3DC-95627-81103
2 vaccinations
6 coded responses
20 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 926 / CA
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-05
Dose 1 — Pfizer-BioNTech
-
2021-02-07
Registered in v-safe
-
2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Blood urine present — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: visual blood in the urine day of vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-02-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-11
- 2021-02-12
- 2021-02-19
-
2021-02-26
Dose 2 — Pfizer-BioNTech
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Semen volume decreased — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Low semen volumeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-02
- 2021-03-04
- 2021-03-07
- 2021-03-12
- 2021-03-19
- 2021-03-28
- 2021-04-02
-
2021-04-10
Survey response — day 42, dose 2MedDRA: Arthralgia, Fatigue, Feeling abnormal, Injection site pain — Feeling: FairFree text: Chronic fatigue, increased joint pain especially in the shoulders, injection site very tender to palpate, increased brain fog especially with lost vocabulary and finding words.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Survey response — 3 months, dose 2MedDRA: Fatigue, Injection site pain — Feeling: Good · Be unable to work, 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: Severe shoulder pain, daily, at injection site and mild fatigue.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 — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-27
Survey response — 6 months, dose 2MedDRA: Insomnia — Feeling: GoodFree text: InsomniaMedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-28
Survey response — 12 months, dose 2MedDRA: COVID-19, Illness, Quarantine, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Became infected with Covid on 1/11/22 and experienced mild to moderate illness. Quarantine for 8-days and tested negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Pfizer-BioNTech | |
| 2 | 2021-02-26 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): visual blood in the urine day of vaccine
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Low semen volume
Release 7 — day 42, dose 2
Symptoms: Chronic fatigue, increased joint pain especially in the shoulders, injection site very tender to palpate, increased brain fog especially with lost vocabulary and finding words.
Release 8 — 3 months, dose 2
Symptoms: Severe shoulder pain, daily, at injection site and mild fatigue.
Release 9 — 6 months, dose 2
Symptoms: Insomnia
Release 11 — 12 months, dose 2
Symptoms: Became infected with Covid on 1/11/22 and experienced mild to moderate illness. Quarantine for 8-days and tested negative.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Illness | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | · | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Blood urine present | ✓ | ✓ | ✓ |
| SRO | Semen volume decreased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release