6HU-19231-03477
3 vaccinations
6 coded responses
16 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 972 / OR
- Registered
- 2021-04-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-21
Dose 1 — Pfizer-BioNTech
-
2021-04-11
Dose 2 — Pfizer-BioNTech
-
2021-04-12
Registered in v-safe
-
2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Fatigue or tirednessFree text: I had SEVERE symptoms three (3) days AFTER my first (1st) shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-15
- 2021-04-17
- 2021-04-18
-
2021-04-25
Survey response — day 14, dose 2MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: General fatigue suspected from conditions not obviously or directly related to vaccinations.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
- 2021-05-09
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2021-05-16
Survey response — day 35, dose 2MedDRA: Dry skin, Skin irritation — Feeling: FairFree text: Random skin irritation areas that are individual, roundish with dry patchy skin. Making appointment w/PCP or dermatologist immediately.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-23
Survey response — day 42, dose 2MedDRA: Diabetes mellitus, Skin disorder — Feeling: GoodFree text: I was diagnosed w/diabetes two weeks ago and an unrelated improving skin condition. I doubt either are COVID or Covid vaccine related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-15
- 2021-10-10
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2022-01-11
Dose 3 — Moderna
- 2022-04-11
- 2022-04-12
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2022-07-12
Survey response — 6 months, dose 3MedDRA: Muscle fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Extreme fatigue in hips.MedDRA releases: 2024-11 · check-in free text available
-
2023-01-11
Survey response — 12 months, dose 3MedDRA: Diabetes mellitus, Eye haemorrhage — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-21 | Pfizer-BioNTech | |
| 2 | 2021-04-11 | Pfizer-BioNTech | |
| 3 | 2022-01-11 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I had SEVERE symptoms three (3) days AFTER my first (1st) shot.
Release 7 — day 14, dose 2
Symptoms: General fatigue suspected from conditions not obviously or directly related to vaccinations.
Release 8 — day 35, dose 2
Symptoms: Random skin irritation areas that are individual, roundish with dry patchy skin. Making appointment w/PCP or dermatologist immediately.
Release 8 — day 42, dose 2
Symptoms: I was diagnosed w/diabetes two weeks ago and an unrelated improving skin condition. I doubt either are COVID or Covid vaccine related.
Release 12 — 6 months, dose 3
Symptoms: Extreme fatigue in hips.
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 | Diabetes mellitus | ✓ | ✓ | ✓ |
| SD | Dry skin | ✓ | ✓ | ✓ |
| SD | Eye haemorrhage | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Muscle fatigue | · | · | ✓ |
| SD | Skin disorder | ✓ | ✓ | ✓ |
| SD | Skin irritation | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release