YM9-15836-65461
4 vaccinations
8 coded responses
46 check-ins
8 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 787 / TX
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Pfizer-BioNTech
- 2021-01-25
- 2021-01-26
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2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Joint painsAdult check-in
- 2021-01-28
- 2021-01-29
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2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Site: Pain · Joint painsFree text: Top of right foot and right knee are hurting.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-08
-
2021-02-12
Dose 2 — Pfizer-BioNTech
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Pyrexia — Feeling: Good · Site: Pain · Fever · Chills, DiarrheaFree text: Chills lasted a few hours, felt feverish for about same amount of time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
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2021-05-14
Survey response — 3 months, dose 2MedDRA: Rash, Skin ulcer — Feeling: GoodFree text: Have two sores/rash on back of neck. They are slow to heal. Have persisted for about 3 weeks now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-13
Survey response — 6 months, dose 2MedDRA: Skin ulcer — Feeling: GoodFree text: Skin ulcers in 4 places.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-30
Dose 3 — Pfizer-BioNTechCo-administered: Flu
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2021-09-30
Survey response — day 0, dose 3MedDRA: Rash — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree text: Rash after second shot.MedDRA releases: 2024-11 · check-in free text available
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2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia — Feeling: Good · Site: PainFree text: Lifted weights after shot. Shoulder in moderate pain.MedDRA releases: 2024-11 · check-in free text available
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2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Injection site pain - Tapering down.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-11-04
- 2021-11-11
- 2021-12-30
- 2022-03-31
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2022-06-14
Dose 4 — Pfizer-BioNTech
- 2022-06-22
- 2022-06-28
- 2022-07-05
- 2022-07-12
- 2022-07-19
- 2022-07-27
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2022-09-14
Survey response — 3 months, dose 4MedDRA: Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: FairFree text: Sore throat and mild congestion. Ist COVID self test was negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-15
- 2023-06-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Pfizer-BioNTech | |
| 2 | 2021-02-12 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | Flu |
| 4 | 2022-06-14 | Pfizer-BioNTech | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Top of right foot and right knee are hurting.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Chills lasted a few hours, felt feverish for about same amount of time.
Release 8 — 3 months, dose 2
Symptoms: Have two sores/rash on back of neck. They are slow to heal. Have persisted for about 3 weeks now.
Release 9 — 6 months, dose 2
Symptoms: Skin ulcers in 4 places.
Release 9 — day 0, dose 3
Systemic reaction (other): Rash after second shot.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Lifted weights after shot. Shoulder in moderate pain.
Systemic reaction (other): Injection site pain - Tapering down.
Release 12 — 3 months, dose 4
Symptoms: Sore throat and mild congestion. Ist COVID self test was negative.
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 | Oropharyngeal pain | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Skin ulcer | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rash | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release