6PH-14474-63407
5 vaccinations
6 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 782 / TX
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-20
Registered in v-safe
-
2021-02-20
Dose 1 — Pfizer-BioNTech
- 2021-02-20
-
2021-02-21
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pain, Somnolence — Feeling: GoodFree text: Was sore yesterday and very sleepy. Minor soreness this morning and light headache. All gone by noon today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-03-06
-
2021-03-15
Dose 2 — Pfizer-BioNTech
- 2021-04-03
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
-
2021-06-14
Survey response — 3 months, dose 2MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny nose that i thought would have passed by now. But it,s like a light drainage all day long.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-13
-
2022-03-15
Survey response — 12 months, dose 2MedDRA: Ageusia, Anosmia, COVID-19, Impaired work ability, SARS-CoV-2 test negative — Feeling: GoodFree text: I believe I contracted Omicron. Lost taste and smell for 1 and 1/2 days. Got tested and my results did not get back until 4 days later. Stayed home from work for 7 days and my results came back negative for Covid. I'm sure I had Omicron based on sympMedDRA releases: 2024-11 · check-in free text available
-
2022-04-17
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2022-06-02
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-06-25
Survey response — day 21, dose 4MedDRA: Amnesia — Feeling: GoodFree text: Memory lossMedDRA releases: 2024-11 · check-in free text available
- 2022-06-30
- 2022-07-07
- 2022-07-14
- 2022-09-01
-
2022-11-08
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2022-12-01
Survey response — 6 months, dose 4MedDRA: Infection, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Head sinus which led to an infection. Current status.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-01
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-02
-
2023-05-09
Survey response — 6 months, dose 5MedDRA: Headache, Laziness, Pain — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Pfizer-BioNTech | |
| 2 | 2021-03-15 | Pfizer-BioNTech | |
| 3 | 2022-04-17 | Pfizer-BioNTech | Flu |
| 4 | 2022-06-02 | Pfizer-BioNTech | Flu |
| 5 | 2022-11-08 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Was sore yesterday and very sleepy. Minor soreness this morning and light headache. All gone by noon today.
Release 9 — 3 months, dose 2
Symptoms: Runny nose that i thought would have passed by now. But it,s like a light drainage all day long.
Release 11 — 12 months, dose 2
Symptoms: I believe I contracted Omicron. Lost taste and smell for 1 and 1/2 days. Got tested and my results did not get back until 4 days later. Stayed home from work for 7 days and my results came back negative for Covid. I'm sure I had Omicron based on symp cut off by CDC
Release 12 — day 21, dose 4
Symptoms: Memory loss
Release 12 — 6 months, dose 4
Symptoms: Head sinus which led to an infection. Current status.
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 | Ageusia | · | · | ✓ |
| SD | Amnesia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Infection | · | · | ✓ |
| SD | Laziness | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release