3UV-12257-88611
2 vaccinations
6 coded responses
20 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 325 / FL
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Dose 1 — Pfizer-BioNTech
-
2021-03-24
Registered in v-safe
- 2021-03-24
-
2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: Fair · Site: PainFree text: Lower pain in lumbar region both sides now on leftMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Fair · Site: PainFree text: Lower back to ender left upper armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
-
2021-04-09
Dose 2 — Pfizer-BioNTech
- 2021-04-09
-
2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lower lumbar both sidesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Fair · Site: Pain · DiarrheaFree text: Still lower lumbar pain both sidesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
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2021-04-23
Survey response — day 14, dose 2MedDRA: Back pain, Headache — Feeling: Poor · Be unable to workFree text: Severe lower spinal pain in lower lumbar region L3 through L4 reasons unknown several days worsening and several bad headaches last couple of days off and onMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
-
2021-07-09
Survey response — 3 months, dose 2MedDRA: Cough, Hypoaesthesia, Respiratory tract infection — Feeling: Fair · Be unable to work or attend schoolFree text: Loss of feeling in left middle finger on inside of tip and just had an severe respetoroy infection 2 weeks ago and still have a lingering coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-08
- 2022-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Pfizer-BioNTech | |
| 2 | 2021-04-09 | Pfizer-BioNTech |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Lower pain in lumbar region both sides now on left
Release 6 — day 7, dose 1
Systemic reaction (other): Lower back to ender left upper arm
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Lower lumbar both sides
Systemic reaction (other): Still lower lumbar pain both sides
Release 7 — day 14, dose 2
Symptoms: Severe lower spinal pain in lower lumbar region L3 through L4 reasons unknown several days worsening and several bad headaches last couple of days off and on
Release 9 — 3 months, dose 2
Symptoms: Loss of feeling in left middle finger on inside of tip and just had an severe respetoroy infection 2 weeks ago and still have a lingering cough
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Respiratory tract infection | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release