2KX-21472-62010
4 vaccinations
10 coded responses
54 check-ins
9 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 947 / CA
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-12
Registered in v-safe
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2021-02-12
Dose 1 — Pfizer-BioNTech
- 2021-02-12
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2021-02-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-02-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-16
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2021-02-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, Abdominal painAdult check-in
- 2021-02-18
- 2021-02-19
- 2021-02-26
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2021-03-05
Dose 2 — Pfizer-BioNTech
- 2021-03-05
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal painAdult check-in
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2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal painAdult check-in
- 2021-03-10
- 2021-03-11
- 2021-03-12
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2021-03-19
Survey response — day 14, dose 2MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had quite a bad headache yesterday for about 8 hours. It was gone when I woke up this morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
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2021-06-04
Survey response — 3 months, dose 2MedDRA: Balance disorder, Dizziness — Feeling: GoodFree text: Lightheaded. My balance is off at times.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-03
Survey response — 6 months, dose 2MedDRA: Insomnia, Sleep disorder — Feeling: Good · Be unable to do your normal daily activitiesFree text: I wake up in the middle of the night around 1 to 3 am and cannot go back to sleep for 2 to 3 hours. I usually do get back to sleep and sleep another 3 hours or so. However I wind up spending 12 hours in bed to get 7 or 8 hours of sleep...hugely annoyMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-03
Dose 3 — Pfizer-BioNTech
- 2021-10-03
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2021-10-04
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-10-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-10-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-10-08
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-10-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-10-10
Health check-in — day 7, dose 3Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-17
Survey response — day 14, dose 3MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Lower back pain with no discernible recent cause.MedDRA releases: 2024-11 · check-in free text available
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2021-10-24
Survey response — day 21, dose 3MedDRA: Arthralgia, Back pain, Muscle strain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Lower back ache, left hip ache and pulled muscle in left leg between hip and kneeMedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-07
- 2021-11-14
- 2022-01-02
- 2022-04-03
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2022-05-22
Dose 4 — Moderna
- 2022-05-22
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2022-05-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-05-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
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2022-05-26
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Abdominal painAdult check-in
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2022-05-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2022-05-28
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2022-05-29
Health check-in — day 7, dose 4Feeling: Good · Headache, Fatigue or tiredness, Abdominal painAdult check-in
- 2022-06-05
- 2022-06-12
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2022-06-19
Survey response — day 28, dose 4MedDRA: Abdominal pain, Abdominal pain upper, Decreased appetite, Insomnia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Stomach pains and abdominal cramps for last two days. It kept me from sleeping 2 nights ago and all day yesterday and today I have had to eat little.MedDRA releases: 2024-11 · check-in free text available
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2022-06-26
Survey response — day 35, dose 4MedDRA: Headache, Insomnia, Pain, Self-medication, Sleep disorder — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I had a severe headache in the top center of my skull, left side. It woke me up at 3am 2 nights ago. Couldn't get back to sleep for the pain. It lasted for 10 hours. Took six ibuprofen and it hasn't been back since.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-03
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2022-08-21
Survey response — 3 months, dose 4MedDRA: Back injury, Back pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Lower back injury and painMedDRA releases: 2024-11 · check-in free text available
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2022-11-20
Survey response — 6 months, dose 4MedDRA: Back pain, Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Worsening painful back injury.MedDRA releases: 2024-11 · check-in free text available
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2023-05-22
Survey response — 12 months, dose 4MedDRA: Hernia repair, Hospitalisation, Odynophagia, Oesophageal pain, Post procedural complication, Viral infection, Weight decreased — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Pfizer-BioNTech | |
| 2 | 2021-03-05 | Pfizer-BioNTech | |
| 3 | 2021-10-03 | Pfizer-BioNTech | No |
| 4 | 2022-05-22 | Moderna | No |
Free text
Release 5 — day 14, dose 2
Symptoms: I had quite a bad headache yesterday for about 8 hours. It was gone when I woke up this morning.
Release 8 — 3 months, dose 2
Symptoms: Lightheaded. My balance is off at times.
Release 9 — 6 months, dose 2
Symptoms: I wake up in the middle of the night around 1 to 3 am and cannot go back to sleep for 2 to 3 hours. I usually do get back to sleep and sleep another 3 hours or so. However I wind up spending 12 hours in bed to get 7 or 8 hours of sleep...hugely annoy cut off by CDC
Release 10 — day 14, dose 3
Symptoms: Lower back pain with no discernible recent cause.
Release 10 — day 21, dose 3
Symptoms: Lower back ache, left hip ache and pulled muscle in left leg between hip and knee
Release 12 — day 28, dose 4
Symptoms: Stomach pains and abdominal cramps for last two days. It kept me from sleeping 2 nights ago and all day yesterday and today I have had to eat little.
Release 12 — day 35, dose 4
Symptoms: I had a severe headache in the top center of my skull, left side. It woke me up at 3am 2 nights ago. Couldn't get back to sleep for the pain. It lasted for 10 hours. Took six ibuprofen and it hasn't been back since.
Release 12 — 3 months, dose 4
Symptoms: Lower back injury and pain
Release 12 — 6 months, dose 4
Symptoms: Worsening painful back injury.
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 |
|---|---|---|---|---|
| SD | Abdominal pain | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back injury | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Balance disorder | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hernia repair | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Insomnia | ✓ | · | ✓ |
| SD | Muscle strain | · | · | ✓ |
| SD | Odynophagia | · | · | ✓ |
| SD | Oesophageal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Post procedural complication | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sleep disorder | ✓ | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SD | Weight decreased | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release