text
Release 7 — day 14, dose 1
Symptoms: Cold sore-like bump on lower lip. A few pimples on arm and leg.
Release 8 — day 14, dose 2
Symptoms: Return of joint/muscle pain. May not be related to vaccine. Also, have had tinnitus since around the time of the first shot. Did not report this at any time. Figured it was unrelated. Not really sure now, so wanted to mention it.
Release 8 — day 42, dose 2
Symptoms: Diarrhea
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Painful, pimple-like, eruption in the armpit of the arm that got the shot.
Systemic reaction (other): Diminishing, but lingering, pain in the armpit. Same arm that got the shot. Pimple-like eruption. Swelling.
Systemic reaction (other): Pimple-like eruption under the arm where I got the shot is improving daily. Much less pain. No longer feels swollen.
Release 10 — day 7, dose 3
Systemic reaction (other): Disappearing pimple-like eruption under the arm that was vaccinated. No pain in that spot today.
Release 10 — day 42, dose 3
Symptoms: Back pain, sneezing
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Nightmares
Systemic reaction (other): Sore Throat, Runny Nose
Systemic reaction (other): Sore Throat, Runny Nose
Release 11 — day 7, dose 4
Systemic reaction (other): Runny Nose
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Dizziness
Systemic reaction (other): Runny nose
Systemic reaction (other): Vertigo
Release 12 — day 7, dose 5
Systemic reaction (other): Runny nose
Release 12 — day 21, dose 5
Symptoms: Diarrhea
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 | Acne | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Oral herpes | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Dermatitis acneiform | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Nightmare | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
| SRO | Vertigo | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release