3ED-74400-74274
1 vaccination
4 coded responses
6 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 460 / IN
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-07
Dose 1 — Pfizer-BioNTech
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2021-04-15
Registered in v-safe
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2021-04-15
Survey response — day 7, dose 1MedDRA: Asthenia, Headache, Inflammation, Nausea, Pain, Poor quality sleep, Pre-existing disease, Weight increased — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: All over boy inflammation is out of control. Ive eaten less stayed hydrated and the scale keeps climbing. I can barely walk, sit, stand due to pain and weakness having all these symptoms for 8 days now. Not sleeping well walk in early hours 4am with the worst headache ever. Makes me want to be sick.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — day 14, dose 1MedDRA: Abdominal pain, Chromaturia, Decreased appetite, Headache, Nausea, Neck pain, Pain, Pain in jaw, Yellow skin — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Extreme neck, jaw and headache pain to the point I feel nauseous. Loss of appetite. Sharp pain in abdomen on Right side below navel and to the right down to groin. Pain on backside below ribs. -2 days of yellow skin and darker urine. Pain in rt LegMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Survey response — day 21, dose 1MedDRA: Abdominal discomfort, Dizziness, Fatigue, Headache, Pain — Feeling: Fair · Be unable to workFree text: Continue to feel fatigued, dizzy, headaches, stomach discomfort and body pains.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Survey response — day 28, dose 1MedDRA: Disturbance in attention, Headache, Visual impairment — Feeling: Fair · Be unable to workFree text: Lost the ability to focus. Had no perifwral vision, either eye or both were effected by an oval from venter to left that had a no wing rim of rainbow geometric shapes so very difficult to see anything. Lasted about 30 minutes. Severe headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
- 2021-07-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Pfizer-BioNTech |
Free text
Release 7 — day 7, dose 1
Systemic reaction (other): All over boy inflammation is out of control. Ive eaten less stayed hydrated and the scale keeps climbing. I can barely walk, sit, stand due to pain and weakness having all these symptoms for 8 days now. Not sleeping well walk in early hours 4am with the worst headache ever. Makes me want to be sick.
Release 7 — day 14, dose 1
Symptoms: Extreme neck, jaw and headache pain to the point I feel nauseous. Loss of appetite. Sharp pain in abdomen on Right side below navel and to the right down to groin. Pain on backside below ribs. -2 days of yellow skin and darker urine. Pain in rt Leg cut off by CDC
Release 8 — day 21, dose 1
Symptoms: Continue to feel fatigued, dizzy, headaches, stomach discomfort and body pains.
Release 8 — day 28, dose 1
Symptoms: Lost the ability to focus. Had no perifwral vision, either eye or both were effected by an oval from venter to left that had a no wing rim of rainbow geometric shapes so very difficult to see anything. Lasted about 30 minutes. Severe headaches
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 discomfort | ✓ | ✓ | ✓ |
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Chromaturia | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Disturbance in attention | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in jaw | ✓ | ✓ | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
| SD | Yellow skin | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Inflammation | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Poor quality sleep | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Weight increased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release