3YB-81363-08556
3 vaccinations
4 coded responses
33 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 985 / WA
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-05
Registered in v-safe
-
2021-04-05
Dose 1 — Pfizer-BioNTech
- 2021-04-05
-
2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Site: PainFree text: A very mild sense of light headedness, like you had half a beer, but that feeling all day. It is hard to explain, not really like the symptoms listed above. Does not impact any motor functions like working, driving, etc. Not an issue, just a symptom.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-19
-
2021-04-26
Dose 2 — Pfizer-BioNTech
- 2021-04-26
-
2021-04-26
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Gait inability, Medial tibial stress syndrome — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Slight loopiness in the head, kinda like how you make odd decisions when sleep deprived. Mild overall, can still drive, but noticeable. The other odd thing was yesterday evening my right lower shin had intense pain like I kicked a brick with it. No visible swelling or redness, but pain to where I couldn't walk on it for an hour. After about 3 hours total it had gone away fully. Zero pain this morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Fatigue or tirednessFree text: Still slightly light-headed / loopy, similar to how an average drinker would feel after one beer.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-01
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-07-26
- 2021-10-25
-
2021-10-26
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Bradykinesia, Brain fog, Disturbance in attention — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend schoolFree text: Foggy, hard to type fast and mental math harder for my jobMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-30
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-12-02
- 2021-12-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Pfizer-BioNTech | |
| 2 | 2021-04-26 | Pfizer-BioNTech | |
| 3 | 2021-10-26 | Pfizer-BioNTech | Flu |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): A very mild sense of light headedness, like you had half a beer, but that feeling all day. It is hard to explain, not really like the symptoms listed above. Does not impact any motor functions like working, driving, etc. Not an issue, just a symptom.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Slight loopiness in the head, kinda like how you make odd decisions when sleep deprived. Mild overall, can still drive, but noticeable. The other odd thing was yesterday evening my right lower shin had intense pain like I kicked a brick with it. No visible swelling or redness, but pain to where I couldn't walk on it for an hour. After about 3 hours total it had gone away fully. Zero pain this morning
Systemic reaction (other): Still slightly light-headed / loopy, similar to how an average drinker would feel after one beer.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Foggy, hard to type fast and mental math harder for my job
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 |
|---|---|---|---|---|
| SRO | Bradykinesia | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Disturbance in attention | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Gait inability | ✓ | ✓ | ✓ |
| SRO | Medial tibial stress syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release