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455-78878-55315

2 vaccinations 6 coded responses 7 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
36-40
ZIP prefix
973 / OR
Registered
2021-10-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-09-16
    Dose 1 — Pfizer-BioNTech
  2. 2021-10-04
    Registered in v-safe
  3. 2021-10-04
    Health check-in — day 14, dose 1
    Feeling: Poor
    Adult check-in
  4. 2021-10-07
    Survey response — day 21, dose 1
    MedDRA: Arthralgia, Asthenia, Headache — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Headaches all day and sore shoulder and weakness
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-10-09
    Dose 2 — Pfizer-BioNTech
  6. 2021-10-16
    Survey response — day 7, dose 2
    MedDRA: Anxiety, Limb discomfort, Pain in extremity, Paraesthesia — Feeling: Poor · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Tingling and heavy feel in arm. Anxious kind of feeling and vibration in body left arm pain
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-10-23
    Survey response — day 14, dose 2
    MedDRA: Back pain, Fatigue, Limb discomfort, Pain in extremity, Paraesthesia, Pruritus — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fatigue, sore arm heavy tingling feeling in arm, random itchiness, back pain
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-10-30
    Survey response — day 21, dose 2
    MedDRA: Arthralgia, Back pain, Fatigue, Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Shoulder pain both sides upper back pain stiffness and very fatigued
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-11-06
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Back pain, Fatigue, Neck pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Continued neck shoulder both sides and upper back pain and fatigue
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-11-15
    Survey response — day 35, dose 2
    MedDRA: Mobility decreased, Musculoskeletal stiffness, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Less range of motion in arm. Increased stiffness in neck, back and arm and constant pain in arm.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-09-16Pfizer-BioNTech No
22021-10-09Pfizer-BioNTech No

Free text

Release 10 — day 21, dose 1

2021-10-07

Symptoms: Headaches all day and sore shoulder and weakness

Release 10 — day 7, dose 2

2021-10-16

Systemic reaction (other): Tingling and heavy feel in arm. Anxious kind of feeling and vibration in body left arm pain

Release 10 — day 14, dose 2

2021-10-23

Symptoms: Fatigue, sore arm heavy tingling feeling in arm, random itchiness, back pain

Release 10 — day 21, dose 2

2021-10-30

Symptoms: Shoulder pain both sides upper back pain stiffness and very fatigued

Release 10 — day 28, dose 2

2021-11-06

Symptoms: Continued neck shoulder both sides and upper back pain and fatigue

Release 10 — day 35, dose 2

2021-11-15

Symptoms: Less range of motion in arm. Increased stiffness in neck, back and arm and constant pain in arm.

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
SDArthralgia · · ✓
SDAsthenia · · ✓
SDBack pain · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDLimb discomfort · · ✓
SDMobility decreased · · ✓
SDMusculoskeletal stiffness · · ✓
SDNeck pain · · ✓
SDPain in extremity · · ✓
SDParaesthesia · · ✓
SDPruritus · · ✓
SROAnxiety · · ✓
SROLimb discomfort · · ✓
SROPain in extremity · · ✓
SROParaesthesia · · ✓

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