XWN-24070-18257
4 vaccinations
6 coded responses
48 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 940 / CA
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-12
Dose 1 — Pfizer-BioNTech
-
2021-04-13
Registered in v-safe
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-26
-
2021-05-03
Dose 2 — Pfizer-BioNTech
-
2021-05-03
Survey response — 0 day, dose 2MedDRA: Disturbance in attention, Feeling abnormal — Feeling: Good · HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus, Rash, Rash erythematous, Vaccine positive rechallenge — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-08
Survey response — days 1–6 daily, dose 2MedDRA: Rash erythematous, Rash pruritic — Feeling: Good · Rash, not including the immediate area around the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-10
Survey response — 7 day, dose 2MedDRA: Rash erythematous, Rash pruritic — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-17
- 2021-05-24
- 2021-05-31
-
2021-06-07
Survey response — 35 day, dose 2MedDRA: Fatigue, Hypersensitivity, Nasopharyngitis — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-06-14
- 2021-08-02
- 2021-11-01
-
2021-11-12
Dose 3 — Moderna
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-28
-
2021-12-03
Survey response — 21 day, dose 3MedDRA: Fatigue, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2022-02-11
- 2022-05-13
-
2022-10-11
Dose 4 — Pfizer-BioNTech
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-14
- 2022-10-15
- 2022-10-16
- 2022-10-17
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-10
- 2022-11-15
- 2022-11-22
- 2023-01-10
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-12 | Pfizer-BioNTech | |
| 2 | 2021-05-03 | Pfizer-BioNTech | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-10-11 | Pfizer-BioNTech | No |
Free text
Release 8
Systemic reaction (other): I'm feeling a bit spacey/hard to focus, not sure if related or not.
Systemic reaction (other): Lots of itching/red bumps away from the injection site - legs, arms, neck, etc. I had this after the first dose too, but I don't think I reported it here because I never correlated it to the injection.
Systemic reaction (other): Itchy red bumps in multiple places across body
Systemic reaction (other): Still the same itchy red bumps, but they are finally going away
Symptoms: General tiredness/fatigue/feeling like I'm having allergies or have a cold.
Release 10
Symptoms: Fatigue, stuffiness, but a 15 minute test and PCR test for COVID came back negative.
Free-text releases are not linked to a specific 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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release