6QQ-63604-66112
4 vaccinations
5 coded responses
26 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 700 / LA
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Dose 1 — Pfizer-BioNTech
-
2021-03-13
Registered in v-safe
- 2021-03-13
-
2021-03-17
Dose 2 — Pfizer-BioNTech
- 2021-03-17
- 2021-03-19
- 2021-03-20
-
2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: The fatigued is more directly related to my CLL.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Survey response — days 1–6 daily, dose 2MedDRA: Asthma, Pre-existing disease, Seasonal allergy, Upper-airway cough syndrome — Feeling: Good · Fatigue or tirednessFree text: Here in the New Orleans area we had the first winter in 4 years. The flora hav responded over abundantly. I have had some of the wo ve had of the worst seasonal allergy reactions that I've had in a long time. Conheation, asthma, post-nasal drip, etc.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-24
- 2021-04-01
- 2021-04-07
-
2021-04-17
Survey response — day 28, dose 2MedDRA: Blood chloride decreased, Blood sodium decreased, Fatigue — Feeling: GoodFree text: I had Extensive Glaucoma surgery on my rigjt eye. Recovery is going as expected. My fatigue it turns out was relater to a decrease in my sodium and chloride levels. I have modified my diet and med regimen. No symptoms related to covid or vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-05-02
- 2021-06-16
- 2021-09-15
-
2021-10-19
Dose 3 — Pfizer-BioNTech
-
2022-03-17
Survey response — 12 months, dose 2MedDRA: Endodontic procedure — Feeling: GoodFree text: Needed root canal lower right molarMedDRA releases: 2024-11 · check-in free text available
-
2022-04-19
Dose 4 — Pfizer-BioNTech
- 2022-04-22
- 2022-04-25
- 2022-04-28
-
2022-05-03
Survey response — day 14, dose 4MedDRA: Cardiac flutter, Chest discomfort — Feeling: FairFree text: Tightness in chest. Some cardiac fultering. Not consistant or. persistant. Could be llergy related.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-07-21
- 2022-10-18
- 2023-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Pfizer-BioNTech | |
| 2 | 2021-03-17 | Pfizer-BioNTech | |
| 3 | 2021-10-19 | Pfizer-BioNTech | No |
| 4 | 2022-04-19 | Pfizer-BioNTech | No |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): The fatigued is more directly related to my CLL.
Systemic reaction (other): Here in the New Orleans area we had the first winter in 4 years. The flora hav responded over abundantly. I have had some of the wo ve had of the worst seasonal allergy reactions that I've had in a long time. Conheation, asthma, post-nasal drip, etc.
Release 7 — day 28, dose 2
Symptoms: I had Extensive Glaucoma surgery on my rigjt eye. Recovery is going as expected. My fatigue it turns out was relater to a decrease in my sodium and chloride levels. I have modified my diet and med regimen. No symptoms related to covid or vaccine.
Release 11 — 12 months, dose 2
Symptoms: Needed root canal lower right molar
Release 11 — day 14, dose 4
Symptoms: Tightness in chest. Some cardiac fultering. Not consistant or. persistant. Could be llergy related.
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 | Blood chloride decreased | ✓ | ✓ | ✓ |
| SD | Blood sodium decreased | ✓ | ✓ | ✓ |
| SD | Cardiac flutter | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Endodontic procedure | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Seasonal allergy | ✓ | ✓ | ✓ |
| SRO | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release