Z3W-33053-19659
5 vaccinations
6 coded responses
39 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 970 / OR
- Registered
- 2021-06-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-04
Dose 1 — Pfizer-BioNTech
-
2021-06-05
Registered in v-safe
- 2021-06-05
- 2021-06-07
- 2021-06-08
- 2021-06-09
- 2021-06-10
-
2021-06-11
Survey response — day 7, dose 1MedDRA: Myalgia — Feeling: Good · Muscle or body achesFree text: Muscle ache in the shoulder of the arm injected. Comes and goes. More likely to happen in evening.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-18
-
2021-06-25
Dose 2 — Pfizer-BioNTech
- 2021-06-25
- 2021-06-27
- 2021-06-28
- 2021-06-29
- 2021-06-30
- 2021-07-01
- 2021-07-02
- 2021-07-09
- 2021-07-16
- 2021-07-23
- 2021-07-30
-
2021-08-06
Survey response — day 42, dose 2MedDRA: Back pain, Chills, Headache, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test, SARS-CoV-2 test negative, Upper-airway cough syndrome — Feeling: Good · Be unable to do your normal daily activitiesFree text: Bad head cold symptoms - head ache, sore throat, congestion, post nasal drip, lower back ache, chills. Had a rapid COVID test to make sure. Came back negative. Waiting for PCR result.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-24
-
2021-12-21
Dose 3 — Pfizer-BioNTech
- 2021-12-24
- 2021-12-25
- 2021-12-26
- 2021-12-27
- 2021-12-28
-
2022-01-04
Survey response — day 14, dose 3MedDRA: Breakthrough COVID-19, Nasopharyngitis, Sinus congestion — Feeling: FairFree text: Congested sinuses. Doubt related to vaccine. Head cold or breakthrough COVID. Sorry but cannot find an at home kit to buy to verify.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-11
-
2022-01-18
Survey response — day 28, dose 3MedDRA: Back pain, Fatigue, Nasopharyngitis, SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: FairFree text: Head cold, aching small of back, and some fatigue. Had COVID antigen test which came back negative. Waiting on PCV test.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-25
- 2022-02-01
- 2022-03-24
-
2022-06-16
Dose 4 — Pfizer-BioNTech
-
2022-06-21
Survey response — 6 months, dose 3MedDRA: Injection site pain, Night sweats, Poor quality sleep — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Injection site pain Night sweats Poor first night sleepMedDRA releases: 2024-11 · check-in free text available
-
2022-11-27
Dose 5 — Pfizer-BioNTech
- 2022-12-21
- 2022-12-21
- 2022-12-25
-
2023-01-01
Survey response — day 35, dose 5MedDRA: Oropharyngeal pain — Feeling: FairMedDRA releases: 2024-11
- 2023-01-08
- 2023-02-28
- 2023-05-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-04 | Pfizer-BioNTech | |
| 2 | 2021-06-25 | Pfizer-BioNTech | No |
| 3 | 2021-12-21 | Pfizer-BioNTech | No |
| 4 | 2022-06-16 | Pfizer-BioNTech | No |
| 5 | 2022-11-27 | Pfizer-BioNTech | No |
Free text
Release 9 — day 7, dose 1
Systemic reaction (other): Muscle ache in the shoulder of the arm injected. Comes and goes. More likely to happen in evening.
Release 9 — day 42, dose 2
Symptoms: Bad head cold symptoms - head ache, sore throat, congestion, post nasal drip, lower back ache, chills. Had a rapid COVID test to make sure. Came back negative. Waiting for PCR result.
Release 10 — day 14, dose 3
Symptoms: Congested sinuses. Doubt related to vaccine. Head cold or breakthrough COVID. Sorry but cannot find an at home kit to buy to verify.
Release 10 — day 28, dose 3
Symptoms: Head cold, aching small of back, and some fatigue. Had COVID antigen test which came back negative. Waiting on PCV test.
Release 12 — 6 months, dose 3
Symptoms: Injection site pain Night sweats Poor first night 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 | Back pain | ✓ | · | ✓ |
| SD | Breakthrough COVID-19 | · | · | ✓ |
| SD | Chills | ✓ | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Night sweats | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Poor quality sleep | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | SARS-CoV-2 test | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Upper-airway cough syndrome | ✓ | · | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release