3BA-30621-90252
3 vaccinations
16 coded responses
34 check-ins
16 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 958 / CA
- Registered
- 2021-06-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-21
Registered in v-safe
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2021-06-21
Dose 1 — Pfizer-BioNTech
- 2021-06-21
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2021-06-22
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Insomnia — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Injection site pain. Insomnia.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-23
- 2021-06-24
- 2021-06-25
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2021-06-26
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: insomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-06-28
Health check-in — day 7, dose 1Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-07-05
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2021-07-12
Dose 2 — Pfizer-BioNTech
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2021-07-13
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-07-15
- 2021-07-16
- 2021-07-17
- 2021-07-18
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2021-07-19
Survey response — day 7, dose 2MedDRA: Pre-existing disease — Feeling: Good · Fatigue or tirednessFree text: I've battled fatigue for the last 3.5 years ... so it's not neccessarily from the vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2021-07-26
- 2021-08-02
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2021-08-09
Survey response — day 28, dose 2MedDRA: Nephrolithiasis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Not Covid related ... passed a kidney stone a week or so ago plus maybe minor UTI ... or another stone lolMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-16
Survey response — day 35, dose 2MedDRA: Skin irritation, Urinary tract discomfort, Urinary tract infection — Feeling: GoodFree text: Urinary tract infection (minor irritation, discomfort for 2 or 3days last week ... treated with Azzo & Flomax) ... possibly related to recent passing of kidney stone the previous week.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-23
Survey response — day 42, dose 2MedDRA: Back pain, Fatigue, Pain in extremity — Feeling: GoodFree text: Tired, sore legs, & sore back. BUT, I just returned to work teaching ... & these are typical of the 1st week or two of the school year for teachers. Thought I'd report it, just in case.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-12
Survey response — 3 months, dose 2MedDRA: Fatigue, Insomnia, Tinnitus, Vestibular migraine — Feeling: Fair · Be unable to do your normal daily activitiesFree text: fatigue, sleeplessness, ear ringing & vestibular migrainesMedDRA releases: 2024-11 · check-in free text available
- 2022-01-10
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2022-01-16
Dose 3 — Pfizer-BioNTech
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2022-01-20
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Dry throat, Oropharyngeal pain, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: 1) Top of right foot is sore fir last three days ... no idea why 2) dry, sore throat last night ... woke up coughingMedDRA releases: 2024-11 · check-in free text available
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2022-01-21
Survey response — days 1–6 daily, dose 3MedDRA: Insomnia, Pain in extremity — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Insomnia: didnt get to sleep until 4am ... top of my right foot is sore (no clue what caused it)MedDRA releases: 2024-11 · check-in free text available
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2022-01-22
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: sore footMedDRA releases: 2024-11 · check-in free text available
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2022-01-25
Survey response — day 7, dose 3MedDRA: Insomnia, Pain in extremity — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Insomnia ... sore footMedDRA releases: 2024-11 · check-in free text available
- 2022-01-30
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2022-02-06
Survey response — day 21, dose 3MedDRA: Fatigue, Insomnia, Migraine — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: #NAME?MedDRA releases: 2024-11 · check-in free text available
- 2022-02-13
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2022-02-20
Survey response — day 35, dose 3MedDRA: Abdominal pain lower, Chromaturia, Dysuria, Pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Lower abdomen pain ... stings a little when i pee ... slight pink color to my urineMedDRA releases: 2024-11 · check-in free text available
- 2022-02-27
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2022-04-17
Survey response — 3 months, dose 3MedDRA: Insomnia, Poor quality sleep, Sleep deficit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Insomnia: - trouble getting enough sleep - trouble sleeping solidly all nightMedDRA releases: 2024-11 · check-in free text available
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2022-07-19
Survey response — 6 months, dose 3MedDRA: Epicondylitis, Physiotherapy, Tendonitis — Feeling: Poor · 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: Tendinitis in the elbow. Dr called it tennis elbow. · Healthcare visit (other): PT: help with exercises & a device to wear to keep drom further injuryMedDRA releases: 2024-11 · check-in free text available
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2022-07-19
Report sent to call center — 6 months, dose 3Be 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)
- 2022-07-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-21 | Pfizer-BioNTech | No |
| 2 | 2021-07-12 | Pfizer-BioNTech | No |
| 3 | 2022-01-16 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Injection site pain. Insomnia.
Systemic reaction (other): insomnia
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Fatigue
Release 9 — day 7, dose 2
Systemic reaction (other): I've battled fatigue for the last 3.5 years ... so it's not neccessarily from the vaccine.
Release 9 — day 28, dose 2
Symptoms: Not Covid related ... passed a kidney stone a week or so ago plus maybe minor UTI ... or another stone lol
Release 9 — day 35, dose 2
Symptoms: Urinary tract infection (minor irritation, discomfort for 2 or 3days last week ... treated with Azzo & Flomax) ... possibly related to recent passing of kidney stone the previous week.
Release 9 — day 42, dose 2
Symptoms: Tired, sore legs, & sore back. BUT, I just returned to work teaching ... & these are typical of the 1st week or two of the school year for teachers. Thought I'd report it, just in case.
Release 10 — 3 months, dose 2
Symptoms: fatigue, sleeplessness, ear ringing & vestibular migraines
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): 1) Top of right foot is sore fir last three days ... no idea why 2) dry, sore throat last night ... woke up coughing
Systemic reaction (other): Insomnia: didnt get to sleep until 4am ... top of my right foot is sore (no clue what caused it)
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): sore foot
Release 11 — day 7, dose 3
Systemic reaction (other): Insomnia ... sore foot
Release 11 — day 21, dose 3
Symptoms: #NAME?
Release 11 — day 35, dose 3
Symptoms: Lower abdomen pain ... stings a little when i pee ... slight pink color to my urine
Release 11 — 3 months, dose 3
Symptoms: Insomnia: - trouble getting enough sleep - trouble sleeping solidly all night
Release 12 — 6 months, dose 3
Symptoms: Tendinitis in the elbow. Dr called it tennis elbow.
Healthcare visit (other): PT: help with exercises & a device to wear to keep drom further 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 |
|---|---|---|---|---|
| HCVO | Physiotherapy | · | · | ✓ |
| SD | Abdominal pain lower | · | · | ✓ |
| SD | Back pain | ✓ | · | ✓ |
| SD | Chromaturia | · | · | ✓ |
| SD | Dysuria | · | · | ✓ |
| SD | Epicondylitis | · | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Nephrolithiasis | ✓ | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | · | ✓ |
| SD | Poor quality sleep | · | · | ✓ |
| SD | Skin irritation | ✓ | · | ✓ |
| SD | Sleep deficit | · | · | ✓ |
| SD | Tendonitis | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SD | Urinary tract discomfort | ✓ | · | ✓ |
| SD | Urinary tract infection | ✓ | · | ✓ |
| SD | Vestibular migraine | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dry throat | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release