2ZU-28250-34880
4 vaccinations
6 coded responses
14 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 112 / NY
- Registered
- 2022-10-15
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
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2021-03-30
Dose 1 — Pfizer-BioNTech
-
2021-04-20
Dose 2 — Pfizer-BioNTech
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2021-10-23
Dose 3 — Pfizer-BioNTech
-
2022-10-14
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-15
Registered in v-safe
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2022-10-15
Survey response — days 1–6 daily, dose 4MedDRA: Chills, Fatigue — Feeling: Fair · Site: PainFree text: slight chill and tiredness yesterday (day of shot) which went away quicklyMedDRA releases: 2024-11 · check-in free text available
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2022-10-16
Survey response — days 1–6 daily, dose 4MedDRA: Injection site discomfort — Feeling: GoodFree text: Slight soreness at injection site. "Pain" is an overstatement, "None" an understatement.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-17
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2022-10-18
Survey response — days 1–6 daily, dose 4MedDRA: Blood glucose increased, Diabetes mellitus, Pre-existing disease — Feeling: GoodFree text: Perhaps it's worth mentioning, though it didn't occur to me at the time, that the day after the vaccination my bG readings were significantly higher, even with a higher insulin dose in an attempt to compensate (I am type 1 diabetic).MedDRA releases: 2024-11 · check-in free text available
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-28
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2022-11-04
Survey response — day 21, dose 4MedDRA: Diarrhoea — Feeling: GoodFree text: Diarrhea since Monday.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-11
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2022-11-18
Survey response — day 35, dose 4MedDRA: Back pain, Spinal pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My lower back (in the spine) is killing (figuratively!) me.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-25
- 2023-01-13
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2023-04-18
Survey response — 6 months, dose 4MedDRA: Intervertebral disc protrusion — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Pfizer-BioNTech | No |
| 2 | 2021-04-20 | Pfizer-BioNTech | No |
| 3 | 2021-10-23 | Pfizer-BioNTech | No |
| 4 | 2022-10-14 | Pfizer-BioNTech | Flu |
Free text
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): slight chill and tiredness yesterday (day of shot) which went away quickly
Systemic reaction (other): Slight soreness at injection site. "Pain" is an overstatement, "None" an understatement.
Systemic reaction (other): Perhaps it's worth mentioning, though it didn't occur to me at the time, that the day after the vaccination my bG readings were significantly higher, even with a higher insulin dose in an attempt to compensate (I am type 1 diabetic).
Release 12 — day 21, dose 4
Symptoms: Diarrhea since Monday.
Release 12 — day 35, dose 4
Symptoms: My lower back (in the spine) is killing (figuratively!) me.
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 | Back pain | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Intervertebral disc protrusion | · | · | ✓ |
| SD | Spinal pain | · | · | ✓ |
| SRO | Blood glucose increased | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Diabetes mellitus | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site discomfort | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release