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Y2D-27387-03100

3 vaccinations 21 coded responses 40 check-ins 21 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
992 / WA
Registered
2021-02-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-17
    Registered in v-safe
  2. 2021-02-17
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-17
    Survey response — day 0, dose 1
    MedDRA: No adverse event — Feeling: Good · Site: Itching
    Free text: None that I can pinpoint to the shot. Even the injection site is free of any discomfort. Thank you
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event, Unevaluable event — Feeling: Good · Joint pains
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-02-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Malaise — Feeling: Good
    Free text: No doing well
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: Doing fine thanks
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus — Feeling: Good · Site: Itching
    Free text: Feel fine thanks. Mild itching on arms and right hand but any contact dermatitis so be I have cream to use.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-24
    Survey response — day 7, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: None thank you
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-09
    Dose 2 — Pfizer-BioNTech
  13. 2021-03-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pruritus — Feeling: Good · Site: Itching
    Free text: Other than an itch on my hand were doing fine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain — Feeling: Good
    Free text: Feeling fine. Sore spot went away yay.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: Doing well no complaints. Thank you all for your work and effort to stop the spread. Thank President Joe Biden too.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain, Malaise — Feeling: Good
    Free text: Feeling well today and injection site is painless. Thanks
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: None to report. Thank you.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: None to report thank you.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-16
    Survey response — day 7, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: Doing great thanks.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-30
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-03-09
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-05-04
    Dose 3 — Pfizer-BioNTech
  29. 2022-05-04
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2022-05-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good · Site: Pain
    Free text: None thank you.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-05-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: None. Thank you.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-05-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-05-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: None thank you.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-05-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: None. Thanks.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-05-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: None Thank you.
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-05-11
    Survey response — day 7, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: None, thank you.
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-05-18
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-05-25
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-06-01
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-06-08
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-06-15
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-08-03
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-11-02
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2023-05-04
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-17Pfizer-BioNTech
22021-03-09Pfizer-BioNTech
32022-05-04Pfizer-BioNTech No

Free text

Release 4 — day 0, dose 1

2021-02-17

Systemic reaction (other): None that I can pinpoint to the shot. Even the injection site is free of any discomfort. Thank you

Release 4 — days 1–6 daily, dose 1

2021-02-18

Systemic reaction (other): None

2021-02-19

Systemic reaction (other): None

2021-02-21

Systemic reaction (other): No doing well

2021-02-22

Systemic reaction (other): Doing fine thanks

2021-02-23

Systemic reaction (other): Feel fine thanks. Mild itching on arms and right hand but any contact dermatitis so be I have cream to use.

Release 4 — day 7, dose 1

2021-02-24

Systemic reaction (other): None thank you

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): Other than an itch on my hand were doing fine

2021-03-11

Systemic reaction (other): Feeling fine. Sore spot went away yay.

2021-03-12

Systemic reaction (other): Doing well no complaints. Thank you all for your work and effort to stop the spread. Thank President Joe Biden too.

2021-03-13

Systemic reaction (other): Feeling well today and injection site is painless. Thanks

2021-03-14

Systemic reaction (other): None to report. Thank you.

2021-03-15

Systemic reaction (other): None to report thank you.

Release 5 — day 7, dose 2

2021-03-16

Systemic reaction (other): Doing great thanks.

Release 11 — days 1–6 daily, dose 3

2022-05-05

Systemic reaction (other): None thank you.

2022-05-06

Systemic reaction (other): None. Thank you.

2022-05-07

Systemic reaction (other): None

2022-05-08

Systemic reaction (other): None thank you.

2022-05-09

Systemic reaction (other): None. Thanks.

2022-05-10

Systemic reaction (other): None Thank you.

Release 11 — day 7, dose 3

2022-05-11

Systemic reaction (other): None, thank you.

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
SROInjection site pain ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROUnevaluable event ○ ✓ ○

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

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