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235-27074-26690

3 vaccinations 7 coded responses 21 check-ins 7 free-text entries 1 call case
Sex
Male
Age at first dose
26-30
ZIP prefix
337 / FL
Registered
2021-05-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-14
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-04
    Registered in v-safe
  3. 2021-05-04
    Survey response — day 14, dose 1
    MedDRA: Dizziness, Sensory disturbance, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: A week after my 1st dose, I experienced an odd sensation within my brain. During these daily episodes, usually around dinner, I felt as though I was falling backwards and about to pass out. Would improve with rest but occurred daily for about a week. · Healthcare visit (other): No actual doctor's appointment, but I did have standard blood work which all returned within normal ranges.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-04
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-05-05
    Dose 2 — Pfizer-BioNTech
  6. 2021-05-05
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness
    Adult check-in
  7. 2021-05-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Insomnia, Oropharyngeal pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Free text: Sore throat, dizziness, lightheadedness, trouble sleeping
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Back pain, Oropharyngeal pain, Pre-existing disease, Sciatica, Taste disorder — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Pain under arm at site of shot. Mild sore throat. Last night: Change in sense of taste (mild). Low back pain & sciatica flare up.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  10. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  11. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2021-05-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-05-12
    Survey response — day 7, dose 2
    MedDRA: Injection site bruising — Feeling: Good
    Free text: Just noticed a 1.5 inch round bruise at the injection site. Yellow-green in color. No noticable pain with touch. No other noticable symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-19
    Survey response — day 14, dose 2
    MedDRA: Injection site bruising, Injection site discolouration, Injection site erythema — Feeling: Good
    Free text: Not of major concern, but I do still have a faint bruise at the injection site. No pain to the touch. Simply visual. Light yellow/green in color about two inches in diameter. Having been two weeks since receiving, it just seemed worth noting/sharing.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-16
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-01-14
    Dose 3 — Pfizer-BioNTech
  20. 2022-01-15
    Survey response — days 1–6 daily, dose 3
    MedDRA: Back pain, Pain, Peripheral coldness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Freezing hands and feet. Tremendous back pain with any movement.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-01-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  22. 2022-01-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  23. 2022-01-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  24. 2022-01-19
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Painful swollen lymph nodes under arm and above collar bone on same side as vaccine site
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-01-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  26. 2022-01-21
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2022-04-15

Vaccinations

DoseDateManufacturerCo-administered
12021-04-14Pfizer-BioNTech
22021-05-05Pfizer-BioNTech
32022-01-14Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — day 14, dose 1

2021-05-04

Symptoms: A week after my 1st dose, I experienced an odd sensation within my brain. During these daily episodes, usually around dinner, I felt as though I was falling backwards and about to pass out. Would improve with rest but occurred daily for about a week. cut off by CDC
Healthcare visit (other): No actual doctor's appointment, but I did have standard blood work which all returned within normal ranges.

Release 8 — days 1–6 daily, dose 2

2021-05-06

Systemic reaction (other): Sore throat, dizziness, lightheadedness, trouble sleeping

2021-05-07

Systemic reaction (other): Pain under arm at site of shot. Mild sore throat. Last night: Change in sense of taste (mild). Low back pain & sciatica flare up.

Release 8 — day 7, dose 2

2021-05-12

Systemic reaction (other): Just noticed a 1.5 inch round bruise at the injection site. Yellow-green in color. No noticable pain with touch. No other noticable symptoms.

Release 8 — day 14, dose 2

2021-05-19

Symptoms: Not of major concern, but I do still have a faint bruise at the injection site. No pain to the touch. Simply visual. Light yellow/green in color about two inches in diameter. Having been two weeks since receiving, it just seemed worth noting/sharing. cut off by CDC

Release 10 — days 1–6 daily, dose 3

2022-01-15

Systemic reaction (other): Freezing hands and feet. Tremendous back pain with any movement.

2022-01-19

Systemic reaction (other): Painful swollen lymph nodes under arm and above collar bone on same side as vaccine site

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
HCVOUnevaluable event ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDInjection site bruising ✓ ✓ ✓
SDInjection site discolouration ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDSensory disturbance ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROInjection site bruising ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPain · · ✓
SROPeripheral coldness · · ✓
SROPre-existing disease ✓ ✓ ✓
SROSciatica ✓ ✓ ✓
SROTaste disorder ✓ ✓ ✓

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