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5N9-32983-62419

4 vaccinations 8 coded responses 26 check-ins 8 free-text entries 1 call case
Sex
Male
Age at first dose
56-60
ZIP prefix
800 / CO
Registered
2021-04-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-06
    Registered in v-safe
  2. 2021-04-06
    Dose 1 — Pfizer-BioNTech
  3. 2021-04-06
    Survey response — day 0, dose 1
    MedDRA: Back pain, Headache, Immediate post-injection reaction, Paraesthesia — Feeling: Good · Headache
    Free text: My left foot feel asleep while waiting 15 min for any reaction to the drug which is weird . A slight headache and a slight lower back pain in my back. That is it so far.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain
    Free text: Low back pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain, Pain in extremity — Feeling: Fair · Muscle or body aches
    Free text: My other arm right side is sore and it aches.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Free text: My other arm right side still a little sore but opposite arm that had shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Malaise — Feeling: Fair · Joint pains, Muscle or body aches
    Free text: Right side arm feeling a little better but I feel I am coming down with something but I dont know what it is. It maybe only a cold but it is something there.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-13
    Survey response — day 7, dose 1
    MedDRA: Office visit, Pain in extremity — Feeling: Good · Joint pains · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): My other arm right side was really hurting me today. I probably will be seeing a chiropractor tomorrow. · Healthcare visit (other): Chiropractor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-13
    Report sent to call center — day 7, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-04-21
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-27
    Dose 2 — Pfizer-BioNTech
  13. 2021-04-27
    Health check-in — day 0, dose 2
    Feeling: Good · Headache
    Adult check-in
  14. 2021-04-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Lower back pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-27
    Survey response — 6 months, dose 2
    MedDRA: Back pain, Decreased appetite, Impaired work ability, Pain in extremity — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I had the flu shot and it was not good this time . I did not feel good my arm was sore my back hurt and I didn't feel like eating anything. I just stayed in bed all day. I did not go to work that day . That flu shot was different from last year.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-02-10
    Dose 3 — Pfizer-BioNTech
  29. 2022-02-21
  30. 2022-04-27
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2022-05-13
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-07-20
    Dose 4 — Pfizer-BioNTech
    Co-administered: Shingles
  33. 2022-10-22
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-06Pfizer-BioNTech
22021-04-27Pfizer-BioNTech
32022-02-10Pfizer-BioNTech No
42022-07-20Pfizer-BioNTech Shingles

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-06

Systemic reaction (other): My left foot feel asleep while waiting 15 min for any reaction to the drug which is weird . A slight headache and a slight lower back pain in my back. That is it so far.

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Low back pain

2021-04-09

Systemic reaction (other): My other arm right side is sore and it aches.

2021-04-10

Systemic reaction (other): My other arm right side still a little sore but opposite arm that had shot.

2021-04-11

Systemic reaction (other): Right side arm feeling a little better but I feel I am coming down with something but I dont know what it is. It maybe only a cold but it is something there.

Release 7 — day 7, dose 1

2021-04-13

Systemic reaction (other): My other arm right side was really hurting me today. I probably will be seeing a chiropractor tomorrow.
Healthcare visit (other): Chiropractor

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Lower back pain

Release 10 — 6 months, dose 2

2021-10-27

Symptoms: I had the flu shot and it was not good this time . I did not feel good my arm was sore my back hurt and I didn't feel like eating anything. I just stayed in bed all day. I did not go to work that day . That flu shot was different from last year.

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
HCVOOffice visit ✓ ✓ ✓
SDBack pain · · ✓
SDDecreased appetite · · ✓
SDImpaired work ability · · ✓
SDPain in extremity · · ✓
SROBack pain ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓

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

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