6NJ-61128-80271
3 vaccinations
4 coded responses
37 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 479 / IN
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Dose 1 — Pfizer-BioNTech
-
2021-02-02
Registered in v-safe
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
-
2021-02-22
Dose 2 — Pfizer-BioNTech
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-05-24
- 2021-08-23
-
2021-10-05
Dose 3 — Pfizer-BioNTech
-
2021-10-07
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Fatigue, Headache, Myalgia, Oedema peripheral, Pain in extremity, Tenderness — Feeling: GoodFree text: This is day 3 of shot. Day 1, at about 8 hours after shot I had arm soreness, fatigue, mild chills, and muscular aches, minimal headache. Day 2 these symptoms continued plus swelling and mild tenderness in axilla of shot site. This continues todayMedDRA releases: 2024-11 · check-in free text available
-
2021-10-08
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: GoodFree text: Swelling in axilla (injection side) is diminishing.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-09
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: GoodFree text: Ancillary swelling almost resolvedMedDRA releases: 2024-11 · check-in free text available
- 2021-10-10
- 2021-10-11
- 2021-10-12
- 2021-10-19
-
2021-10-26
Survey response — day 21, dose 3MedDRA: Headache, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: FairFree text: Sore throat, congestion, mild headache - It is almost certain a viral cold caught from my grandson. 2 other family members have similar symptoms. One family member was tested for covid and was negative.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2022-01-04
- 2022-04-05
- 2022-10-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Pfizer-BioNTech | |
| 2 | 2021-02-22 | Pfizer-BioNTech | |
| 3 | 2021-10-05 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): This is day 3 of shot. Day 1, at about 8 hours after shot I had arm soreness, fatigue, mild chills, and muscular aches, minimal headache. Day 2 these symptoms continued plus swelling and mild tenderness in axilla of shot site. This continues today cut off by CDC
Systemic reaction (other): Swelling in axilla (injection side) is diminishing.
Systemic reaction (other): Ancillary swelling almost resolved
Release 10 — day 21, dose 3
Symptoms: Sore throat, congestion, mild headache - It is almost certain a viral cold caught from my grandson. 2 other family members have similar symptoms. One family member was tested for covid and was negative.
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 | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release