57N-15577-52710
1 vaccination
4 coded responses
6 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 21-25
- ZIP prefix
- 183 / PA
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- Asian
- Ethnicity
- N/A
Timeline
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2021-03-26
Registered in v-safe
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2021-03-26
Dose 1 — Pfizer-BioNTech
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2021-03-26
Survey response — day 0, dose 1MedDRA: Back pain, Chromaturia, Discomfort — Feeling: Fair · Site: Pain · Muscle or body aches, Abdominal painFree text: -Sudden lower back pain. -Odd "cold pressure feeling" in the lower left of my stomache (near the bladder area, gone away within the hour), the same pressure feeling and same area came back when I urinated, urine was darker yellow (almost orange/brown).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Muscle tightness — Feeling: Good · Site: Pain · Headache, Muscle or body aches, DiarrheaFree text: Just right arm becoming more tense.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Experienced some pretty heavy fatigue, but, luckily not when I've been doing work or such.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Stress — Feeling: FairFree text: Had a random feeling of extreme stress... maybe not vaccine induced.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Fever · Chills, Headache, NauseaAdult check-in
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2021-04-07
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Pfizer-BioNTech |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): -Sudden lower back pain. -Odd "cold pressure feeling" in the lower left of my stomache (near the bladder area, gone away within the hour), the same pressure feeling and same area came back when I urinated, urine was darker yellow (almost orange/brown).
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Just right arm becoming more tense.
Systemic reaction (other): Experienced some pretty heavy fatigue, but, luckily not when I've been doing work or such.
Systemic reaction (other): Had a random feeling of extreme stress... maybe not vaccine induced.
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 |
|---|---|---|---|---|
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chromaturia | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
| SRO | Stress | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release