6K3-64414-70776
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 128 / NY
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-20
Registered in v-safe
-
2021-02-20
Dose 1 — Pfizer-BioNTech
- 2021-02-20
-
2021-02-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
-
2021-02-27
Survey response — day 7, dose 1MedDRA: Back pain — Feeling: Good · Muscle or body achesFree text: Back pain verified by x-ray as being organic in nature.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — day 14, dose 1MedDRA: Diarrhoea — Feeling: FairFree text: Diarrhea for two daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Dose 2 — Pfizer-BioNTech
- 2021-03-13
-
2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Severe tiredness for most of morning but has since abated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: You dont mention possible psychological distress. This vaccine regimen requires a lot of faith. How do I know at 2 weeks after 2nd dose I am 95% immune? Seems your asking for a lot of faith that all the steps that were necessarily required were actually done in a correct and timely manner.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-17
- 2021-03-18
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2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Muscle or body aches, DiarrheaAdult check-in
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-12
- 2021-04-17
- 2021-04-24
- 2021-06-12
- 2021-09-11
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2022-03-13
Survey response — 12 months, dose 2MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Kidney disease stage 3)MedDRA releases: 2024-11 · check-in free text available
-
2022-03-13
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Pfizer-BioNTech | |
| 2 | 2021-03-13 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): Back pain verified by x-ray as being organic in nature.
Release 5 — day 14, dose 1
Symptoms: Diarrhea for two days
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Severe tiredness for most of morning but has since abated.
Systemic reaction (other): You dont mention possible psychological distress. This vaccine regimen requires a lot of faith. How do I know at 2 weeks after 2nd dose I am 95% immune? Seems your asking for a lot of faith that all the steps that were necessarily required were actually done in a correct and timely manner.
Release 11 — 12 months, dose 2
Symptoms: Kidney disease stage 3)
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release