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
-
2021-09-16
Dose 1 — Pfizer-BioNTech
-
2021-10-04
Registered in v-safe
- 2021-10-04
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2021-10-07
Survey response — day 21, dose 1MedDRA: Arthralgia, Asthenia, Headache — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Headaches all day and sore shoulder and weaknessMedDRA releases: 2024-11 · check-in free text available
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2021-10-09
Dose 2 — Pfizer-BioNTech
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2021-10-16
Survey response — day 7, dose 2MedDRA: Anxiety, Limb discomfort, Pain in extremity, Paraesthesia — Feeling: Poor · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Tingling and heavy feel in arm. Anxious kind of feeling and vibration in body left arm painMedDRA releases: 2024-11 · check-in free text available
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2021-10-23
Survey response — day 14, dose 2MedDRA: Back pain, Fatigue, Limb discomfort, Pain in extremity, Paraesthesia, Pruritus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue, sore arm heavy tingling feeling in arm, random itchiness, back painMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Survey response — day 21, dose 2MedDRA: Arthralgia, Back pain, Fatigue, Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Shoulder pain both sides upper back pain stiffness and very fatiguedMedDRA releases: 2024-11 · check-in free text available
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2021-11-06
Survey response — day 28, dose 2MedDRA: Arthralgia, Back pain, Fatigue, Neck pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Continued neck shoulder both sides and upper back pain and fatigueMedDRA releases: 2024-11 · check-in free text available
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2021-11-15
Survey response — day 35, dose 2MedDRA: Mobility decreased, Musculoskeletal stiffness, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-16 | Pfizer-BioNTech | No |
| 2 | 2021-10-09 | Pfizer-BioNTech | No |
Free text
Release 10 — day 21, dose 1
Symptoms: Headaches all day and sore shoulder and weakness
Release 10 — day 7, dose 2
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
Symptoms: Fatigue, sore arm heavy tingling feeling in arm, random itchiness, back pain
Release 10 — day 21, dose 2
Symptoms: Shoulder pain both sides upper back pain stiffness and very fatigued
Release 10 — day 28, dose 2
Symptoms: Continued neck shoulder both sides and upper back pain and fatigue
Release 10 — day 35, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Limb discomfort | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SRO | Anxiety | · | · | ✓ |
| SRO | Limb discomfort | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release