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3X8-16391-84905

2 vaccinations 5 coded responses 11 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
21-25
ZIP prefix
209 / MD
Registered
2021-03-26
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-26
    Registered in v-safe
  2. 2021-03-26
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-26
    Survey response — day 0, dose 1
    MedDRA: Neck pain — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Free text: Severe neck pain that comes in waves.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain, Feeling abnormal, Neck pain, Pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Very spaced out. Feels as though I am in a brain fog. Body pain and soreness is centered around my neck and back.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal distension, Abdominal pain, Back pain, Chest pain, Flatulence — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Chest pain and discomfort. Gas and bloating. abdominal and lower back pains. All symptoms coming in waves up and down
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal distension, Back pain, Chest pain, Feeling abnormal, Flatulence, Musculoskeletal pain, Vision blurred — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Sharp pains in upper left chest and upper left back by my shoulder blades. Not related to breathing but worsens when moving or heart rate is elevated. Pain is severe and lasts for 20 minutes to 2 hours and comes intermittently with symptoms. Also experiencing sharp lower back pain. Other symptoms include gas and bloating, brain fog and trouble focusing vision
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain, Brain fog, Chest discomfort, Chest pain, Feeling abnormal, Musculoskeletal discomfort — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Brain fog and feeling zoned out. Back and chest pain/discomfort
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-19
    Dose 2 — Pfizer-BioNTech
  10. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  11. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  12. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-07-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2022-04-19
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-26Pfizer-BioNTech
22021-04-19Pfizer-BioNTech

Free text

Release 6 — day 0, dose 1

2021-03-26

Systemic reaction (other): Severe neck pain that comes in waves.

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): Very spaced out. Feels as though I am in a brain fog. Body pain and soreness is centered around my neck and back.

2021-03-28

Systemic reaction (other): Chest pain and discomfort. Gas and bloating. abdominal and lower back pains. All symptoms coming in waves up and down

2021-03-29

Systemic reaction (other): Sharp pains in upper left chest and upper left back by my shoulder blades. Not related to breathing but worsens when moving or heart rate is elevated. Pain is severe and lasts for 20 minutes to 2 hours and comes intermittently with symptoms. Also experiencing sharp lower back pain. Other symptoms include gas and bloating, brain fog and trouble focusing vision

2021-03-31

Systemic reaction (other): Brain fog and feeling zoned out. Back and chest pain/discomfort

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
SROAbdominal distension ✓ ✓ ✓
SROAbdominal pain ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROBrain fog ✓ · ✓
SROChest discomfort ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROFlatulence ✓ ✓ ✓
SROMusculoskeletal discomfort ✓ ✓ ✓
SROMusculoskeletal pain ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROVision blurred ✓ ✓ ✓

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