X4C-10696-82110
3 vaccinations
5 coded responses
33 check-ins
5 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 41-45
- ZIP prefix
- 150 / PA
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Pfizer-BioNTech
- 2020-12-29
-
2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-01
- 2021-01-03
- 2021-01-04
- 2021-01-07
- 2021-01-12
-
2021-01-18
Dose 2 — Pfizer-BioNTech
-
2021-01-19
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea exertional — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: Dyspnea on exertionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-02-03
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-04-19
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2021-07-19
Survey response — 6 months, dose 2MedDRA: Sinusitis — Feeling: GoodFree text: I had a sinus infection which was unrelated to the vaccine.MedDRA releases: 2024-11 · check-in free text available
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2021-09-30
Dose 3 — Pfizer-BioNTech
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2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Toothache — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: All of my teeth hurtMedDRA releases: 2024-11 · check-in free text available
-
2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Gingival swelling, Toothache — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: My teeth hurt/ gum swellingMedDRA releases: 2024-11 · check-in free text available
-
2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Ipsilateral supraclavicular lymphadenopathyMedDRA releases: 2024-11 · check-in free text available
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-11-06
- 2021-11-11
- 2022-03-31
- 2022-10-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Pfizer-BioNTech | |
| 2 | 2021-01-18 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Dyspnea on exertion
Release 9 — 6 months, dose 2
Symptoms: I had a sinus infection which was unrelated to the vaccine.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): All of my teeth hurt
Systemic reaction (other): My teeth hurt/ gum swelling
Systemic reaction (other): Ipsilateral supraclavicular lymphadenopathy
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 | Sinusitis | · | · | ✓ |
| SRO | Dyspnoea exertional | ✓ | ✓ | ✓ |
| SRO | Gingival swelling | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Toothache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release