6CB-50930-96001
3 vaccinations
11 coded responses
40 check-ins
11 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 921 / CA
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
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2021-01-22
Dose 1 — Pfizer-BioNTech
- 2021-01-22
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2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Sore arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Chills — Feeling: Good · ChillsFree text: Worried if Ill get second injection or not. Chills are my diabetes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · ChillsFree text: Worried about the second Covid shot resources.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Muscle or body achesFree text: Still not sure where the second injection is coming from.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: The only site pain is on my opposite arm, exactly the same injection site. Dont understand. Just noticed it today. Probably there for a while.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Pyrexia, Rhinorrhoea — Feeling: Good · Muscle or body achesFree text: Sniffles and low grade fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Good · Abdominal painFree text: Still dont know how to get the second dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-12
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2021-02-18
Dose 2 — Pfizer-BioNTech
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2021-02-18
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: Good · Site: Pain · HeadacheFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort, Immediate post-injection reaction, Pain — Feeling: Good · NauseaFree text: Not nausea but weird feeling stomach. Circle of pain. Only lasted for 3 minutes or so. 2 hours after shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
- 2021-02-21
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · DiarrheaFree text: I am retired so th questions about interrupting my work are not valid.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-05-20
- 2021-08-19
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2021-09-28
Dose 3 — Pfizer-BioNTech
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2021-09-29
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Good · Site: ItchingFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2021-09-30
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-12
- 2021-10-19
- 2021-10-26
- 2021-11-02
- 2021-11-09
- 2021-12-28
- 2022-03-29
- 2022-09-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Pfizer-BioNTech | |
| 2 | 2021-02-18 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Sore arm.
Systemic reaction (other): Worried if Ill get second injection or not. Chills are my diabetes.
Systemic reaction (other): Worried about the second Covid shot resources.
Systemic reaction (other): Still not sure where the second injection is coming from.
Systemic reaction (other): The only site pain is on my opposite arm, exactly the same injection site. Dont understand. Just noticed it today. Probably there for a while.
Systemic reaction (other): Sniffles and low grade fever.
Release 3 — day 7, dose 1
Systemic reaction (other): Still dont know how to get the second dose.
Release 4 — day 0, dose 2
Systemic reaction (other): No
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Not nausea but weird feeling stomach. Circle of pain. Only lasted for 3 minutes or so. 2 hours after shot
Systemic reaction (other): I am retired so th questions about interrupting my work are not valid.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): No
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 |
|---|---|---|---|---|
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Anxiety | ○ | ○ | ○ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ○ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release