6JJ-23233-76408
4 vaccinations
5 coded responses
35 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 925 / CA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- Native Hawaiian or other Pacific Islander
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Pfizer-BioNTech
- 2021-01-15
-
2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: PainFree text:MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
- 2021-01-18
- 2021-01-21
- 2021-01-22
-
2021-01-29
Survey response — day 14, dose 1MedDRA: Arrhythmia, Dizziness, Heart rate irregular — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had irregular heart beat. Escape beat every 2 an 3 beats occurring every 15 and 45 sec. felt dizzy from sitting to standing. Started around 2 pm. Slept at 9 pm w/ arrythmia. Woke up at 5am. Symptoms goneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Dose 2 — Pfizer-BioNTech
- 2021-02-03
- 2021-02-04
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Chills — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activitiesFree text: ChillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-05-05
- 2021-08-04
-
2021-09-15
Dose 3 — Pfizer-BioNTech
-
2021-09-28
Survey response — day 7, dose 3MedDRA: Injection site pain — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body achesFree text: Pain injection siteMedDRA releases: 2024-11 · check-in free text available
- 2021-09-29
- 2021-10-06
- 2021-10-14
- 2021-10-20
- 2021-10-28
- 2021-12-15
-
2022-03-18
Survey response — 6 months, dose 3MedDRA: Arthralgia, Pain, Pain in extremity, Productive cough, Self-medication, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Debilitating pain in right shoulder since February . Occasional shooting pain in right upper extremity. Productive cough and nasal drip for 3 day now. Taking TylenolPM 500 mg prn q 4 hr.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-27
Dose 4 — Pfizer-BioNTech
- 2022-05-14
- 2022-05-19
- 2022-05-30
- 2022-06-02
- 2022-06-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Pfizer-BioNTech | |
| 2 | 2021-02-03 | Pfizer-BioNTech | |
| 3 | 2021-09-15 | Pfizer-BioNTech | No |
| 4 | 2022-04-27 | Pfizer-BioNTech | No |
Free text
Release 2 — days 1–6 daily, dose 1
Release 3 — day 14, dose 1
Symptoms: Had irregular heart beat. Escape beat every 2 an 3 beats occurring every 15 and 45 sec. felt dizzy from sitting to standing. Started around 2 pm. Slept at 9 pm w/ arrythmia. Woke up at 5am. Symptoms gone
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Chills
Release 9 — day 7, dose 3
Systemic reaction (other): Pain injection site
Release 11 — 6 months, dose 3
Symptoms: Debilitating pain in right shoulder since February . Occasional shooting pain in right upper extremity. Productive cough and nasal drip for 3 day now. Taking TylenolPM 500 mg prn q 4 hr.
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 | Arrhythmia | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Heart rate irregular | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release