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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

  1. 2021-03-26
    Registered in v-safe
  2. 2021-03-26
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-26
    Survey response — day 0, dose 1
    MedDRA: Back pain, Chromaturia, Discomfort — Feeling: Fair · Site: Pain · Muscle or body aches, Abdominal pain
    Free 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
  4. 2021-03-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Muscle tightness — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Diarrhea
    Free text: Just right arm becoming more tense.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness
    Free 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
  6. 2021-03-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Stress — Feeling: Fair
    Free 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
  7. 2021-03-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Fever · Chills, Headache, Nausea
    Adult check-in
  8. 2021-04-07
    Health check-in — day 7, dose 1
    Feeling: 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 site
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-26Pfizer-BioNTech

Free text

Release 6 — day 0, dose 1

2021-03-26

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

2021-03-27

Systemic reaction (other): Just right arm becoming more tense.

2021-03-28

Systemic reaction (other): Experienced some pretty heavy fatigue, but, luckily not when I've been doing work or such.

2021-03-29

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

FieldPreferred term2021-092023-042024-11
SROBack pain ✓ ✓ ✓
SROChromaturia ✓ ✓ ✓
SRODiscomfort ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROMuscle tightness ✓ ✓ ✓
SROStress ✓ ✓ ✓

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