5Y2-72789-76375
4 vaccinations
6 coded responses
25 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 765 / TX
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-25
Dose 1 — Pfizer-BioNTech
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2021-02-26
Registered in v-safe
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2021-02-26
Survey response — days 1–6 daily, dose 1MedDRA: Abnormal dreams, Condition aggravated, Headache, Joint swelling — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: My right knee was slightly swollen yesterday evening. I injured it in my early 20s and I had to have fluid removed from it then. I occasionally have some knee issues as I was a skateboarder and I was hard on my knees, ankles, and feet. So I dont know if it fared up some after the first dose which was yesterday around 1:30pm. I also had a very strange dream and a slight headache as well. All of these could be coincidental and not related to the vaccine as well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Not really feeling any side effects today except for just a small amount of residual pain in my arm from the injection. Its not as noticeable as it was yesterday. I only notice it when I move my arm in a certain way. I have had worse from taking a Flu shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: FairFree text: Lower back pain, but I have this problem on occasion and I think its the memory foam mattress that was overpriced. So I dont know if its the vaccine or the mattress.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Pre-existing disease — Feeling: GoodFree text: Nothing that I fell is related to the vaccine. My back hurts but Im not taking any OTC or prescription meds for it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Disturbance in attention, Pre-existing disease — Feeling: Good · Fatigue or tirednessFree text: No bothersome symptoms, but I do have ADHD and it seems like my concentration is not as good as it has been. It could be a possible side effect or just some days it works better than others. So Im not sure.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-11
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2021-03-18
Dose 2 — Pfizer-BioNTech
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2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Abnormal dreams, Fatigue, Malaise, Nasopharyngitis, Oropharyngeal pain, Pollakiuria, Polyuria — Feeling: Good · Site: PainFree text: Day of the shot, It was like I had taken a diuretic as I was urinating a lot and often. Friday I felt okay. Yesterday I didnt feel very well, like I was getting a cold. No fever or chills, but throat was a little sore. Also the afternoon I got the shoot and the next day I was extremely fatigued. Oddly my husband, (b)(6) had more reactions to the first dose that I didnt have at all and I had far more side effects where I felt just kinda Blah up until this morning. I also had extremely lucid dreaming the first two days. Nothing really serious, just a few expected side effects.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-25
- 2021-04-06
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-06-18
- 2021-09-16
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2021-11-16
Dose 3 — Pfizer-BioNTech
- 2022-03-20
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2022-04-06
Dose 4 — Pfizer-BioNTech
- 2022-04-25
- 2022-04-27
- 2022-05-05
- 2022-05-11
- 2022-05-20
- 2022-07-08
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Pfizer-BioNTech | |
| 2 | 2021-03-18 | Pfizer-BioNTech | |
| 3 | 2021-11-16 | Pfizer-BioNTech | No |
| 4 | 2022-04-06 | Pfizer-BioNTech | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): My right knee was slightly swollen yesterday evening. I injured it in my early 20s and I had to have fluid removed from it then. I occasionally have some knee issues as I was a skateboarder and I was hard on my knees, ankles, and feet. So I dont know if it fared up some after the first dose which was yesterday around 1:30pm. I also had a very strange dream and a slight headache as well. All of these could be coincidental and not related to the vaccine as well.
Systemic reaction (other): Not really feeling any side effects today except for just a small amount of residual pain in my arm from the injection. Its not as noticeable as it was yesterday. I only notice it when I move my arm in a certain way. I have had worse from taking a Flu shot.
Systemic reaction (other): Lower back pain, but I have this problem on occasion and I think its the memory foam mattress that was overpriced. So I dont know if its the vaccine or the mattress.
Systemic reaction (other): Nothing that I fell is related to the vaccine. My back hurts but Im not taking any OTC or prescription meds for it.
Systemic reaction (other): No bothersome symptoms, but I do have ADHD and it seems like my concentration is not as good as it has been. It could be a possible side effect or just some days it works better than others. So Im not sure.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Day of the shot, It was like I had taken a diuretic as I was urinating a lot and often. Friday I felt okay. Yesterday I didnt feel very well, like I was getting a cold. No fever or chills, but throat was a little sore. Also the afternoon I got the shoot and the next day I was extremely fatigued. Oddly my husband, (b)(6) had more reactions to the first dose that I didnt have at all and I had far more side effects where I felt just kinda Blah up until this morning. I also had extremely lucid dreaming the first two days. Nothing really serious, just a few expected side effects.
redacted (b)(6)
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 |
|---|---|---|---|---|
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ○ | ○ | ○ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Joint swelling | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pollakiuria | ✓ | ✓ | ✓ |
| SRO | Polyuria | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release