ECV-22770-23003
3 vaccinations
5 coded responses
21 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 905 / CA
- Registered
- 2020-12-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
4LU-10718-38963
Child or adolescent in my care · Male · 2021-11-10
Timeline
-
2020-12-20
Registered in v-safe
-
2020-12-20
Dose 1 — Pfizer-BioNTech
-
2020-12-21
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Site: PainFree text: Minimal dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-22
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Hunger — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Mild dizziness, hungerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-23
- 2020-12-25
- 2020-12-26
- 2020-12-27
- 2021-01-03
-
2021-01-10
Dose 2 — Pfizer-BioNTech
-
2021-01-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-13
- 2021-01-18
- 2021-01-31
- 2021-02-07
- 2021-02-14
- 2021-02-21
- 2021-04-11
-
2021-07-11
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis — Feeling: FairFree text: Few cold like symptoms. I have been seeing many non-COVID related viral infections in clinic lately.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-10-17
Dose 3 — Pfizer-BioNTech
- 2021-11-10
- 2021-11-28
-
2022-01-16
Survey response — 3 months, dose 3MedDRA: Headache, Quarantine, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: Headache briefly for 2 days. Had to isolate, but was COVID neg.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-20
Survey response — 6 months, dose 3MedDRA: Condition aggravated, Medical procedure, Pre-existing disease, Vocal cord thickening — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Worsened GERD, voice nodules, etc. · Healthcare visit (other): ProcedureMedDRA releases: 2024-11 · check-in free text available
-
2022-04-20
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-20 | Pfizer-BioNTech | |
| 2 | 2021-01-10 | Pfizer-BioNTech | |
| 3 | 2021-10-17 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Minimal dizziness
Systemic reaction (other): Mild dizziness, hunger
Release 9 — 6 months, dose 2
Symptoms: Few cold like symptoms. I have been seeing many non-COVID related viral infections in clinic lately.
Release 10 — 3 months, dose 3
Symptoms: Headache briefly for 2 days. Had to isolate, but was COVID neg.
Release 11 — 6 months, dose 3
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 | Medical procedure | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Vocal cord thickening | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hunger | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release