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ZDV-10182-40814

3 vaccinations 9 coded responses 21 check-ins 9 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
480 / MI
Registered
2021-02-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-03
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-05
    Registered in v-safe
  3. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling hot — Feeling: Good
    Free text: Felt hot 2 hours yesterday, didn't check temperature.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abnormal faeces, Constipation — Feeling: Good
    Free text: Constipation and small stools.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-10
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-19
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-24
    Dose 2 — Pfizer-BioNTech
  10. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Injection site pain — Feeling: Good · Muscle or body aches
    Free text: Mild intermittent pain at injection site day of vaccine. Next day same pain and some fatigue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  12. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  13. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  14. 2021-03-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-10
    Survey response — day 14, dose 2
    MedDRA: Fatigue — Feeling: Good
    Free text: Fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-17
    Survey response — day 21, dose 2
    MedDRA: Eye pain — Feeling: Good
    Free text: Pain in left eye 5AM to noon two days after second vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-31
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-07
    Survey response — day 42, dose 2
    MedDRA: Memory impairment — Feeling: Good
    Free text: Memory issues, short term to 1-year memory.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-26
    Survey response — 3 months, dose 2
    MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities
    Free text: Three days last week, May 19-21, I was very tired all day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-08-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-10-11
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  23. 2022-02-24
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-04-13
    Survey response — 6 months, dose 3
    MedDRA: Back pain, Dizziness, Headache, SARS-CoV-2 test negative — Feeling: Good
    Free text: Slight headache, slightly dizzy, lower back pain, no fever. Intermittent symptoms over 4 days. Fifth day took home Covid antigen test, negative.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-10-11
    Survey response — 12 months, dose 3
    MedDRA: Fatigue, Nasopharyngitis — Feeling: Fair
    Free text: Fatigue for two weeks ending 08/15/2022. Common cold 10/07 to 10/11/2022.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-03Pfizer-BioNTech
22021-02-24Pfizer-BioNTech
32021-10-11Pfizer-BioNTech Flu

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): Felt hot 2 hours yesterday, didn't check temperature.

2021-02-08

Systemic reaction (other): Constipation and small stools.

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Mild intermittent pain at injection site day of vaccine. Next day same pain and some fatigue.

Release 5 — day 14, dose 2

2021-03-10

Symptoms: Fatigue

Release 5 — day 21, dose 2

2021-03-17

Symptoms: Pain in left eye 5AM to noon two days after second vaccine.

Release 7 — day 42, dose 2

2021-04-07

Symptoms: Memory issues, short term to 1-year memory.

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: Three days last week, May 19-21, I was very tired all day.

Release 11 — 6 months, dose 3

2022-04-13

Symptoms: Slight headache, slightly dizzy, lower back pain, no fever. Intermittent symptoms over 4 days. Fifth day took home Covid antigen test, negative.

Release 12 — 12 months, dose 3

2022-10-11

Symptoms: Fatigue for two weeks ending 08/15/2022. Common cold 10/07 to 10/11/2022.

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

FieldPreferred term2021-092023-042024-11
SDBack pain · · ✓
SDDizziness · · ✓
SDEye pain ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache · · ✓
SDMemory impairment ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDSARS-CoV-2 test negative · · ✓
SROAbnormal faeces ✓ ✓ ✓
SROConstipation ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓

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