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4DN-25875-11999

2 vaccinations 3 coded responses 12 check-ins 3 free-text entries 0 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
662 / KS
Registered
2021-04-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-23
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-10
    Dose 2 — Pfizer-BioNTech
  3. 2021-04-12
    Registered in v-safe
  4. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest discomfort, Dyspnoea — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains · Be unable to work, Be unable to do your normal daily activities
    Free text: Heavy chest, shortness of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  6. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-04-17
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-04-24
    Survey response — day 14, dose 2
    MedDRA: Back pain, Mobility decreased, Testicular pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: I have had a back ache ever since getting my first shot. After the second shot, my left testicle was extremely soar and sensitive for 5-6 days. Along with a continuous back ache still. Back is slowly getting better but very limiting on activity.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-15
    Survey response — day 35, dose 2
    MedDRA: Back pain, Loss of personal independence in daily activities — Feeling: Good · Be unable to do your normal daily activities
    Free text: Still have a back ache that started around the first shot, got extremely bad after the second shot and has been slowly getting better but still cant bo most daily activities.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-07-10
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-23Pfizer-BioNTech
22021-04-10Pfizer-BioNTech

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): Heavy chest, shortness of breath

Release 7 — day 14, dose 2

2021-04-24

Symptoms: I have had a back ache ever since getting my first shot. After the second shot, my left testicle was extremely soar and sensitive for 5-6 days. Along with a continuous back ache still. Back is slowly getting better but very limiting on activity.

Release 8 — day 35, dose 2

2021-05-15

Symptoms: Still have a back ache that started around the first shot, got extremely bad after the second shot and has been slowly getting better but still cant bo most daily activities.

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
SDBack pain ✓ ✓ ✓
SDLoss of personal independence in daily activities ✓ ✓ ✓
SDMobility decreased ✓ ✓ ✓
SDTesticular pain ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓

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