5G9-28209-55498
3 vaccinations
7 coded responses
33 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 16-20
- ZIP prefix
- 380 / TN
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Registered in v-safe
-
2021-03-31
Dose 1 — Pfizer-BioNTech
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-14
-
2021-04-21
Dose 2 — Pfizer-BioNTech
-
2021-04-21
Survey response — day 0, dose 2MedDRA: Irritability — Feeling: FairFree text: Extremely crabby.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-28
-
2021-05-05
Survey response — day 14, dose 2MedDRA: Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headaches & nauseated. Not normally prone to headaches or nausea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-12
Survey response — day 21, dose 2MedDRA: Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Worse nausea & constant headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
- 2021-05-26
- 2021-06-02
- 2021-07-21
- 2021-10-20
-
2021-12-20
Dose 3 — Pfizer-BioNTech
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2021-12-22
Survey response — days 1–6 daily, dose 3MedDRA: Confusional state, Diarrhoea, Dyskinesia, Fall, Nervous system disorder, Skin ulcer, Visual impairment, Vomiting — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Vision & nerves affected. When I move my eyes, vision lags & is fragmented! Severe. Fell down due to this. Large sores popped up all over my body. Lots of vomiting & excessive diarrhea. Feel very confused. Uncontrollable severe jerking of extremiMedDRA releases: 2024-11 · check-in free text available
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2021-12-25
Survey response — days 1–6 daily, dose 3MedDRA: Pre-existing disease, Rash, Visual impairment — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I have Aspergers, am non-neurotypical. Vision is still fragmented! Other sxs persisting! Still have bumps that popped up all over body.MedDRA releases: 2024-11 · check-in free text available
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2021-12-29
Survey response — day 7, dose 3MedDRA: Visual impairment — Feeling: Fair · Site: Pain, Redness, Itching · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: This was an awful booster, affecting vision.MedDRA releases: 2024-11 · check-in free text available
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2022-01-03
Survey response — day 14, dose 3MedDRA: Arthralgia, Limb mass — Feeling: FairFree text: Painful lump on shoulder, above injection site.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-10
- 2022-01-17
- 2022-01-24
- 2022-01-31
- 2022-03-24
- 2022-06-20
- 2022-12-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Pfizer-BioNTech | |
| 2 | 2021-04-21 | Pfizer-BioNTech | |
| 3 | 2021-12-20 | Pfizer-BioNTech | No |
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): Extremely crabby.
Release 8 — day 14, dose 2
Symptoms: Headaches & nauseated. Not normally prone to headaches or nausea.
Release 8 — day 21, dose 2
Symptoms: Worse nausea & constant headache
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Vision & nerves affected. When I move my eyes, vision lags & is fragmented! Severe. Fell down due to this. Large sores popped up all over my body. Lots of vomiting & excessive diarrhea. Feel very confused. Uncontrollable severe jerking of extremi cut off by CDC
Systemic reaction (other): I have Aspergers, am non-neurotypical. Vision is still fragmented! Other sxs persisting! Still have bumps that popped up all over body.
Release 10 — day 7, dose 3
Systemic reaction (other): This was an awful booster, affecting vision.
Release 10 — day 14, dose 3
Symptoms: Painful lump on shoulder, above injection site.
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 | Arthralgia | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Limb mass | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SRO | Confusional state | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Dyskinesia | · | · | ✓ |
| SRO | Fall | · | · | ✓ |
| SRO | Irritability | ✓ | ✓ | ✓ |
| SRO | Nervous system disorder | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Skin ulcer | · | · | ✓ |
| SRO | Visual impairment | · | · | ✓ |
| SRO | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release