Z6E-33879-39189
2 vaccinations
4 coded responses
20 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 148 / NY
- Registered
- 2021-04-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-17
Registered in v-safe
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2021-04-17
Dose 1 — Pfizer-BioNTech
- 2021-04-17
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2021-04-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body aches · Be unable to workAdult check-in
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2021-04-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-04-22
- 2021-04-23
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2021-04-24
Health check-in — day 7, dose 1Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-01
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2021-05-08
Dose 2 — Pfizer-BioNTech
- 2021-05-08
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2021-05-09
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I had a body flush, do to a histamine release. I took a 25 mg tab of diphenhydramine. It reduced the situation.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-11
Survey response — days 1–6 daily, dose 2MedDRA: Loss of personal independence in daily activities, Neuropathy peripheral, Pruritus — Feeling: Fair · Joint pains, Muscle or body achesFree text: Neuropathy, itching in the left foot on Sunday, and today my right foot itched. The itching was very intense. I couldnt do anything it was that significant. The left occurred in the morning before 06:00, and woke me up. Lasted about 30 minutes. Today, my right foot occurred around 17:30. I was doing surgery when it occurred. I wouldnt have been able to work. Fortunately, I had finished. It lasted approximately 45 minutes. I have not experienced this before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Fair · Headache, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Ive had itching in my left foot once, right foot once right hand fingers, index, middle; tonight, left middle finger. My shoulders and upper back is itching now. The itching was so bad, I couldnt operate.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body achesAdult check-in
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2021-05-17
Survey response — day 7, dose 2MedDRA: Diplopia — Feeling: Good · Headache, Joint pains, Muscle or body achesFree text: My vision was distorted on 5/15/21. Resolved on 5/16/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-22
- 2021-05-29
- 2021-06-12
- 2021-06-19
- 2021-08-07
- 2021-11-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-17 | Pfizer-BioNTech | |
| 2 | 2021-05-08 | Pfizer-BioNTech |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I had a body flush, do to a histamine release. I took a 25 mg tab of diphenhydramine. It reduced the situation.
Systemic reaction (other): Neuropathy, itching in the left foot on Sunday, and today my right foot itched. The itching was very intense. I couldnt do anything it was that significant. The left occurred in the morning before 06:00, and woke me up. Lasted about 30 minutes. Today, my right foot occurred around 17:30. I was doing surgery when it occurred. I wouldnt have been able to work. Fortunately, I had finished. It lasted approximately 45 minutes. I have not experienced this before.
Systemic reaction (other): Ive had itching in my left foot once, right foot once right hand fingers, index, middle; tonight, left middle finger. My shoulders and upper back is itching now. The itching was so bad, I couldnt operate.
Release 8 — day 7, dose 2
Systemic reaction (other): My vision was distorted on 5/15/21. Resolved on 5/16/21
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 |
|---|---|---|---|---|
| SRO | Diplopia | ✓ | ✓ | ✓ |
| SRO | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SRO | Neuropathy peripheral | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release