2FB-41276-49218
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 574 / SD
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Registered in v-safe
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2021-03-25
Dose 1 — Pfizer-BioNTech
- 2021-03-25
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2021-03-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
-
2021-03-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fever · Headache, Fatigue or tirednessAdult check-in
-
2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Fair · HeadacheFree text: Headaches are probably from stress of my job and not the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-10
-
2021-04-16
Dose 2 — Pfizer-BioNTech
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-08
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2021-05-16
Survey response — day 28, dose 2MedDRA: Back pain — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: My lower back has been hurting all this time, but I don't know if it's from the shot. That is the only symptom that I have had and they may not be related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-22
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2021-05-28
Survey response — day 42, dose 2MedDRA: Back pain, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Lower left back is mild to extreme pain throughout each day. I don't believe it has anything to do from Covid, but I thought I should comment about it. · Healthcare visit (other): Dr Appt. & visit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-18
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2021-10-15
Survey response — 6 months, dose 2MedDRA: Intervertebral disc protrusion, Pain, Paranasal sinus hypersecretion, Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Sinus drainage from allergies. Ruptured disc in my back causing extreme pain. · Healthcare visit (other): Still waiting for insurance approval for an MRI.MedDRA releases: 2024-11 · check-in free text available
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2021-10-15
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-19
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-04-17
Survey response — 12 months, dose 2MedDRA: Influenza like illness — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Very sick for 2 days with flu-like symptoms.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Pfizer-BioNTech | |
| 2 | 2021-04-16 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Headaches are probably from stress of my job and not the shot.
Release 8 — day 28, dose 2
Symptoms: My lower back has been hurting all this time, but I don't know if it's from the shot. That is the only symptom that I have had and they may not be related.
Release 8 — day 42, dose 2
Symptoms: Lower left back is mild to extreme pain throughout each day. I don't believe it has anything to do from Covid, but I thought I should comment about it.
Healthcare visit (other): Dr Appt. & visit.
Release 10 — 6 months, dose 2
Symptoms: Sinus drainage from allergies. Ruptured disc in my back causing extreme pain.
Healthcare visit (other): Still waiting for insurance approval for an MRI.
Release 11 — 12 months, dose 2
Symptoms: Very sick for 2 days with flu-like symptoms.
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Intervertebral disc protrusion | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release