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4XU-12039-52071

2 vaccinations 7 coded responses 20 check-ins 7 free-text entries 0 call cases
Sex
Male
Age at first dose
26-30
ZIP prefix
530 / WI
Registered
2021-08-26
Relationship
Adult relative or friend
Guardian
3MQ-30666-04314
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-08-26
    Registered in v-safe
  2. 2021-08-26
    Dose 1 — Pfizer-BioNTech
  3. 2021-08-26
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  4. 2021-08-27
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do their normal daily activities
    Adult check-in
  5. 2021-08-28
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-08-29
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  7. 2021-08-31
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  8. 2021-09-01
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-09-09
    Survey response — day 14, dose 1, dependent
    MedDRA: Fatigue, Oropharyngeal pain — Feeling: Fair
    Free text: Extreme tiredness and off and on sore throat
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-09-17
    Dose 2 — Pfizer-BioNTech
  11. 2021-09-18
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do their normal daily activities
    Adult check-in
  12. 2021-09-19
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches
    Adult check-in
  13. 2021-09-20
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  14. 2021-09-22
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Dizziness — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Dizzy
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-09-23
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Dizziness — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Dizzy
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-09-24
    Health check-in — day 7, dose 2, dependent
    Feeling: Poor · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-10-02
    Survey response — day 14, dose 2, dependent
    MedDRA: Dizziness, Syncope — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Dizzy and faint daily
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-10-08
    Survey response — day 21, dose 2, dependent
    MedDRA: Asthenia, Dizziness, Ear pain, Oropharyngeal pain — Feeling: Poor · Be unable to work or attend school
    Free text: Dizzy, sore throat, ear pain, lack of energy
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-10-15
    Health check-in — day 28, dose 2, dependent
    Feeling: Fair
    Adult check-in
  20. 2021-10-22
    Survey response — day 35, dose 2, dependent
    MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Worsening headaches
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-10-30
    Health check-in — day 42, dose 2, dependent
    Feeling: Fair
    Adult check-in
  22. 2021-12-19
    Survey response — 3 months, dose 2, dependent
    MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to work or attend school
    Free text: Daily headaches; severe exhaustion
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-03-20

Vaccinations

DoseDateManufacturerCo-administered
12021-08-26Pfizer-BioNTech No
22021-09-17Pfizer-BioNTech No

Free text

Release 9 — day 14, dose 1, dependent

2021-09-09

Symptoms: Extreme tiredness and off and on sore throat

Release 9 — days 1–6 daily, dose 2, dependent

2021-09-22

Systemic reaction (other): Dizzy

2021-09-23

Systemic reaction (other): Dizzy

Release 9 — day 14, dose 2, dependent

2021-10-02

Symptoms: Dizzy and faint daily

Release 10 — day 21, dose 2, dependent

2021-10-08

Symptoms: Dizzy, sore throat, ear pain, lack of energy

Release 10 — day 35, dose 2, dependent

2021-10-22

Symptoms: Worsening headaches

Release 10 — 3 months, dose 2, dependent

2021-12-19

Symptoms: Daily headaches; severe exhaustion

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
SDAsthenia · · ✓
SDDizziness · · ✓
SDEar pain · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDOropharyngeal pain · · ✓
SDSyncope · · ✓
SRODizziness · · ✓

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