Y8M-31219-07454
5 vaccinations
8 coded responses
42 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 481 / MI
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Dose 1 — Pfizer-BioNTech
-
2021-02-18
Registered in v-safe
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2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Immediate post-injection reaction, Rash — Feeling: Good · Site: PainFree text: My skin broke out into hundreds of tiny red dots a few minutes after the vaccine but since have goneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-02
-
2021-03-09
Dose 2 — Pfizer-BioNTech
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2021-03-09
Survey response — day 0, dose 2MedDRA: Erythema — Feeling: GoodFree text: I did not have hundreds of tiny red spots on my hands, chest, stomach and back as I did during the first shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Fatigue or tirednessFree text: Getting much better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease, Therapeutic response unexpected — Feeling: GoodFree text: I believe this vaccine has helped my psoriasis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
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2021-04-08
Survey response — day 28, dose 2MedDRA: Rash erythematous — Feeling: GoodFree text: A red rash on my left wrist although I'm not positive it's due to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-21
- 2021-06-08
- 2021-09-07
-
2021-09-27
Dose 3 — Pfizer-BioNTech
- 2021-10-02
- 2021-10-03
-
2021-10-04
Survey response — day 7, dose 3MedDRA: Arthralgia — Feeling: GoodFree text: No other than injection spot on shoulder feels slightly sore.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-11
- 2021-10-18
- 2021-10-26
- 2021-11-01
- 2021-11-08
- 2021-12-27
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2022-03-28
Survey response — 6 months, dose 3MedDRA: Initial insomnia, Insomnia, Middle insomnia — Feeling: GoodFree text: Sleeplessness. I awaken in the middle of night then trouble going back to sleep.MedDRA releases: 2024-11 · check-in free text available
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2022-03-30
Dose 4 — Pfizer-BioNTech
- 2022-04-15
- 2022-04-20
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-06-29
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2022-09-06
Dose 5 — ModernaCo-administered: Flu
- 2022-09-30
- 2022-10-19
- 2022-12-06
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2023-03-07
Survey response — 6 months, dose 5MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Pfizer-BioNTech | |
| 2 | 2021-03-09 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-03-30 | Pfizer-BioNTech | No |
| 5 | 2022-09-06 | Moderna | Flu |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): My skin broke out into hundreds of tiny red dots a few minutes after the vaccine but since have gone
Release 5 — day 0, dose 2
Systemic reaction (other): I did not have hundreds of tiny red spots on my hands, chest, stomach and back as I did during the first shot.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Getting much better today.
Systemic reaction (other): I believe this vaccine has helped my psoriasis.
Release 7 — day 28, dose 2
Symptoms: A red rash on my left wrist although I'm not positive it's due to the vaccine.
Release 9 — day 7, dose 3
Systemic reaction (other): No other than injection spot on shoulder feels slightly sore.
Release 11 — 6 months, dose 3
Symptoms: Sleeplessness. I awaken in the middle of night then trouble going back to sleep.
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 | Initial insomnia | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Middle insomnia | · | · | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Therapeutic response unexpected | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release