6DA-13260-09221
2 vaccinations
8 coded responses
24 check-ins
8 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 606 / IL
- Registered
- 2021-05-15
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-05-15
Registered in v-safe
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2021-05-15
Dose 1 — Pfizer-BioNTech
- 2021-05-15
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2021-05-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness, Abdominal painAdult check-in
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2021-05-17
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal painFree text: Sore throat with blood mixed congestion from the night I took shot. But today getting better. Sometime heart rate at 90 even when I sit idle and today is better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-18
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion, Productive cough — Feeling: GoodFree text: Nasal congestion with yellow phlegm. Getting betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Nasopharyngitis — Feeling: GoodFree text: Got mild cold and cough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Survey response — days 1–6 daily, dose 1MedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: Fair · Fatigue or tirednessFree text: Cold and cold congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
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2021-05-22
Survey response — day 7, dose 1MedDRA: Cough, Nasopharyngitis — Feeling: GoodFree text: Woke up with cold cough but normal laterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-29
- 2021-06-05
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2021-06-06
Dose 2 — Pfizer-BioNTech
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2021-06-06
Survey response — day 0, dose 2MedDRA: Chest pain, Gastrointestinal disorder, Heart rate increased — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Abdominal painFree text: Gastric problem. Light pain in chest area that comes and goes but not consistent. Increased heart beat when pain comes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
- 2021-06-08
- 2021-06-09
- 2021-06-10
- 2021-06-11
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2021-06-12
Survey response — days 1–6 daily, dose 2MedDRA: Myalgia — Feeling: Good · Muscle or body achesFree text: Muscle pain in the left hand where I took vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-13
- 2021-06-20
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2021-06-27
Survey response — day 21, dose 2MedDRA: Dizziness, Pain — Feeling: FairFree text: Feeling light headed while woke up in the morning time. Feeling sharp pain Thru the vein in left arm where I took my second vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-06
- 2021-07-11
- 2021-07-18
- 2022-06-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-15 | Pfizer-BioNTech | |
| 2 | 2021-06-06 | Pfizer-BioNTech |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat with blood mixed congestion from the night I took shot. But today getting better. Sometime heart rate at 90 even when I sit idle and today is better.
Systemic reaction (other): Nasal congestion with yellow phlegm. Getting better
Systemic reaction (other): Got mild cold and cough.
Systemic reaction (other): Cold and cold congestion
Release 8 — day 7, dose 1
Systemic reaction (other): Woke up with cold cough but normal later
Release 8 — day 0, dose 2
Systemic reaction (other): Gastric problem. Light pain in chest area that comes and goes but not consistent. Increased heart beat when pain comes.
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Muscle pain in the left hand where I took vaccine
Release 9 — day 21, dose 2
Symptoms: Feeling light headed while woke up in the morning time. Feeling sharp pain Thru the vein in left arm where I took my second vaccine.
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 | Dizziness | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Productive cough | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release