6SM-15968-15385
3 vaccinations
6 coded responses
23 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 223 / VA
- Registered
- 2021-06-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-06-03
Dose 1 — Pfizer-BioNTech
-
2021-06-24
Dose 2 — Pfizer-BioNTech
-
2021-06-29
Registered in v-safe
- 2021-06-29
- 2021-06-30
- 2021-07-01
- 2021-07-08
- 2021-07-15
- 2021-07-24
- 2021-07-29
- 2021-08-05
- 2021-09-23
- 2021-12-23
-
2022-01-29
Dose 3 — Pfizer-BioNTech
-
2022-01-31
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Axillary pain, Eructation, Flatulence — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Soreness in back of shoulder and armpit closes to injection site. Belching. Flatulence.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-01
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Axillary pain, Eructation, Flatulence, Pain in extremity — Feeling: Fair · Site: Pain · Fever · Muscle or body achesFree text: Soreness in area behind the shoulder, upper arm and armpit closest to injection site. Belching. Flatulence. tulenceMedDRA releases: 2024-11 · check-in free text available
-
2022-02-02
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Good · Muscle or body achesFree text: Pain in area of armpit closest to injection site.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-03
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Noninfective gingivitis, Stomatitis — Feeling: GoodFree text: Pain in area of armpit closest to injection site. Inflammation in the gums and roof of mouth.MedDRA releases: 2024-11 · check-in free text available
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2022-02-04
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Noninfective gingivitis, Stomatitis — Feeling: GoodFree text: Pain in area of armpit closest to injection site. Inflammation in gums of and roof of mouth.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-05
Survey response — day 7, dose 3MedDRA: Stomatitis — Feeling: GoodFree text: Inflammation of roof of mouth.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-12
- 2022-02-19
- 2022-02-26
- 2022-03-05
- 2022-05-02
- 2022-08-06
- 2023-01-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-03 | Pfizer-BioNTech | No |
| 2 | 2021-06-24 | Pfizer-BioNTech | No |
| 3 | 2022-01-29 | Pfizer-BioNTech | No |
Free text
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Soreness in back of shoulder and armpit closes to injection site. Belching. Flatulence.
Systemic reaction (other): Soreness in area behind the shoulder, upper arm and armpit closest to injection site. Belching. Flatulence. tulence
Systemic reaction (other): Pain in area of armpit closest to injection site.
Systemic reaction (other): Pain in area of armpit closest to injection site. Inflammation in the gums and roof of mouth.
Systemic reaction (other): Pain in area of armpit closest to injection site. Inflammation in gums of and roof of mouth.
Release 11 — day 7, dose 3
Systemic reaction (other): Inflammation of roof of mouth.
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 |
|---|---|---|---|---|
| SRO | Arthralgia | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Eructation | · | · | ✓ |
| SRO | Flatulence | · | · | ✓ |
| SRO | Noninfective gingivitis | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Stomatitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release