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6AZ-14475-18472

2 vaccinations 6 coded responses 10 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
782 / TX
Registered
2021-01-11
Relationship
Self

Timeline

  1. 2021-01-11
    Registered in v-safe
  2. 2021-01-11
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-11
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-21
    Survey response — day 7, dose 1
    MedDRA: Fatigue, Gastrointestinal pain, Headache, Insomnia — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Tired because I did not sleep last night. Headache because of leaky gut issue with no MD who recognizes the problem and has no diagnostic ability to find the cause of the several symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-26
    Survey response — day 14, dose 1
    MedDRA: Asthenia, Chest pain, Condition aggravated, Emergency care, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: GI tract problems- continuation of issues prior to vaccination Trip to ER for chest pain at sternum and overall weakness and loss of energy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-01
    Dose 2 — Pfizer-BioNTech
  8. 2021-02-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Vibratory sense increased — Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Finger tips felt like vibrations three different times
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Tinnitus — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Free text: Tinitus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Balance disorder, Dizziness — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Dizzy ness , loss of balance.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I have other symptoms but they come plus may be linked to prior ailment(s) and go plus were prior
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Pfizer-BioNTech
22021-02-01Pfizer-BioNTech

Free text

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): Tired because I did not sleep last night. Headache because of leaky gut issue with no MD who recognizes the problem and has no diagnostic ability to find the cause of the several symptoms

Release 2 — day 14, dose 1

2021-01-26

Symptoms: GI tract problems- continuation of issues prior to vaccination Trip to ER for chest pain at sternum and overall weakness and loss of energy

Release 3 — days 1–6 daily, dose 2

2021-02-02

Systemic reaction (other): Finger tips felt like vibrations three different times

2021-02-03

Systemic reaction (other): Tinitus

2021-02-04

Systemic reaction (other): Dizzy ness , loss of balance.

2021-02-05

Systemic reaction (other): I have other symptoms but they come plus may be linked to prior ailment(s) and go plus were prior

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
SDAsthenia ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDEmergency care ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROBalance disorder ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROGastrointestinal pain ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓
SROVibratory sense increased ✓ ✓ ✓

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