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Y3R-28820-76657

6 vaccinations 4 coded responses 46 check-ins 4 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
931 / CA
Registered
2021-03-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-30
    Registered in v-safe
  2. 2021-03-30
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-30
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain, Malaise, Pre-existing disease — Feeling: Good · Site: Pain · Headache
    Free text: Yesterday I felt a little sick after the shot. Most significant was pain in arm around injection site. I do have Multiple Sclerosis and do three Rebif injections per week. I did an injection last night, and had zero complications, so all is good.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-04-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Slight pain in arm and shoulder by injection site. Not bad.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-20
    Dose 2 — Pfizer-BioNTech
  13. 2021-04-20
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-04-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal, Muscle tightness, Musculoskeletal stiffness — Feeling: Fair · Fatigue or tiredness
    Free text: Last night I felt bad, but slept late. Felt good when I got up. Now at around 4 pm, I am feeling a little stiff or tight in my shoulders and neck.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  16. 2021-04-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache — Feeling: Good · Headache
    Free text: The headache was probably from pressure change and sinuses.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2021-04-27
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  21. 2021-05-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-13
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-20
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-19
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-28
    Dose 3 — Pfizer-BioNTech
  29. 2022-04-07
    Dose 4 — Pfizer-BioNTech
  30. 2022-04-20
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2022-09-02
    Dose 5 — Moderna
  32. 2022-09-05
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  33. 2022-09-06
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  34. 2022-09-08
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  35. 2022-09-09
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  36. 2022-09-17
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  37. 2022-09-26
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  38. 2022-10-07
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  39. 2022-10-18
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  40. 2022-12-02
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  41. 2023-03-03
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in
  42. 2023-04-26
    Dose 6 — Moderna
  43. 2023-04-27
    Health check-in — days 1–6 daily, dose 6
    Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  44. 2023-04-28
    Health check-in — days 1–6 daily, dose 6
    Feeling: Good · Site: Pain · None
    Adult check-in
  45. 2023-04-30
    Health check-in — days 1–6 daily, dose 6
    Feeling: Good · Site: Pain · None
    Adult check-in
  46. 2023-05-01
    Health check-in — days 1–6 daily, dose 6
    Feeling: Good · None
    Adult check-in
  47. 2023-05-02
    Health check-in — days 1–6 daily, dose 6
    Feeling: Good · None
    Adult check-in
  48. 2023-05-03
    Health check-in — day 7, dose 6
    Feeling: Good · None
    Adult check-in
  49. 2023-05-10
    Health check-in — day 14, dose 6
    Feeling: Good
    Adult check-in
  50. 2023-05-17
    Health check-in — day 21, dose 6
    Feeling: Good
    Adult check-in
  51. 2023-05-24
    Health check-in — day 28, dose 6
    Feeling: Good
    Adult check-in
  52. 2023-05-31
    Health check-in — day 35, dose 6
    Feeling: Good
    Adult check-in
  53. 2023-06-07
    Health check-in — day 42, dose 6
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-30Pfizer-BioNTech
22021-04-20Pfizer-BioNTech
32021-10-28Pfizer-BioNTech No
42022-04-07Pfizer-BioNTech No
52022-09-02Moderna No
62023-04-26Moderna No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-31

Systemic reaction (other): Yesterday I felt a little sick after the shot. Most significant was pain in arm around injection site. I do have Multiple Sclerosis and do three Rebif injections per week. I did an injection last night, and had zero complications, so all is good.

2021-04-02

Systemic reaction (other): Slight pain in arm and shoulder by injection site. Not bad.

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): Last night I felt bad, but slept late. Felt good when I got up. Now at around 4 pm, I am feeling a little stiff or tight in my shoulders and neck.

2021-04-23

Systemic reaction (other): The headache was probably from pressure change and sinuses.

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
SROFeeling abnormal ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROMuscle tightness ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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

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