6WP-24123-00003
2 vaccinations
3 coded responses
23 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 275 / NC
- Registered
- 2021-06-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-21
Registered in v-safe
-
2021-06-21
Dose 1 — Pfizer-BioNTech
- 2021-06-21
-
2021-06-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-06-23
- 2021-06-24
- 2021-06-25
- 2021-06-26
- 2021-06-27
- 2021-06-28
- 2021-07-05
-
2021-07-12
Dose 2 — Pfizer-BioNTech
- 2021-07-12
-
2021-07-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend schoolAdult check-in
-
2021-07-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-07-15
Survey response — days 1–6 daily, dose 2MedDRA: Incoherent — Feeling: Fair · Headache, Fatigue or tirednessFree text: Lack of mental clarity since about 9 hours after the vaccine was administered. Getting better with time.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-07-16
- 2021-07-17
- 2021-07-18
- 2021-07-19
- 2021-07-28
-
2021-08-02
Survey response — day 21, dose 2MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Joint pain. Especially located in the elbows similar to tennis elbow. Except normal tennis elbows therapies do not help.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-09
-
2021-08-16
Survey response — day 35, dose 2MedDRA: Dermatitis contact, Nasopharyngitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I got a horrible cold and a bad case of poison oak. I understand my immune system works for six weeks after the vaccine? Is there a correlation? Ive never been allergic to poison ivy/oak before.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-16
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-24
- 2022-01-12
- 2022-07-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-21 | Pfizer-BioNTech | No |
| 2 | 2021-07-12 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Lack of mental clarity since about 9 hours after the vaccine was administered. Getting better with time.
Release 9 — day 21, dose 2
Symptoms: Joint pain. Especially located in the elbows similar to tennis elbow. Except normal tennis elbows therapies do not help.
Release 9 — day 35, dose 2
Symptoms: I got a horrible cold and a bad case of poison oak. I understand my immune system works for six weeks after the vaccine? Is there a correlation? Ive never been allergic to poison ivy/oak before.
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 | Arthralgia | ✓ | · | ✓ |
| SD | Dermatitis contact | ✓ | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SRO | Incoherent | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release