6T9-29672-59787
5 vaccinations
5 coded responses
55 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 662 / KS
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 1 — Pfizer-BioNTech
-
2021-03-16
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
-
2021-04-06
Dose 2 — Pfizer-BioNTech
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
-
2021-05-18
Survey response — day 42, dose 2MedDRA: Dysphonia, Nasopharyngitis, Throat irritation — Feeling: GoodFree text: Have had mild cold symptoms and scratchy throat for about a week. Voice is affected. Very low voice. Have no idea if it had anything to do with the vaccination or not. Maybe just a mild cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-06
- 2021-10-05
-
2021-10-06
Dose 3 — Pfizer-BioNTech
- 2021-10-06
-
2021-10-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-10-08
- 2021-10-09
- 2021-10-10
-
2021-10-11
Survey response — days 1–6 daily, dose 3MedDRA: Nodule — Feeling: GoodFree text: Small knot under skin 6" from the injection site. Hurts to touch.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-12
- 2021-10-13
- 2021-10-20
- 2021-10-27
- 2021-11-03
- 2021-11-10
- 2021-11-17
-
2022-01-05
Survey response — 3 months, dose 3MedDRA: Lethargy, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: GoodFree text: I had a cold. No fever. No loss of taste or smell. Had runny nose, head congestion, sneezing and mild lethargic feeling. Lastly 4-5 days.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-06
-
2022-07-17
Dose 4 — Moderna
-
2022-10-06
Survey response — 12 months, dose 3MedDRA: COVID-19, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had Covid-19 May 10, 2022. Recovered in about 5-6 days. Had fever of 102 on August 8. Lasted two days. Tested negative for Covid-19 twice during that time.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-16
-
2022-10-24
Dose 5 — ModernaCo-administered: Flu
-
2022-10-25
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-26
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-10-27
- 2022-10-28
- 2022-10-29
- 2022-10-30
- 2022-10-31
- 2022-11-08
- 2022-11-14
- 2022-11-21
- 2022-11-28
- 2022-12-05
- 2023-01-23
- 2023-04-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Pfizer-BioNTech | |
| 2 | 2021-04-06 | Pfizer-BioNTech | |
| 3 | 2021-10-06 | Pfizer-BioNTech | No |
| 4 | 2022-07-17 | Moderna | No |
| 5 | 2022-10-24 | Moderna | Flu |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): No
Release 8 — day 42, dose 2
Symptoms: Have had mild cold symptoms and scratchy throat for about a week. Voice is affected. Very low voice. Have no idea if it had anything to do with the vaccination or not. Maybe just a mild cold.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Small knot under skin 6" from the injection site. Hurts to touch.
Release 10 — 3 months, dose 3
Symptoms: I had a cold. No fever. No loss of taste or smell. Had runny nose, head congestion, sneezing and mild lethargic feeling. Lastly 4-5 days.
Release 12 — 12 months, dose 3
Symptoms: Had Covid-19 May 10, 2022. Recovered in about 5-6 days. Had fever of 102 on August 8. Lasted two days. Tested negative for Covid-19 twice during that time.
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 | Dysphonia | ✓ | ✓ | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Nodule | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release