6JV-20126-89611
3 vaccinations
10 coded responses
36 check-ins
10 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 917 / CA
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 1 — Pfizer-BioNTech
-
2021-03-23
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Hurts at injection site!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-25
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2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Swelling — Feeling: Good · Site: SwellingFree text: Pain is gradually improving, still a little swelling. Overall, good progress!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Swelling — Feeling: GoodFree text: Swelling is almost completely gone, everything is going great! Thanks for caring!! (b)(6)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Injection site swelling — Feeling: GoodFree text: Swelling at injection site is very minimal - arm feels good!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Swelling — Feeling: Good · Site: SwellingFree text: Swelling is lingering but very minor!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
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2021-04-13
Dose 2 — Pfizer-BioNTech
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2021-04-13
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Too early to tell about symptoms. Just received the vaccine at 2:30 PST!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Injection site pain — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Mainly just a little tired and some pain at injection site!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: The day after shot #2 I worked all day but fatigue set in at about 4pm. I had to go to bed and rest. So, now I am doing much better 2 days after the vaccine. Just mild symptoms today!!! Thank you kindly, (b)(6)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-17
- 2021-04-18
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: I think I did better overall with shot #2. I thought #2 was supposed to be the rough one ..........??MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-27
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2021-05-05
Survey response — day 21, dose 2MedDRA: Fatigue, Feeling abnormal — Feeling: FairFree text: Today (Tuesday 4th) feeling a little out of sorts, somewhat fatigued...........Been going to bed too late, very bad habit. I think Im simply overtired!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-05-18
- 2021-05-25
- 2021-07-13
- 2021-10-12
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2021-12-21
Dose 3 — Pfizer-BioNTech
- 2021-12-23
- 2021-12-24
- 2021-12-25
- 2021-12-26
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2021-12-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-12-28
Health check-in — day 7, dose 3Feeling: Fair · Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-01-04
- 2022-01-11
- 2022-01-18
- 2022-01-25
- 2022-02-01
- 2022-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Pfizer-BioNTech | |
| 2 | 2021-04-13 | Pfizer-BioNTech | |
| 3 | 2021-12-21 | Pfizer-BioNTech | No |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Hurts at injection site!
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Pain is gradually improving, still a little swelling. Overall, good progress!
Systemic reaction (other): Swelling is almost completely gone, everything is going great! Thanks for caring!! (b)(6)
redacted (b)(6)
Systemic reaction (other): Swelling at injection site is very minimal - arm feels good!
Systemic reaction (other): Swelling is lingering but very minor!
Release 7 — day 0, dose 2
Systemic reaction (other): Too early to tell about symptoms. Just received the vaccine at 2:30 PST!!
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Mainly just a little tired and some pain at injection site!
Systemic reaction (other): The day after shot #2 I worked all day but fatigue set in at about 4pm. I had to go to bed and rest. So, now I am doing much better 2 days after the vaccine. Just mild symptoms today!!! Thank you kindly, (b)(6)
redacted (b)(6)
Systemic reaction (other): I think I did better overall with shot #2. I thought #2 was supposed to be the rough one ..........??
Release 8 — day 21, dose 2
Symptoms: Today (Tuesday 4th) feeling a little out of sorts, somewhat fatigued...........Been going to bed too late, very bad habit. I think Im simply overtired!
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release