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
-
2021-03-23
Dose 1 — Pfizer-BioNTech
-
2021-04-10
Dose 2 — Pfizer-BioNTech
-
2021-04-12
Registered in v-safe
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2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort, Dyspnoea — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains · Be unable to work, Be unable to do your normal daily activitiesFree text: Heavy chest, shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-15
- 2021-04-16
- 2021-04-17
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2021-04-24
Survey response — day 14, dose 2MedDRA: Back pain, Mobility decreased, Testicular pain — Feeling: Good · Be unable to do your normal daily activitiesFree 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
- 2021-05-01
- 2021-05-08
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2021-05-15
Survey response — day 35, dose 2MedDRA: Back pain, Loss of personal independence in daily activities — Feeling: Good · Be unable to do your normal daily activitiesFree 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
- 2021-05-22
- 2021-07-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Pfizer-BioNTech | |
| 2 | 2021-04-10 | Pfizer-BioNTech |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Heavy chest, shortness of breath
Release 7 — day 14, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Testicular pain | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release