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3R8-10061-06294

2 vaccinations 7 coded responses 11 check-ins 7 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
900 / CA
Registered
2021-01-26
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-01-26
    Registered in v-safe
  2. 2021-01-26
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-03
    Survey response — day 7, dose 1
    MedDRA: Dyspnoea — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Shortness of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-18
    Dose 2 — Pfizer-BioNTech
  5. 2021-02-18
    Survey response — day 0, dose 2
    MedDRA: Fatigue, Headache, Nausea — Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: The fatigue was quite profound, in conjunction with the headache and nausea prevented me from taking my service dog outside. I had zero side effects from the first dose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness, Nausea
    Adult check-in
  7. 2021-03-01
    Survey response — day 7, dose 2
    MedDRA: Insomnia — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea
    Free text: I believe these symptoms are the result of lack of sleep rather than the innoculations. I have a sick service dog and am not getting rest attending to her requirements.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-07
    Survey response — day 14, dose 2
    MedDRA: Arthralgia — Feeling: Fair
    Free text: My joints, especially shoulders, have been very tender;but dont know it is related to Inocultions. TynekeybRd behaving ire ifLly. Sorry.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-11
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-03-20
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-04-05
    Survey response — day 42, dose 2
    MedDRA: Dyspnoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I do not believe it is related to the vaccinations, however, my fatigue has become quite profound and extreme shortness of breath seems to be increasing.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-21
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-08-19
    Survey response — 6 months, dose 2
    MedDRA: Asthenia, Balance disorder, Dizziness, Dyspnoea exertional, Dysstasia, Ear discomfort, Fatigue, Headache — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Even light activity stopping shortness of breath. Profound debilitating fatigue. Moiré vision headaches. Pressure in ears. Light headed dizziness/loss of balance. Difficulty standing up..
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  14. 2022-02-18
    Survey response — 12 months, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Chronic clinical depression - lifelong
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Pfizer-BioNTech
22021-02-18Pfizer-BioNTech

Free text

Release 3 — day 7, dose 1

2021-02-03

Systemic reaction (other): Shortness of breath

Release 4 — day 0, dose 2

2021-02-18

Systemic reaction (other): The fatigue was quite profound, in conjunction with the headache and nausea prevented me from taking my service dog outside. I had zero side effects from the first dose.

Release 4 — day 7, dose 2

2021-03-01

Systemic reaction (other): I believe these symptoms are the result of lack of sleep rather than the innoculations. I have a sick service dog and am not getting rest attending to her requirements.

Release 5 — day 14, dose 2

2021-03-07

Symptoms: My joints, especially shoulders, have been very tender;but dont know it is related to Inocultions. TynekeybRd behaving ire ifLly. Sorry.

Release 6 — day 42, dose 2

2021-04-05

Symptoms: I do not believe it is related to the vaccinations, however, my fatigue has become quite profound and extreme shortness of breath seems to be increasing.

Release 9 — 6 months, dose 2

2021-08-19

Symptoms: Even light activity stopping shortness of breath. Profound debilitating fatigue. Moiré vision headaches. Pressure in ears. Light headed dizziness/loss of balance. Difficulty standing up..

Release 11 — 12 months, dose 2

2022-02-18

Symptoms: Chronic clinical depression - lifelong

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDAsthenia ✓ · ✓
SDBalance disorder ✓ · ✓
SDDizziness ✓ · ✓
SDDyspnoea ✓ ✓ ✓
SDDyspnoea exertional ✓ · ✓
SDDysstasia ✓ · ✓
SDEar discomfort ✓ · ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ · ✓
SDPre-existing disease · · ✓
SRODyspnoea ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SRONausea ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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