6LN-15243-77555
2 vaccinations
3 coded responses
25 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 26-30
- ZIP prefix
- 971 / OR
- Registered
- 2021-05-02
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-02
Registered in v-safe
-
2021-05-02
Dose 1 — Pfizer-BioNTech
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-08
-
2021-05-09
Survey response — day 7, dose 1MedDRA: Cerebral disorder, Delirium, Electric shock sensation, Pain — Feeling: Good · HeadacheFree text: Mild uneasiness on the left hemisphere of my brain...i can feel something going on there...it throbs, there can be very mild pain...it feels weird...it also goes away and comes back on its own...MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-16
Survey response — day 14, dose 1MedDRA: Headache, Pain in jaw, Pre-existing disease — Feeling: GoodFree text: Pain in lower left jaw, most likely from a wisdom tooth that is trying to come out.Mild Headaches that were present before the jaw pain, have persisted. These headaches usually manifest during the evenings or at night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-23
Dose 2 — Pfizer-BioNTech
- 2021-05-23
- 2021-05-24
- 2021-05-25
- 2021-05-26
- 2021-05-27
- 2021-05-28
- 2021-05-29
- 2021-05-30
- 2021-06-06
-
2021-06-13
Survey response — day 21, dose 2MedDRA: Gingival pain, Headache — Feeling: FairFree text: Random, short lived, localized headaches. So far, mild.Aching gums, from new wisdom tooth.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-20
- 2021-06-27
- 2021-07-04
- 2021-08-22
- 2021-11-21
- 2022-05-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-02 | Pfizer-BioNTech | |
| 2 | 2021-05-23 | Pfizer-BioNTech |
Free text
Release 8 — day 7, dose 1
Systemic reaction (other): Mild uneasiness on the left hemisphere of my brain...i can feel something going on there...it throbs, there can be very mild pain...it feels weird...it also goes away and comes back on its own...
Release 8 — day 14, dose 1
Symptoms: Pain in lower left jaw, most likely from a wisdom tooth that is trying to come out.Mild Headaches that were present before the jaw pain, have persisted. These headaches usually manifest during the evenings or at night.
Release 9 — day 21, dose 2
Symptoms: Random, short lived, localized headaches. So far, mild.Aching gums, from new wisdom tooth.
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 | Gingival pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pain in jaw | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Cerebral disorder | ✓ | · | ✓ |
| SRO | Delirium | ○ | ✓ | ○ |
| SRO | Electric shock sensation | ○ | ✓ | ○ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release