3FG-68021-69032
2 vaccinations
3 coded responses
23 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 300 / GA
- Registered
- 2021-06-11
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-09
Dose 1 — Pfizer-BioNTech
-
2021-06-11
Registered in v-safe
- 2021-06-11
- 2021-06-12
- 2021-06-13
- 2021-06-14
- 2021-06-15
- 2021-06-17
- 2021-06-23
-
2021-06-30
Dose 2 — Pfizer-BioNTech
- 2021-06-30
- 2021-07-01
- 2021-07-02
- 2021-07-03
- 2021-07-04
- 2021-07-05
- 2021-07-06
- 2021-07-07
- 2021-07-14
-
2021-07-21
Survey response — day 21, dose 2MedDRA: Dizziness, Headache, Laziness, Lethargy, Somnolence — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Groggy, dizzy a little, headache all day yesterday. Didnt feel like doing anything, stayed in all day headache all last night. Not as bad today. Slightly lethargic, groggy now. Out and about for 2 hours earlier.MedDRA releases: 2024-11 · check-in free text available
- 2021-07-28
- 2021-08-04
- 2021-08-11
-
2021-09-29
Survey response — 3 months, dose 2MedDRA: Chest pain, Emergency care — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: ER visit due too chest pain. EKG showed no abnormalities. Released same dayMedDRA releases: 2024-11 · check-in free text available
-
2021-09-29
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2021-10-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-12-29
-
2022-06-30
Survey response — 12 months, dose 2MedDRA: Amyloidosis, Arthralgia, Burning sensation, Diabetes mellitus, Intervertebral disc protrusion, Office visit, Pain, Paraesthesia, Pre-existing disease, Road traffic accident — Feeling: Fair · Be unable to work or attend schoolFree text: Amyloidosis-stinging burning tingling knee pain daily since Feb'22. Along with diabetes which are the symptoms. Working closely with my doc. Two car accidents in 3 weeks Jan/Feb so 2 herniations in neck, bulging disc in backMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-09 | Pfizer-BioNTech | |
| 2 | 2021-06-30 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 9 — day 21, dose 2
Symptoms: Groggy, dizzy a little, headache all day yesterday. Didnt feel like doing anything, stayed in all day headache all last night. Not as bad today. Slightly lethargic, groggy now. Out and about for 2 hours earlier.
Release 9 — 3 months, dose 2
Symptoms: ER visit due too chest pain. EKG showed no abnormalities. Released same day
Release 12 — 12 months, dose 2
Symptoms: Amyloidosis-stinging burning tingling knee pain daily since Feb'22. Along with diabetes which are the symptoms. Working closely with my doc. Two car accidents in 3 weeks Jan/Feb so 2 herniations in neck, bulging disc in back
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 | Amyloidosis | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Burning sensation | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Diabetes mellitus | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Intervertebral disc protrusion | · | · | ✓ |
| SD | Laziness | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Road traffic accident | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release