M5T-11265-12411
4 vaccinations
3 coded responses
41 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 26-30
- ZIP prefix
- 191 / PA
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
ZRR-28023-80464
Child or adolescent in my care · Male · 2022-07-12
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Pfizer-BioNTech
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-11
- 2021-01-18
-
2021-01-19
Dose 2 — Pfizer-BioNTech
- 2021-01-19
-
2021-01-21
Survey response — days 1–6 daily, dose 2MedDRA: Hypoglycaemia — Feeling: Good · Site: Pain · Be unable to work, Be unable to do your normal daily activitiesFree text: I had persistent hypoglycemia yesterday morning ranging 40-70 mg/dL from 0430 until approximately 1100MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
-
2021-02-02
Survey response — day 14, dose 2MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-16
- 2021-03-02
- 2021-04-22
- 2021-07-20
-
2021-08-22
Dose 3 — Pfizer-BioNTech
- 2021-09-29
- 2021-10-03
- 2021-11-21
-
2022-02-20
Survey response — 6 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: COVID 19MedDRA releases: 2024-11 · check-in free text available
- 2022-08-22
-
2022-10-19
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-19
-
2022-10-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-11-16
- 2022-11-23
- 2022-12-02
- 2023-01-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Pfizer-BioNTech | |
| 2 | 2021-01-19 | Pfizer-BioNTech | |
| 3 | 2021-08-22 | Pfizer-BioNTech | No |
| 4 | 2022-10-19 | Pfizer-BioNTech | Flu |
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): I had persistent hypoglycemia yesterday morning ranging 40-70 mg/dL from 0430 until approximately 1100
Release 3 — day 14, dose 2
Symptoms: Sore throat
Release 11 — 6 months, dose 3
Symptoms: COVID 19
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 | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Hypoglycaemia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release