6M5-18608-27055
4 vaccinations
3 coded responses
42 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 481 / MI
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Pfizer-BioNTech
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-19
-
2021-01-26
Dose 2 — Pfizer-BioNTech
- 2021-01-26
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Joint pains, Muscle or body achesAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-04-29
- 2021-07-28
-
2021-10-05
Dose 3 — Pfizer-BioNTech
- 2021-10-05
-
2021-10-06
Survey response — days 1–6 daily, dose 3MedDRA: Asthenia — Feeling: GoodFree text: slightly less energy, but I was successful in a tennis lessonMedDRA releases: 2024-11 · check-in free text available
- 2021-10-07
- 2021-10-08
-
2021-10-09
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Condition aggravated, Neck pain, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesFree text: This pain is in my neck and shoulders. I take gabapentin for nerve pain there that is a result of a broken neck 9 years ago. Both this time and after the second shot i found that it acted like the gabapentin wears off sooner. By now it is normalMedDRA releases: 2024-11 · check-in free text available
- 2021-10-10
- 2021-10-11
- 2021-10-12
- 2021-10-20
- 2021-10-26
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2022-01-04
- 2022-04-05
-
2022-08-12
Dose 4 — Pfizer-BioNTech
-
2022-10-10
Survey response — 12 months, dose 3MedDRA: COVID-19, Nasopharyngitis, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Bad head and chest cold-lije symptoms. It is likely COVID-19. I tested positive on an antigen test and negative on a pcr test. My wife is clearly sick and had the same test results as IMedDRA releases: 2024-11 · check-in free text available
- 2022-11-11
- 2023-02-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Pfizer-BioNTech | |
| 2 | 2021-01-26 | Pfizer-BioNTech | |
| 3 | 2021-10-05 | Pfizer-BioNTech | No |
| 4 | 2022-08-12 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): slightly less energy, but I was successful in a tennis lesson
Systemic reaction (other): This pain is in my neck and shoulders. I take gabapentin for nerve pain there that is a result of a broken neck 9 years ago. Both this time and after the second shot i found that it acted like the gabapentin wears off sooner. By now it is normal
Release 12 — 12 months, dose 3
Symptoms: Bad head and chest cold-lije symptoms. It is likely COVID-19. I tested positive on an antigen test and negative on a pcr test. My wife is clearly sick and had the same test results as I
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 | COVID-19 | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release