4VJ-17234-11884
2 vaccinations
7 coded responses
21 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 980 / WA
- Registered
- 2021-10-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-10-18
Registered in v-safe
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2021-10-18
Dose 1 — Pfizer-BioNTech
- 2021-10-18
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2021-10-19
Survey response — days 1–6 daily, dose 1MedDRA: Brain fog — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: "Brain fog"MedDRA releases: 2024-11 · check-in free text available
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2021-10-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-10-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-10-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body achesAdult check-in
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2021-10-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, NauseaAdult check-in
- 2021-10-25
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2021-11-01
Survey response — day 14, dose 1MedDRA: Cardiac flutter, Fatigue — Feeling: FairFree text: I get a sense my heart "flutters" periodically, which isn't normal. More tired than usual and have been going to bed earlier.MedDRA releases: 2024-11 · check-in free text available
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2021-11-08
Dose 2 — Pfizer-BioNTech
- 2021-11-08
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2021-11-09
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Chest feels a little tight - like a knot in chest muscleMedDRA releases: 2024-11 · check-in free text available
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2021-11-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-11-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-11-13
- 2021-11-14
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2021-11-15
Survey response — day 7, dose 2MedDRA: Brain fog, Paranasal sinus discomfort — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Sinus pressure. Mental fogMedDRA releases: 2024-11 · check-in free text available
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2021-11-22
Survey response — day 14, dose 2MedDRA: Heart rate increased, Middle insomnia — Feeling: GoodFree text: Periodically wake up during the night and heart rate feels elevated. Been 2 nights since last occurred.MedDRA releases: 2024-11 · check-in free text available
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2021-11-29
Survey response — day 21, dose 2MedDRA: Cough, Influenza, Nasopharyngitis, Respiratory tract congestion, Throat irritation — Feeling: FairFree text: Cough, irritated throat, and mild congestion. First time with any cold/flu/congestion since pandemic began.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
- 2021-12-13
- 2021-12-20
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2022-05-11
Survey response — 6 months, dose 2MedDRA: Palpitations — Feeling: GoodFree text: Heart palpitationsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-18 | Pfizer-BioNTech | No |
| 2 | 2021-11-08 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1
Systemic reaction (other): "Brain fog"
Release 10 — day 14, dose 1
Symptoms: I get a sense my heart "flutters" periodically, which isn't normal. More tired than usual and have been going to bed earlier.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Chest feels a little tight - like a knot in chest muscle
Release 10 — day 7, dose 2
Systemic reaction (other): Sinus pressure. Mental fog
Release 10 — day 14, dose 2
Symptoms: Periodically wake up during the night and heart rate feels elevated. Been 2 nights since last occurred.
Release 10 — day 21, dose 2
Symptoms: Cough, irritated throat, and mild congestion. First time with any cold/flu/congestion since pandemic began.
Release 11 — 6 months, dose 2
Symptoms: Heart palpitations
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 | Cardiac flutter | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Middle insomnia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Chest discomfort | · | · | ✓ |
| SRO | Paranasal sinus discomfort | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release