5BT-17371-75853
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 460 / IN
- Registered
- 2021-06-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-10
Registered in v-safe
-
2021-06-10
Dose 1 — Pfizer-BioNTech
- 2021-06-10
- 2021-06-11
- 2021-06-12
-
2021-06-13
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I experience pain every day for last seven years as a result of surgery gone bad. I also feel fatigue but this has occurring since the surgery. All the pain and fatigue is due to neuropathy. So it is difficult to distinguish any pain as a result oMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-14
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Pain — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Its hard to tell if my symptoms are related to the vaccine or the pain and tiredness I have been experiencing for the last seven years due to some unnecessary surgery that was performed on me back then. The symptoms, however, have seemed elevatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-15
- 2021-06-16
- 2021-06-18
- 2021-06-25
-
2021-06-30
Dose 2 — Pfizer-BioNTech
-
2021-07-01
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Fair · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-04
- 2021-07-05
-
2021-07-06
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Site: ItchingFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-07
-
2021-07-15
Survey response — day 14, dose 2MedDRA: Asthenia, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Very tired and lack of energyMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-07-21
- 2021-07-30
- 2021-08-04
- 2021-08-11
- 2021-09-29
- 2021-12-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-10 | Pfizer-BioNTech | |
| 2 | 2021-06-30 | Pfizer-BioNTech | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): I experience pain every day for last seven years as a result of surgery gone bad. I also feel fatigue but this has occurring since the surgery. All the pain and fatigue is due to neuropathy. So it is difficult to distinguish any pain as a result o cut off by CDC
Systemic reaction (other): Its hard to tell if my symptoms are related to the vaccine or the pain and tiredness I have been experiencing for the last seven years due to some unnecessary surgery that was performed on me back then. The symptoms, however, have seemed elevated
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): No
Systemic reaction (other): No
Release 9 — day 14, dose 2
Symptoms: Very tired and lack of energy
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 | Fatigue | ✓ | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release