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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

  1. 2021-04-02
    Registered in v-safe
  2. 2021-04-02
    Dose 1 — Pfizer-BioNTech
  3. 2021-04-02
    Survey response — day 0, dose 1
    MedDRA: 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 activities
    Free 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 dots
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  6. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-04-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-04-09
    Health check-in — day 7, dose 1
    Feeling: Poor · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  10. 2021-04-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-21
    Dose 2 — Pfizer-BioNTech
  12. 2021-04-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Renal pain — Feeling: Fair · Site: Pain
    Free text: My kidneys hurt alot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-05
    Survey response — day 14, dose 2
    MedDRA: Blood urine, Hospitalisation — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free 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
  14. 2021-05-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-07-21
    Survey response — 3 months, dose 2
    MedDRA: 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, Hospitalization
    Free 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
  16. 2021-07-21
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  17. 2021-07-27
  18. 2021-07-30

Vaccinations

DoseDateManufacturerCo-administered
12021-04-02Pfizer-BioNTech
22021-04-21Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-04-02

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

2021-04-25

Systemic reaction (other): My kidneys hurt alot

Release 8 — day 14, dose 2

2021-05-05

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

2021-07-21

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

FieldPreferred term2021-092023-042024-11
SDBlood urine ✓ ✓ ✓
SDEmergency care · · ✓
SDHospitalisation ✓ ✓ ✓
SDMalaise · · ✓
SDPain · · ✓
SDRenal disorder · · ✓
SROAsthenopia ✓ ✓ ✓
SROEye colour change ✓ ✓ ○
SROEye disorder ✓ ✓ ○
SROEye pain ✓ ✓ ○
SROImpaired work ability · · ✓
SROOcular discomfort · · ✓
SRORenal pain ✓ ✓ ✓
SROVisual impairment · · ✓

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