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45U-21437-71944

3 vaccinations 15 coded responses 38 check-ins 15 free-text entries 0 call cases
Sex
Male
Age at first dose
36-40
ZIP prefix
274 / NC
Registered
2021-01-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-03
    Registered in v-safe
  2. 2021-01-03
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-03
    Health check-in — day 0, dose 1
    Feeling: Good · Fever · None
    Adult check-in
  4. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness
    Adult check-in
  5. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Fatigue or tiredness
    Adult check-in
  6. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-01-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Balance disorder, Dizziness — Feeling: Good
    Free text: Just main thing has been dizziness. I have been dizzy off balance since my shot. That's the only symptom I still have.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-10
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-24
    Dose 2 — Pfizer-BioNTech
  12. 2021-01-24
    Survey response — day 0, dose 2
    MedDRA: Dizziness — Feeling: Fair · Fever · Muscle or body aches
    Free text: Dizziness. Light headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia, Balance disorder — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Off balance I would say. I loose my balance easy. And very weak
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-01-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Aphasia, Balance disorder, Loss of personal independence in daily activities — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I continue to be off balance. Like my equilibrium is off. Also I my mind is not all there. I had a hard time completing full sentences for my partner to understand. Only way I can get by with my daily activities is taking my adderal for my add
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-01-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Balance disorder — Feeling: Fair · Site: Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Off balance.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-01-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Gait disturbance — Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Off balance
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  19. 2021-01-31
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-14
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-21
    Survey response — day 28, dose 2
    MedDRA: Diarrhoea — Feeling: Fair
    Free text: Uncontrollable diarrhea, where it happens when I am asleep or just sitting and walking it leaks out. Have had to change pants a underwear and bed linens 5 times this week
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-02-28
    Survey response — day 35, dose 2
    MedDRA: Diarrhoea, Fatigue, Gastrointestinal disorder, Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Still having terrible GI symptoms with diarrhea. More headaches and tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-01-24
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-01-27
    Dose 3 — Pfizer-BioNTech
  29. 2022-01-29
    Survey response — days 1–6 daily, dose 3
    MedDRA: Night sweats, Nightmare — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Extreme bad nightmares the first night I had my shot, night sweats continue
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-01-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  31. 2022-01-31
    Survey response — days 1–6 daily, dose 3
    MedDRA: Night sweats, Nightmare — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain
    Free text: Really bad Night sweats and extreme nightmares
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-02-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Night sweats, Sleep terror — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea
    Free text: Night terrors and night sweats
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-02-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Brain fog, Night sweats — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea
    Free text: Night sweats and light heaviness. Like I am in a fog
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-02-03
    Survey response — day 7, dose 3
    MedDRA: Night sweats — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Free text: Extreme night sweats
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-02-10
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-02-17
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-02-25
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-03-03
    Survey response — day 35, dose 3
    MedDRA: Asthenia, Diarrhoea, Fatigue, Gastrointestinal disorder — Feeling: Fair
    Free text: Diarrhea stomach issues and started to become more fatigued and weak
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-03-10
    Survey response — day 42, dose 3
    MedDRA: Diarrhoea — Feeling: Good
    Free text: Diarrhea
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-04-28
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-07-28
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2023-01-29
    Health check-in — 12 months, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-03Pfizer-BioNTech
22021-01-24Pfizer-BioNTech
32022-01-27Pfizer-BioNTech No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-09

Systemic reaction (other): Just main thing has been dizziness. I have been dizzy off balance since my shot. That's the only symptom I still have.

Release 2 — day 0, dose 2

2021-01-24

Systemic reaction (other): Dizziness. Light headed

Release 2 — days 1–6 daily, dose 2

2021-01-25

Systemic reaction (other): Off balance I would say. I loose my balance easy. And very weak

2021-01-26

Systemic reaction (other): I continue to be off balance. Like my equilibrium is off. Also I my mind is not all there. I had a hard time completing full sentences for my partner to understand. Only way I can get by with my daily activities is taking my adderal for my add

2021-01-27

Systemic reaction (other): Off balance.

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Off balance

Release 4 — day 28, dose 2

2021-02-21

Symptoms: Uncontrollable diarrhea, where it happens when I am asleep or just sitting and walking it leaks out. Have had to change pants a underwear and bed linens 5 times this week

Release 4 — day 35, dose 2

2021-02-28

Symptoms: Still having terrible GI symptoms with diarrhea. More headaches and tiredness

Release 11 — days 1–6 daily, dose 3

2022-01-29

Systemic reaction (other): Extreme bad nightmares the first night I had my shot, night sweats continue

2022-01-31

Systemic reaction (other): Really bad Night sweats and extreme nightmares

2022-02-01

Systemic reaction (other): Night terrors and night sweats

2022-02-02

Systemic reaction (other): Night sweats and light heaviness. Like I am in a fog

Release 11 — day 7, dose 3

2022-02-03

Systemic reaction (other): Extreme night sweats

Release 11 — day 35, dose 3

2022-03-03

Symptoms: Diarrhea stomach issues and started to become more fatigued and weak

Release 11 — day 42, dose 3

2022-03-10

Symptoms: Diarrhea

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
SDAsthenia · · ✓
SDDiarrhoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDGastrointestinal disorder ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SROAphasia ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROBalance disorder ✓ ✓ ✓
SROBrain fog · · ✓
SRODizziness ✓ ✓ ✓
SROGait disturbance ✓ ✓ ✓
SROLoss of personal independence in daily activities ✓ ✓ ✓
SRONight sweats · · ✓
SRONightmare · · ✓
SROSleep terror · · ✓

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

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