5KS-18810-06767
2 vaccinations
7 coded responses
21 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 980 / WA
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-14
Registered in v-safe
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2021-03-14
Dose 1 — Pfizer-BioNTech
- 2021-03-14
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2021-03-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Fever · Be unable to do your normal daily activitiesFree text: Dizziness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-28
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2021-04-04
Dose 2 — Pfizer-BioNTech
- 2021-04-04
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Balance disorder, Dizziness, Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Brain fog, balance insecurity, dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Balance disorder, Bradykinesia, Constipation — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Constipation; slower, more deliberate movements to offset imbalance.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Balance disorder, Dizziness — Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Imbalance and dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-11
Health check-in — day 7, dose 2Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-19
Survey response — day 14, dose 2MedDRA: Fatigue, Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Pain in upper right arm, not constant but sharp when arm extended and moved back.Fatigueon a scale of 10, rate at 4.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
- 2021-05-02
- 2021-05-10
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2021-05-16
Survey response — day 42, dose 2MedDRA: Abdominal distension, Constipation, Diarrhoea, Dyschezia, Flatulence, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Bowel movement is increasingly difficult ranging from constipation and diarrhea. The lower digestive tract passes gas and feels bloated with pain at times.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-14 | Pfizer-BioNTech | |
| 2 | 2021-04-04 | Pfizer-BioNTech |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Brain fog, balance insecurity, dizziness
Systemic reaction (other): Constipation; slower, more deliberate movements to offset imbalance.
Systemic reaction (other): Imbalance and dizziness
Release 7 — day 14, dose 2
Symptoms: Pain in upper right arm, not constant but sharp when arm extended and moved back.Fatigueon a scale of 10, rate at 4.
Release 8 — day 42, dose 2
Symptoms: Bowel movement is increasingly difficult ranging from constipation and diarrhea. The lower digestive tract passes gas and feels bloated with pain at times.
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 | Abdominal distension | ✓ | ✓ | ✓ |
| SD | Constipation | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dyschezia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Flatulence | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Bradykinesia | ✓ | ✓ | ✓ |
| SRO | Constipation | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release