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Y9K-23901-65740

5 vaccinations 4 coded responses 30 check-ins 4 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
381 / TN
Registered
2021-08-25
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-02
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-23
    Dose 2 — Pfizer-BioNTech
  3. 2021-08-25
    Registered in v-safe
  4. 2021-08-25
    Dose 3 — Pfizer-BioNTech
  5. 2021-08-25
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  6. 2021-08-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Blood glucose decreased — Feeling: Good · Site: Pain
    Free text: My blood sugar was 64 this morning. It is usually between 89 to 109 after fasting over night. I do not recall ever having a fasting reading that low.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  7. 2021-08-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pain — Feeling: Good · Muscle or body aches
    Free text: Very mild body aches that lasted over night. Felt fine this morning
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  8. 2021-08-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  9. 2021-08-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  10. 2021-08-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  11. 2021-08-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  12. 2021-09-01
    Survey response — day 7, dose 3
    MedDRA: Poor quality sleep — Feeling: Good · Headache, Muscle or body aches
    Free text: When I initially woke up this morning. Ive not slept well over the past week. Not sure if that can be contributed to the booster vaccine or not.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-09-08
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-09-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-09-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-09-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  17. 2021-10-06
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  18. 2021-11-24
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-02-23
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-04-13
    Dose 4 — Pfizer-BioNTech
  21. 2022-04-14
    Survey response — days 1–6 daily, dose 4
    MedDRA: Ear discomfort — Feeling: Good · Site: Pain
    Free text: Feels like my ears are clogged. Started about 6 hours after the vaccine. Feel like I am in an airplane. Seems better as the day on.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-04-15
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  23. 2022-04-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  24. 2022-04-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  25. 2022-04-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  26. 2022-04-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  27. 2022-04-20
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  28. 2022-04-27
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-05-04
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-05-11
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-05-18
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-05-25
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-07-13
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-09-12
    Dose 5 — Pfizer-BioNTech
  35. 2022-10-12
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  36. 2023-04-13
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-02Pfizer-BioNTech No
22021-02-23Pfizer-BioNTech No
32021-08-25Pfizer-BioNTech No
42022-04-13Pfizer-BioNTech No
52022-09-12Pfizer-BioNTech No

Free text

Release 9 — days 1–6 daily, dose 3

2021-08-26

Systemic reaction (other): My blood sugar was 64 this morning. It is usually between 89 to 109 after fasting over night. I do not recall ever having a fasting reading that low.

2021-08-27

Systemic reaction (other): Very mild body aches that lasted over night. Felt fine this morning

Release 9 — day 7, dose 3

2021-09-01

Systemic reaction (other): When I initially woke up this morning. Ive not slept well over the past week. Not sure if that can be contributed to the booster vaccine or not.

Release 11 — days 1–6 daily, dose 4

2022-04-14

Systemic reaction (other): Feels like my ears are clogged. Started about 6 hours after the vaccine. Feel like I am in an airplane. Seems better as the day on.

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
SROBlood glucose decreased ✓ · ✓
SROEar discomfort · · ✓
SROPain ✓ · ✓
SROPoor quality sleep ✓ · ✓

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