4UL-14776-51715
3 vaccinations
4 coded responses
37 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 16-20
- ZIP prefix
- 480 / MI
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-08
Dose 1 — Pfizer-BioNTech
-
2021-04-09
Registered in v-safe
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2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain, Arthralgia, Axillary pain, Headache, Musculoskeletal chest pain, Photophobia — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: as far as the headache it seems like a sensitivity to light kinda deal i was fine until i had to take the garbage out and the sun was in my face, also with all the other symptoms its only on the side i got my injection on like my left shoulder has some pain but my right one is fine same with the abdominal pain its only like from armpit to middle of my ribs its kinda soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Photophobia — Feeling: Good · Fatigue or tirednessFree text: again with light sensitivity. no headache or any symptoms today just when i open my window or turn up the brightness on my phone it just feels brighter than it really is.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-12
-
2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Contusion — Feeling: GoodFree text: im finding bruises all over the arm i got the shot inMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-15
- 2021-04-22
-
2021-04-29
Dose 2 — Pfizer-BioNTech
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2021-04-29
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Muscle or body achesAdult check-in
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-07-29
- 2021-10-28
-
2022-01-14
Dose 3 — Moderna
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2022-01-15
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-01-16
- 2022-01-17
- 2022-01-18
- 2022-01-19
- 2022-01-20
- 2022-01-21
-
2022-01-28
Survey response — day 14, dose 3MedDRA: Chest discomfort, Fatigue, Headache, Muscle tightness — Feeling: Good · Be unable to do your normal daily activitiesFree text: bad headaches, tightness in my chest and back, along with feeling really tiredMedDRA releases: 2024-11 · check-in free text available
- 2022-02-04
- 2022-02-11
- 2022-02-18
- 2022-02-27
- 2022-04-15
- 2022-07-15
- 2023-01-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Pfizer-BioNTech | |
| 2 | 2021-04-29 | Pfizer-BioNTech | |
| 3 | 2022-01-14 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): as far as the headache it seems like a sensitivity to light kinda deal i was fine until i had to take the garbage out and the sun was in my face, also with all the other symptoms its only on the side i got my injection on like my left shoulder has some pain but my right one is fine same with the abdominal pain its only like from armpit to middle of my ribs its kinda sore
Systemic reaction (other): again with light sensitivity. no headache or any symptoms today just when i open my window or turn up the brightness on my phone it just feels brighter than it really is.
Systemic reaction (other): im finding bruises all over the arm i got the shot in
Release 11 — day 14, dose 3
Symptoms: bad headaches, tightness in my chest and back, along with feeling really tired
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 | Chest discomfort | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Muscle tightness | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SRO | Photophobia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release