6LW-31324-81541
4 vaccinations
4 coded responses
28 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 947 / CA
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Dose 1 — Pfizer-BioNTech
-
2021-02-14
Registered in v-safe
-
2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: Arthritis, Pre-existing disease — Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Underlying arthritis in shoulder where injection site is seems to have flared up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Cold sweat, Fatigue — Feeling: Good · Fatigue or tirednessFree text: The day after my vaccination I was extremely fatigued, had cold sweats, no fever, nausea, headache, pain at injection site. Slowly improved each day until today I feel a little tired but mostly normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-03-01
-
2021-03-06
Dose 2 — Pfizer-BioNTech
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-18
- 2021-06-06
- 2021-09-11
-
2021-10-11
Dose 3 — Pfizer-BioNTech
- 2022-03-06
-
2022-04-06
Dose 4 — Pfizer-BioNTech
-
2022-04-19
Survey response — day 7, dose 4MedDRA: Back pain, Medical counselling, Self-medication — Feeling: Good · Joint pains · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Lower back pain · Healthcare visit (other): Spoke to physician's assistant about lower back pain & she instructed me to take Tylenol and use ice pack alternated with heat pack.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-19
Report sent to call center — day 7, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-04-20
- 2022-04-28
- 2022-04-29
- 2022-05-04
- 2022-05-13
- 2022-05-18
- 2022-07-06
-
2022-10-05
Survey response — 6 months, dose 4MedDRA: Chest pain, Cough, Fatigue, Headache, SARS-CoV-2 test positive, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Tested positive for Covid on September 3. Severe cough that cause pain in chest chest. Headache and fatigue. Chest pain went away as symptoms cleared up. Occasional residual dry cough. · Healthcare visit (other): Wife picked up Paxlovid prescription at Pharmacy.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-05
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-06
- 2022-10-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Pfizer-BioNTech | |
| 2 | 2021-03-06 | Pfizer-BioNTech | |
| 3 | 2021-10-11 | Pfizer-BioNTech | No |
| 4 | 2022-04-06 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Underlying arthritis in shoulder where injection site is seems to have flared up.
Systemic reaction (other): The day after my vaccination I was extremely fatigued, had cold sweats, no fever, nausea, headache, pain at injection site. Slowly improved each day until today I feel a little tired but mostly normal.
Release 11 — day 7, dose 4
Systemic reaction (other): Lower back pain
Healthcare visit (other): Spoke to physician's assistant about lower back pain & she instructed me to take Tylenol and use ice pack alternated with heat pack.
Release 12 — 6 months, dose 4
Symptoms: Tested positive for Covid on September 3. Severe cough that cause pain in chest chest. Headache and fatigue. Chest pain went away as symptoms cleared up. Occasional residual dry cough.
Healthcare visit (other): Wife picked up Paxlovid prescription at Pharmacy.
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 |
|---|---|---|---|---|
| HCVO | Back pain | · | · | ✓ |
| HCVO | Medical counselling | · | · | ✓ |
| HCVO | Self-medication | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Arthritis | ✓ | ✓ | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release