6CB-10505-25590
5 vaccinations
13 coded responses
59 check-ins
12 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 440 / OH
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Pfizer-BioNTech
-
2021-03-11
Registered in v-safe
- 2021-03-11
- 2021-03-12
- 2021-03-19
-
2021-03-26
Dose 2 — Pfizer-BioNTech
- 2021-03-26
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
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2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: Day after shot and feeling back to normal todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
-
2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Asthenopia — Feeling: Good · Headache, Fatigue or tirednessFree text: Eyes felt strainedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-06-25
- 2021-09-24
-
2021-10-06
Dose 3 — Pfizer-BioNTech
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2021-10-06
Survey response — day 0, dose 3MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Joint painsFree text: Had back pain BEFORE getting shotMedDRA releases: 2024-11 · check-in free text available
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2021-10-07
Survey response — days 1–6 daily, dose 3MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain, Itching · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I have had these symptoms on and off since before my shot - so I'm not convinced it is related to the vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-08
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-09
- 2021-10-10
- 2021-10-11
- 2021-10-12
- 2021-10-13
- 2021-10-20
- 2021-10-27
- 2021-11-03
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2021-11-11
Survey response — day 35, dose 3MedDRA: Injection site pruritus — Feeling: GoodFree text: Itchy at injection site (L. shoulder)MedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
- 2022-01-05
- 2022-04-08
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2022-04-09
Dose 4 — Pfizer-BioNTech
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2022-04-09
Survey response — day 0, dose 4MedDRA: Disorientation — Feeling: Good · Fatigue or tirednessFree text: A little disorientedMedDRA releases: 2024-11 · check-in free text available
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2022-04-10
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · None · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
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2022-04-10
Report sent to call center — days 1–6 daily, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-11
- 2022-04-12
- 2022-04-13
- 2022-04-14
- 2022-04-14
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2022-04-14
Call successfulNot applicable - Accidental Reporting
- 2022-04-15
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2022-04-16
Survey response — day 7, dose 4MedDRA: Feeling hot — Feeling: Good · Fever · Chills, Muscle or body aches, Fatigue or tirednessFree text: I know temp (98.5) is not a fever but my whole body briefly "felt" warm.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-23
- 2022-04-30
- 2022-05-07
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2022-05-14
Survey response — day 35, dose 4MedDRA: Cough, Influenza like illness, Nasopharyngitis, Pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Cold/Flu like symptoms: cough, chest congestion, body aches - but no fever. Took a self-administered Covid test with negative results.MedDRA releases: 2024-11 · check-in free text available
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2022-05-21
Survey response — day 42, dose 4MedDRA: Cold sweat, Fatigue, Feeling hot, Myalgia, Nasopharyngitis — Feeling: FairFree text: Cold like symptoms: tired, muscle aches, hot & clammy (but no fever).MedDRA releases: 2024-11 · check-in free text available
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2022-07-09
Survey response — 3 months, dose 4MedDRA: Parkinson's disease — Feeling: GoodFree text: Probably irrelevant for your purposes, but I've been diagnosed with Parkinson's Disease last fall and don't think I ever mentioned it - so this is just an FYI.MedDRA releases: 2024-11 · check-in free text available
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2022-09-10
Dose 5 — Pfizer-BioNTech
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2022-09-10
Survey response — day 0, dose 5MedDRA: Pre-existing disease — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: NOTE: My rash is due to pre-existing poison ivy exposure.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-11
- 2022-09-12
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2022-09-16
Survey response — days 1–6 daily, dose 5MedDRA: Dermatitis contact — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Again, to be completely accurate, my poison ivy caused rash is fading. ??MedDRA releases: 2024-11 · check-in free text available
- 2022-09-19
- 2022-09-24
- 2022-10-01
- 2022-10-08
- 2022-10-15
- 2022-10-23
- 2022-12-10
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2023-03-11
Survey response — 6 months, dose 5MedDRA: Fatigue, Influenza like illness, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Pfizer-BioNTech | |
| 2 | 2021-03-26 | Pfizer-BioNTech | |
| 3 | 2021-10-06 | Pfizer-BioNTech | No |
| 4 | 2022-04-09 | Pfizer-BioNTech | No |
| 5 | 2022-09-10 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Day after shot and feeling back to normal today
Systemic reaction (other): Eyes felt strained
Release 10 — day 0, dose 3
Systemic reaction (other): Had back pain BEFORE getting shot
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I have had these symptoms on and off since before my shot - so I'm not convinced it is related to the vaccine.
Release 10 — day 35, dose 3
Symptoms: Itchy at injection site (L. shoulder)
Release 11 — day 0, dose 4
Systemic reaction (other): A little disoriented
Release 11 — day 7, dose 4
Systemic reaction (other): I know temp (98.5) is not a fever but my whole body briefly "felt" warm.
Release 11 — day 35, dose 4
Symptoms: Cold/Flu like symptoms: cough, chest congestion, body aches - but no fever. Took a self-administered Covid test with negative results.
Release 11 — day 42, dose 4
Symptoms: Cold like symptoms: tired, muscle aches, hot & clammy (but no fever).
Release 12 — 3 months, dose 4
Symptoms: Probably irrelevant for your purposes, but I've been diagnosed with Parkinson's Disease last fall and don't think I ever mentioned it - so this is just an FYI.
Release 12 — day 0, dose 5
Systemic reaction (other): NOTE: My rash is due to pre-existing poison ivy exposure.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Again, to be completely accurate, my poison ivy caused rash is fading. ??
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 | Cold sweat | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Injection site pruritus | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Parkinson's disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Asthenopia | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Dermatitis contact | · | · | ✓ |
| SRO | Disorientation | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release