3Z5-14693-52336
3 vaccinations
7 coded responses
17 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 551 / MN
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-01-23
Registered in v-safe
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2021-01-23
Dose 1 — Pfizer-BioNTech
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2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Balance disorder — Feeling: Good · Fatigue or tirednessFree text: Briefly unsteady on feet about noon today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
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2021-01-30
Survey response — day 7, dose 1MedDRA: Flatulence, Oral pain — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Lots and lots of intestinal gas. A fair amount of pain from an unrelated dental procedure Thursday, re-doing of an old root canal therpyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-08
Survey response — day 14, dose 1MedDRA: Balance disorder, Sleep deficit — Feeling: GoodFree text: Occasionally feel unsteadiness on feet at mid-day, perhaps a bit more than I might have simply from sleep deficit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Dose 2 — Pfizer-BioNTech
- 2021-02-14
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Good · Fatigue or tirednessFree text: Brief periods of mild mental fog not lasting more than 45 minutes total.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
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2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Good · Site: Itching · Fatigue or tirednessFree text: Very slight mental fog from 11:30 a.m. to 1:30 p.m.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-21
- 2021-02-28
- 2021-03-06
- 2021-03-13
- 2021-03-20
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2021-03-27
Survey response — day 42, dose 2MedDRA: Injection site bruising — Feeling: GoodFree text: Suspicious bruise appeared near/at site of 2nd shot, abt 10 days ago. Size: nearly size of golf ball. Not sensitive to touch. Color beginning to fade from center outward, while color and flow downhill into a plant leaf shape. Is this common?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-11
- 2021-08-14
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2021-11-11
Dose 3 — Moderna
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2022-05-12
Survey response — 6 months, dose 3MedDRA: Fatigue — Feeling: GoodFree text: Fatigue that occurs intermittantly.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Pfizer-BioNTech | |
| 2 | 2021-02-13 | Pfizer-BioNTech | |
| 3 | 2021-11-11 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Briefly unsteady on feet about noon today.
Release 3 — day 7, dose 1
Systemic reaction (other): Lots and lots of intestinal gas. A fair amount of pain from an unrelated dental procedure Thursday, re-doing of an old root canal therpy
Release 3 — day 14, dose 1
Symptoms: Occasionally feel unsteadiness on feet at mid-day, perhaps a bit more than I might have simply from sleep deficit.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Brief periods of mild mental fog not lasting more than 45 minutes total.
Systemic reaction (other): Very slight mental fog from 11:30 a.m. to 1:30 p.m.
Release 6 — day 42, dose 2
Symptoms: Suspicious bruise appeared near/at site of 2nd shot, abt 10 days ago. Size: nearly size of golf ball. Not sensitive to touch. Color beginning to fade from center outward, while color and flow downhill into a plant leaf shape. Is this common?
Release 11 — 6 months, dose 3
Symptoms: Fatigue that occurs intermittantly.
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 | Balance disorder | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site bruising | ✓ | ✓ | ✓ |
| SD | Sleep deficit | ✓ | ✓ | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
| SRO | Oral pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release