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LCA-19821-24338

3 vaccinations 6 coded responses 17 check-ins 6 free-text entries 2 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
600 / IL
Registered
2021-08-19
Relationship
Adult relative or friend
Guardian
3PH-16290-97377
Race
White
Ethnicity
N/A

Timeline

  1. 2021-01-19
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-13
    Dose 2 — Pfizer-BioNTech
  3. 2021-08-19
    Registered in v-safe
  4. 2021-08-19
    Survey response — 6 months, dose 2, dependent
    MedDRA: Diplopia — Feeling: Good
    Free text: Left eye dyslopia
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-08-31
    Dose 3 — Pfizer-BioNTech
  6. 2021-08-31
    Health check-in — day 0, dose 3, dependent
    Feeling: Fair · Muscle or body aches
    Adult check-in
  7. 2021-09-01
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Site: Pain, Swelling · Muscle or body aches
    Adult check-in
  8. 2021-09-02
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do their normal daily activities
    Adult check-in
  9. 2021-09-03
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Fair · Muscle or body aches
    Adult check-in
  10. 2021-09-04
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Fever · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  11. 2021-09-05
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Blood glucose increased — Feeling: Fair · Muscle or body aches · Be unable to do their normal daily activities
    Free text: High spike in blood sugar
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  12. 2021-09-06
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Cough — Feeling: Good · Muscle or body aches
    Free text: Coughing
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-09-07
    Health check-in — day 7, dose 3, dependent
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  14. 2021-09-14
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  15. 2021-09-21
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  16. 2021-09-28
    Health check-in — day 28, dose 3, dependent
    Feeling: Fair
    Adult check-in
  17. 2021-10-05
    Health check-in — day 35, dose 3, dependent
    Feeling: Fair
    Adult check-in
  18. 2021-10-12
    Health check-in — day 42, dose 3, dependent
    Feeling: Poor
    Adult check-in
  19. 2021-11-30
    Survey response — 3 months, dose 3, dependent
    MedDRA: Fatigue — Feeling: Fair · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Tired.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-11-30
    Report sent to call center — 3 months, dose 3, dependent
    Be unable to do their normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  21. 2021-12-03
  22. 2022-03-01
    Survey response — 6 months, dose 3, dependent
    MedDRA: Renal cyst — Feeling: Fair · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Kidney cyst
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-03-01
    Report sent to call center — 6 months, dose 3, dependent
    Be unable to do their normal daily activities · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  24. 2022-03-02
  25. 2022-08-31
    Survey response — 12 months, dose 3, dependent
    MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Had COVID
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Pfizer-BioNTech No
22021-02-13Pfizer-BioNTech No
32021-08-31Pfizer-BioNTech No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 9 — 6 months, dose 2, dependent

2021-08-19

Symptoms: Left eye dyslopia

Release 9 — days 1–6 daily, dose 3, dependent

2021-09-05

Systemic reaction (other): High spike in blood sugar

2021-09-06

Systemic reaction (other): Coughing

Release 10 — 3 months, dose 3, dependent

2021-11-30

Symptoms: Tired.

Release 11 — 6 months, dose 3, dependent

2022-03-01

Symptoms: Kidney cyst

Release 12 — 12 months, dose 3, dependent

2022-08-31

Symptoms: Had COVID

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

FieldPreferred term2021-092023-042024-11
SDCOVID-19 · · ✓
SDDiplopia ✓ · ✓
SDFatigue · · ✓
SDRenal cyst · · ✓
SROBlood glucose increased ✓ · ✓
SROCough ✓ · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release