38W-11920-79803
2 vaccinations
7 coded responses
25 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 554 / MN
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Registered in v-safe
-
2021-02-27
Dose 1 — Pfizer-BioNTech
- 2021-02-27
-
2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Gait disturbance, Pre-existing disease — Feeling: Good · Site: Pain · Muscle or body achesFree text: Recently pulled a back muscle, affects how I walk and can make it difficult to differentiate from vaccine side effects.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal discomfort — Feeling: Good · Site: Pain · Muscle or body achesFree text: Unusual discomfort on left side of middle back. I think it is from maneuvering the temporary heavy metal cart around for a week now, but I only noticed it after my vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Muscle or body achesFree text: Back pull is slowly healing but still makes it difficult to differentiate with vaccine side effects.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
-
2021-03-20
Dose 2 — Pfizer-BioNTech
- 2021-03-20
-
2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Injection site discomfort, Injection site indentation — Feeling: Fair · Site: PainFree text: The injection site feels somewhat physically depressed or deflated. Otherwise I am able to function but with moderate discomfort at the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — days 1–6 daily, dose 2MedDRA: Injection site reaction — Feeling: Good · Site: PainFree text: The injection site still feels physically deflated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-24
-
2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Injection site discomfort — Feeling: Good · Site: Pain · Muscle or body achesFree text: I have had discomfort in the injection site and the neighboring muscles. This might be caused by over using this arm to compensate for the other, but it is hard for me to tell at times.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-06-19
- 2021-09-18
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2022-03-20
Survey response — 12 months, dose 2MedDRA: Influenza — 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: Seasonal fluMedDRA releases: 2024-11 · check-in free text available
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2022-03-20
Report sent to call center — 12 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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2022-03-23
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Pfizer-BioNTech | |
| 2 | 2021-03-20 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Recently pulled a back muscle, affects how I walk and can make it difficult to differentiate from vaccine side effects.
Systemic reaction (other): Unusual discomfort on left side of middle back. I think it is from maneuvering the temporary heavy metal cart around for a week now, but I only noticed it after my vaccination.
Systemic reaction (other): Back pull is slowly healing but still makes it difficult to differentiate with vaccine side effects.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): The injection site feels somewhat physically depressed or deflated. Otherwise I am able to function but with moderate discomfort at the injection site.
Systemic reaction (other): The injection site still feels physically deflated.
Systemic reaction (other): I have had discomfort in the injection site and the neighboring muscles. This might be caused by over using this arm to compensate for the other, but it is hard for me to tell at times.
Release 11 — 12 months, dose 2
Symptoms: Seasonal flu
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 | Influenza | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Gait disturbance | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site indentation | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release