67Z-15591-96435
2 vaccinations
5 coded responses
9 check-ins
5 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 837 / ID
- Registered
- 2021-10-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-10-01
Dose 1 — Pfizer-BioNTech
-
2021-10-11
Registered in v-safe
-
2021-10-11
Survey response — day 7, dose 1MedDRA: Burning sensation — Feeling: Fair · Headache, Joint pains, Abdominal painFree text: Daily burning sensation lower left rib areaMedDRA releases: 2024-11 · check-in free text available
- 2021-10-15
-
2021-10-22
Dose 2 — Pfizer-BioNTech
- 2021-10-31
-
2021-11-06
Survey response — day 14, dose 2MedDRA: Burning sensation, Myalgia, Pain in extremity — Feeling: FairFree text: Burning/ache sensation upper thigh/quad area of left leg. No abnormal recent physical activity and I've never felt this before.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
-
2021-11-20
Survey response — day 28, dose 2MedDRA: Back pain, Myalgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Back aches, muscle achesMedDRA releases: 2024-11 · check-in free text available
-
2021-11-20
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-26
Survey response — day 35, dose 2MedDRA: Arthralgia, Burning sensation, Diarrhoea, Gastrointestinal disorder, Mobility decreased, Office visit, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Ache/Pain right hip, limited ability to lean sideways. Still have digestion issues (diarrhea) and some leaven of burning sensation in lower rib area. · Healthcare visit (other): Chiropractic careMedDRA releases: 2024-11 · check-in free text available
-
2021-11-26
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-02
- 2021-12-02
-
2021-12-06
Survey response — day 42, dose 2MedDRA: Back pain, Blood pressure increased, Chest pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Lower back and outter thigh pain Blood pressure increasing in December Still have the burning in left chest which began after first vaccine shot, EKG appears normal.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-06
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-07
- 2022-01-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-01 | Pfizer-BioNTech | No |
| 2 | 2021-10-22 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 10 — day 7, dose 1
Systemic reaction (other): Daily burning sensation lower left rib area
Release 10 — day 14, dose 2
Symptoms: Burning/ache sensation upper thigh/quad area of left leg. No abnormal recent physical activity and I've never felt this before.
Release 10 — day 28, dose 2
Symptoms: Back aches, muscle aches
Release 10 — day 35, dose 2
Symptoms: Ache/Pain right hip, limited ability to lean sideways. Still have digestion issues (diarrhea) and some leaven of burning sensation in lower rib area.
Healthcare visit (other): Chiropractic care
Release 10 — day 42, dose 2
Symptoms: Lower back and outter thigh pain Blood pressure increasing in December Still have the burning in left chest which began after first vaccine shot, EKG appears normal.
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SD | Burning sensation | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Burning sensation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release