6TH-21119-31336
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 276 / NC
- Registered
- 2021-10-04
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-10-04
Registered in v-safe
-
2021-10-04
Dose 1 — Pfizer-BioNTech
- 2021-10-04
- 2021-10-05
-
2021-10-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Chills, Joint pains · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-07
-
2021-10-08
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction, Hypersensitivity, Office visit, Rash, Swelling — Feeling: Fair · Site: Redness, Swelling · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Systemic reaction (other): yes rash and break out in area. i went to (b)(6) urgent care and they are prescribing topical steroid and maybe prednazone. they are questioning if Pfizer #2 is appropriate because allergic reaction potential. · Healthcare visit (other): covid reaction rash and swellingMedDRA releases: 2024-11 · check-in free text available
-
2021-10-08
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2021-10-09
Survey response — days 1–6 daily, dose 1MedDRA: Swelling — Feeling: Fair · Site: Itching · Fever · Rash, not including the immediate area around the injection siteFree text: swelling and seem to be getting better after applications of triamcinoloneMedDRA releases: 2024-11 · check-in free text available
-
2021-10-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-10-11
Survey response — day 7, dose 1MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: little rashMedDRA releases: 2024-11 · check-in free text available
- 2021-10-11
- 2021-10-14
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-11-15
-
2021-12-31
Dose 2 — Pfizer-BioNTech
-
2022-01-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
-
2022-01-03
Survey response — 3 months, dose 1MedDRA: Mouth swelling, Pain in extremity — Feeling: FairFree text: Left side of mouth swelling, arm soreness and leg soreness all on same sode i got shot on.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-01-05
- 2022-01-07
- 2022-01-14
- 2022-01-21
- 2022-01-28
- 2022-02-04
- 2022-02-11
- 2022-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-04 | Pfizer-BioNTech | No |
| 2 | 2021-12-31 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — days 1–6 daily, dose 1
Systemic reaction (other): yes rash and break out in area. i went to (b)(6) urgent care and they are prescribing topical steroid and maybe prednazone. they are questioning if Pfizer #2 is appropriate because allergic reaction potential.
Healthcare visit (other): covid reaction rash and swelling
redacted (b)(6)
Systemic reaction (other): swelling and seem to be getting better after applications of triamcinolone
Release 10 — day 7, dose 1
Systemic reaction (other): little rash
Release 10 — 3 months, dose 1
Symptoms: Left side of mouth swelling, arm soreness and leg soreness all on same sode i got shot on.
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 |
|---|---|---|---|---|
| HCVO | Adverse reaction | · | · | ✓ |
| HCVO | Rash | · | · | ✓ |
| HCVO | Swelling | · | · | ✓ |
| SD | Mouth swelling | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SRO | Hypersensitivity | · | · | ✓ |
| SRO | Office visit | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release