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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

  1. 2021-04-17
    Registered in v-safe
  2. 2021-04-17
    Dose 1 — Pfizer-BioNTech
  3. 2021-04-17
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Muscle or body aches · Be unable to work
    Adult check-in
  5. 2021-04-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  6. 2021-04-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  7. 2021-04-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-24
    Health check-in — day 7, dose 1
    Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2021-05-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-08
    Dose 2 — Pfizer-BioNTech
  11. 2021-05-08
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-05-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free 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
  13. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  14. 2021-05-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Loss of personal independence in daily activities, Neuropathy peripheral, Pruritus — Feeling: Fair · Joint pains, Muscle or body aches
    Free 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
  15. 2021-05-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free 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
  16. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Muscle or body aches
    Adult check-in
  17. 2021-05-17
    Survey response — day 7, dose 2
    MedDRA: Diplopia — Feeling: Good · Headache, Joint pains, Muscle or body aches
    Free text: My vision was distorted on 5/15/21. Resolved on 5/16/21
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-08-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-11-06
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-17Pfizer-BioNTech
22021-05-08Pfizer-BioNTech

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-09

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.

2021-05-11

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.

2021-05-13

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

2021-05-17

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

FieldPreferred term2021-092023-042024-11
SRODiplopia ✓ ✓ ✓
SROLoss of personal independence in daily activities ✓ ✓ ✓
SRONeuropathy peripheral ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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