4CN-19997-73894
2 vaccinations
8 coded responses
17 check-ins
8 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 959 / CA
- Registered
- 2021-08-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-08-04
Dose 1 — Pfizer-BioNTech
-
2021-08-10
Registered in v-safe
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2021-08-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-08-11
Survey response — day 7, dose 1MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tiredness, DiarrheaFree text: Sore throatMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-18
-
2021-08-25
Dose 2 — Pfizer-BioNTech
-
2021-08-25
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-08-26
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throatMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-08-28
- 2021-08-29
- 2021-08-30
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2021-08-31
Survey response — days 1–6 daily, dose 2MedDRA: Depersonalisation/derealisation disorder, Flat affect — Feeling: GoodFree text: Ever since I got my second dose I feel Very out of touch with my emotions and sense of self. I am not sure if they are correlated but just wanted to point that out.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-01
- 2021-09-08
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2021-09-15
Survey response — day 21, dose 2MedDRA: Memory impairment — Feeling: GoodFree text: Ive been very forgetful since thenMedDRA releases: 2024-11 · check-in free text available
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2021-09-22
Survey response — day 28, dose 2MedDRA: Cognitive disorder, Memory impairment — Feeling: Good · Be unable to do your normal daily activitiesFree text: Extremely forgetful and have noticed that my cognitive thinking has been off as if I was dyslexicMedDRA releases: 2024-11 · check-in free text available
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2021-10-01
Survey response — day 35, dose 2MedDRA: Memory impairment, Parosmia, Taste disorder — Feeling: Fair · Be unable to work or attend schoolFree text: Forgetfulness and my smell and taste buds are off againMedDRA releases: 2024-11 · check-in free text available
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2021-11-24
Survey response — 3 months, dose 2MedDRA: Alopecia, Nausea, Parosmia, Taste disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Hair Loss and Distorted smell and taste. I'm in DHT blockers now and medicated shampoo. I can't smell anything and I couldn't only taste alcohol, coffee, types of sweetness and types of spices. Anything with oils triggers nausea and taste like sewageMedDRA releases: 2024-11 · check-in free text available
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2021-11-24
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-14
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2022-02-23
Survey response — 6 months, dose 2MedDRA: Abdominal pain, Administration site scar, Alopecia, Weight decreased — Feeling: Good · Be unable to work or attend schoolFree text: Hair loss, scar where booster shot was administered, severe abdominal pain, weight lossMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-04 | Pfizer-BioNTech | No |
| 2 | 2021-08-25 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — day 7, dose 1
Systemic reaction (other): Sore throat
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat
Systemic reaction (other): Ever since I got my second dose I feel Very out of touch with my emotions and sense of self. I am not sure if they are correlated but just wanted to point that out.
Release 9 — day 21, dose 2
Symptoms: Ive been very forgetful since then
Release 9 — day 28, dose 2
Symptoms: Extremely forgetful and have noticed that my cognitive thinking has been off as if I was dyslexic
Release 9 — day 35, dose 2
Symptoms: Forgetfulness and my smell and taste buds are off again
Release 10 — 3 months, dose 2
Symptoms: Hair Loss and Distorted smell and taste. I'm in DHT blockers now and medicated shampoo. I can't smell anything and I couldn't only taste alcohol, coffee, types of sweetness and types of spices. Anything with oils triggers nausea and taste like sewage cut off by CDC
Release 11 — 6 months, dose 2
Symptoms: Hair loss, scar where booster shot was administered, severe abdominal pain, weight loss
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 | Abdominal pain | · | · | ✓ |
| SD | Administration site scar | · | · | ✓ |
| SD | Alopecia | · | · | ✓ |
| SD | Cognitive disorder | · | · | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Parosmia | · | · | ✓ |
| SD | Taste disorder | · | · | ✓ |
| SD | Weight decreased | · | · | ✓ |
| SRO | Depersonalisation/derealisation disorder | ✓ | · | ✓ |
| SRO | Flat affect | ✓ | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release