4Z8-19026-15999
2 vaccinations
4 coded responses
12 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 752 / TX
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-02
Registered in v-safe
-
2021-04-02
Dose 1 — Pfizer-BioNTech
-
2021-04-02
Survey response — day 0, dose 1MedDRA: Asthenopia, Eye colour change, Eye disorder, Eye pain, Impaired work ability, Ocular discomfort, Visual impairment — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: My eyes feel tired and hurt cant work on my computer screen like im used to. My left eye feels awkward and see small black dotsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-08
-
2021-04-09
Health check-in — day 7, dose 1Feeling: Poor · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-04-16
-
2021-04-21
Dose 2 — Pfizer-BioNTech
-
2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Renal pain — Feeling: Fair · Site: PainFree text: My kidneys hurt alotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-05
Survey response — day 14, dose 2MedDRA: Blood urine, Hospitalisation — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Had blood in my urine had to go to hospital and almost was hospitalized. They did ct scan and they couldn't find reason for my infection so they started me on cipro for 21 days. They think it may be protisitis (sorry dont know how to spell it.)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
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2021-07-21
Survey response — 3 months, dose 2MedDRA: Emergency care, Hospitalisation, Malaise, Pain, Renal disorder — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Went to emergency for kidney problems about t months ago and i still dont fell well. Spend 7 days in hospital and 30 days recovering. Was feeling better but my pain is back been off medication for about 2 weeks now.MedDRA releases: 2024-11 · check-in free text available
-
2021-07-21
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-27
- 2021-07-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Pfizer-BioNTech | |
| 2 | 2021-04-21 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): My eyes feel tired and hurt cant work on my computer screen like im used to. My left eye feels awkward and see small black dots
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): My kidneys hurt alot
Release 8 — day 14, dose 2
Symptoms: Had blood in my urine had to go to hospital and almost was hospitalized. They did ct scan and they couldn't find reason for my infection so they started me on cipro for 21 days. They think it may be protisitis (sorry dont know how to spell it.)
Release 9 — 3 months, dose 2
Symptoms: Went to emergency for kidney problems about t months ago and i still dont fell well. Spend 7 days in hospital and 30 days recovering. Was feeling better but my pain is back been off medication for about 2 weeks now.
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 | Blood urine | ✓ | ✓ | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Renal disorder | · | · | ✓ |
| SRO | Asthenopia | ✓ | ✓ | ✓ |
| SRO | Eye colour change | ✓ | ✓ | ○ |
| SRO | Eye disorder | ✓ | ✓ | ○ |
| SRO | Eye pain | ✓ | ✓ | ○ |
| SRO | Impaired work ability | · | · | ✓ |
| SRO | Ocular discomfort | · | · | ✓ |
| SRO | Renal pain | ✓ | ✓ | ✓ |
| SRO | Visual impairment | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release