Y9M-40968-50272
4 vaccinations
6 coded responses
52 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 209 / MD
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-10
Registered in v-safe
-
2021-04-10
Dose 1 — Pfizer-BioNTech
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-24
-
2021-05-01
Dose 2 — Pfizer-BioNTech
- 2021-05-01
- 2021-05-02
-
2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-10
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-06-12
-
2021-07-31
Survey response — 3 months, dose 2MedDRA: Colitis, Emergency care — Feeling: Good · Be unable to work or attend schoolFree text: Although this may be completely unrelated to my vaccination, I am disclosing it just in case. I experienced a severe case of colitis which required emergency room visit (1.5 months after 2nd dose of vaccine). I have had no prior history of colitis.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-31
-
2021-12-17
Dose 3 — Moderna
-
2021-12-17
Survey response — day 0, dose 3MedDRA: Dry throat, Oropharyngeal pain — Feeling: Good · Site: Pain · DiarrheaFree text: Mild dry/sore throat.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-18
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-12-19
- 2021-12-20
- 2021-12-21
- 2021-12-22
- 2021-12-23
- 2021-12-24
-
2021-12-31
Survey response — day 14, dose 3MedDRA: Myalgia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Significant back and abdominal muscle pain which has lasted approximately 6 days. The pain was likely unrelated to my booster vaccination but is unknown.MedDRA releases: 2024-11 · check-in free text available
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2022-01-07
Survey response — day 21, dose 3MedDRA: Vertigo positional — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Significant and unpredictable vertigo. Has lasted approximately two (2) weeks to-date. Is worse while in the process of lying down or when laying flat; the vertigo is present throughout the day and varies in intensity. No prior history of vertigo.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-15
- 2022-01-21
- 2022-01-30
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2022-03-18
Survey response — 3 months, dose 3MedDRA: Body temperature increased, Cough, Exposure to SARS-CoV-2, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative, Sensory disturbance, Sneezing — Feeling: Good · Be unable to do your normal daily activitiesFree text: Cold symptoms incl. slightly elevated temp., nasal congestion, sore throat, sneezing, cough, and strange sensation on tongue/in mouth. Covid testing (antigen, at-home molecular, and PCR) all showed negative. Daughter was Covid positive same time.MedDRA releases: 2024-11 · check-in free text available
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2022-06-17
Survey response — 6 months, dose 3MedDRA: Cough, Dry throat, Headache, Nausea, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activitiesFree text: COVID-19 Positive test on 5/30/2022. Symptoms included headache, congestion, nausea, fever, and throat dryness and cough. Lingering, chesty cough still exists as of 6/17/2022.MedDRA releases: 2024-11 · check-in free text available
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2022-11-04
Dose 4 — Pfizer-BioNTech
- 2022-11-04
-
2022-11-05
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
-
2022-11-06
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-11-07
- 2022-11-08
- 2022-11-09
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2022-12-16
- 2023-02-03
- 2023-05-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Pfizer-BioNTech | |
| 2 | 2021-05-01 | Pfizer-BioNTech | |
| 3 | 2021-12-17 | Moderna | No |
| 4 | 2022-11-04 | Pfizer-BioNTech | No |
Free text
Release 9 — 3 months, dose 2
Symptoms: Although this may be completely unrelated to my vaccination, I am disclosing it just in case. I experienced a severe case of colitis which required emergency room visit (1.5 months after 2nd dose of vaccine). I have had no prior history of colitis. cut off by CDC
Release 10 — day 0, dose 3
Systemic reaction (other): Mild dry/sore throat.
Release 10 — day 14, dose 3
Symptoms: Significant back and abdominal muscle pain which has lasted approximately 6 days. The pain was likely unrelated to my booster vaccination but is unknown.
Release 10 — day 21, dose 3
Symptoms: Significant and unpredictable vertigo. Has lasted approximately two (2) weeks to-date. Is worse while in the process of lying down or when laying flat; the vertigo is present throughout the day and varies in intensity. No prior history of vertigo.
Release 11 — 3 months, dose 3
Symptoms: Cold symptoms incl. slightly elevated temp., nasal congestion, sore throat, sneezing, cough, and strange sensation on tongue/in mouth. Covid testing (antigen, at-home molecular, and PCR) all showed negative. Daughter was Covid positive same time.
Release 12 — 6 months, dose 3
Symptoms: COVID-19 Positive test on 5/30/2022. Symptoms included headache, congestion, nausea, fever, and throat dryness and cough. Lingering, chesty cough still exists as of 6/17/2022.
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 | Body temperature increased | · | · | ✓ |
| SD | Colitis | ✓ | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dry throat | · | · | ✓ |
| SD | Emergency care | ✓ | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sensory disturbance | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Vertigo positional | · | · | ✓ |
| SRO | Dry throat | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release