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
-
2021-08-26
Registered in v-safe
-
2021-08-26
Dose 1 — Pfizer-BioNTech
- 2021-08-26
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2021-08-27
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do their normal daily activitiesAdult check-in
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2021-08-28
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-08-29
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2021-08-31
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-09-01
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2021-09-09
Survey response — day 14, dose 1, dependentMedDRA: Fatigue, Oropharyngeal pain — Feeling: FairFree text: Extreme tiredness and off and on sore throatMedDRA releases: 2024-11 · check-in free text available
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2021-09-17
Dose 2 — Pfizer-BioNTech
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2021-09-18
Health check-in — days 1–6 daily, dose 2, dependentFeeling: 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 activitiesAdult check-in
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2021-09-19
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain, Swelling · Headache, Muscle or body achesAdult check-in
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2021-09-20
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-09-22
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Dizziness — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: DizzyMedDRA releases: 2024-11 · check-in free text available
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2021-09-23
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Dizziness — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesFree text: DizzyMedDRA releases: 2024-11 · check-in free text available
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2021-09-24
Health check-in — day 7, dose 2, dependentFeeling: Poor · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-10-02
Survey response — day 14, dose 2, dependentMedDRA: Dizziness, Syncope — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Dizzy and faint dailyMedDRA releases: 2024-11 · check-in free text available
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2021-10-08
Survey response — day 21, dose 2, dependentMedDRA: Asthenia, Dizziness, Ear pain, Oropharyngeal pain — Feeling: Poor · Be unable to work or attend schoolFree text: Dizzy, sore throat, ear pain, lack of energyMedDRA releases: 2024-11 · check-in free text available
- 2021-10-15
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2021-10-22
Survey response — day 35, dose 2, dependentMedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Worsening headachesMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
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2021-12-19
Survey response — 3 months, dose 2, dependentMedDRA: Fatigue, Headache — Feeling: Fair · Be unable to work or attend schoolFree text: Daily headaches; severe exhaustionMedDRA releases: 2024-11 · check-in free text available
- 2022-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-26 | Pfizer-BioNTech | No |
| 2 | 2021-09-17 | Pfizer-BioNTech | No |
Free text
Release 9 — day 14, dose 1, dependent
Symptoms: Extreme tiredness and off and on sore throat
Release 9 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Dizzy
Systemic reaction (other): Dizzy
Release 9 — day 14, dose 2, dependent
Symptoms: Dizzy and faint daily
Release 10 — day 21, dose 2, dependent
Symptoms: Dizzy, sore throat, ear pain, lack of energy
Release 10 — day 35, dose 2, dependent
Symptoms: Worsening headaches
Release 10 — 3 months, dose 2, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Asthenia | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Syncope | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release