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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

  1. 2021-01-23
    Registered in v-safe
  2. 2021-01-23
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Balance disorder — Feeling: Good · Fatigue or tiredness
    Free text: Briefly unsteady on feet about noon today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  5. 2021-01-30
    Survey response — day 7, dose 1
    MedDRA: 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 consultation
    Free 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 therpy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-30
    Report sent to call center — day 7, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-02-08
    Survey response — day 14, dose 1
    MedDRA: Balance disorder, Sleep deficit — Feeling: Good
    Free 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
  8. 2021-02-13
    Dose 2 — Pfizer-BioNTech
  9. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  10. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal — Feeling: Good · Fatigue or tiredness
    Free 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
  11. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  12. 2021-02-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal — Feeling: Good · Site: Itching · Fatigue or tiredness
    Free 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
  13. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  14. 2021-02-21
    Health check-in — day 7, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  15. 2021-02-28
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-27
    Survey response — day 42, dose 2
    MedDRA: Injection site bruising — Feeling: Good
    Free 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
  20. 2021-06-11
  21. 2021-08-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-11-11
    Dose 3 — Moderna
  23. 2022-05-12
    Survey response — 6 months, dose 3
    MedDRA: Fatigue — Feeling: Good
    Free text: Fatigue that occurs intermittantly.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-23Pfizer-BioNTech
22021-02-13Pfizer-BioNTech
32021-11-11Moderna No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): Briefly unsteady on feet about noon today.

Release 3 — day 7, dose 1

2021-01-30

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

2021-02-08

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

2021-02-15

Systemic reaction (other): Brief periods of mild mental fog not lasting more than 45 minutes total.

2021-02-17

Systemic reaction (other): Very slight mental fog from 11:30 a.m. to 1:30 p.m.

Release 6 — day 42, dose 2

2021-03-27

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

2022-05-12

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

FieldPreferred term2021-092023-042024-11
SDBalance disorder ✓ ✓ ✓
SDFatigue · · ✓
SDInjection site bruising ✓ ✓ ✓
SDSleep deficit ✓ ✓ ✓
SROBalance disorder ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROFlatulence ✓ ✓ ✓
SROOral pain ✓ ✓ ✓

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