Y83-33612-70753
2 vaccinations
16 coded responses
24 check-ins
16 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 890 / NV
- Registered
- 2021-11-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-11-01
Registered in v-safe
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2021-11-01
Dose 1 — Pfizer-BioNTech
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2021-11-01
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
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2021-11-04
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Muscle or body achesFree text: NoneMedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Muscle or body achesFree text: NoneMedDRA releases: 2024-11 · check-in free text available
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2021-11-06
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Muscle or body achesFree text: NoneMedDRA releases: 2024-11 · check-in free text available
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2021-11-07
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Muscle or body achesFree text: NoneMedDRA releases: 2024-11 · check-in free text available
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2021-11-11
Survey response — day 7, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-23
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2021-11-29
Dose 2 — Pfizer-BioNTech
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2021-11-29
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
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2021-11-30
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Lower back hurts like hell but otherwise goodMedDRA releases: 2024-11 · check-in free text available
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2021-12-01
Survey response — days 1–6 daily, dose 2MedDRA: Malaise — Feeling: GoodFree text: I went to bed directly after work and rested well woke up feeling much betterMedDRA releases: 2024-11 · check-in free text available
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2021-12-02
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Pain — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: I was good early in the day and completely wiped out at the end. Not sick wiped out rather tired and achy wiped out. Otherwise goodMedDRA releases: 2024-11 · check-in free text available
- 2021-12-04
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2021-12-05
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny nose but otherwise feel goodMedDRA releases: 2024-11 · check-in free text available
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2021-12-06
Survey response — day 7, dose 2MedDRA: No adverse event — Feeling: GoodFree text: All seems well todayMedDRA releases: 2024-11 · check-in free text available
- 2021-12-13
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2021-12-20
Survey response — day 21, dose 2MedDRA: Chest pain, Rectal haemorrhage, Thrombosis — Feeling: Fair · Be unable to work or attend schoolFree text: Just lately I have been experiencing some issues with pain in the left quadrant of my chest. I just had blood work done today and will be having a ct scan soon. In part it was the blood from my rectum with dark colored clots that were in addition toMedDRA releases: 2024-11 · check-in free text available
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2021-12-27
Survey response — day 28, dose 2MedDRA: Abdominal pain, Chest pain, Hospitalisation — Feeling: Poor · Be unable to work or attend schoolFree text: Although it probably has nothing to do with the vaccine, I find myself in the hospital dealing with as of yet unknown health issues. Abdominal and left side chest pain. Constant pain and stabbing pain. Today was an angiogram. Still waiting for resultMedDRA releases: 2024-11 · check-in free text available
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2022-01-03
Survey response — day 35, dose 2MedDRA: Hospitalisation, Pain, Pancreatic disorder — Feeling: Poor · Be unable to work or attend schoolFree text: Since my last check in I am still in the hospital. I am awaiting an endoscopic procedure soon. I am experiencing continuing pain in the pancreas area and am still being given a penicillin mix iv and other meds with morphine for pain every 4 hoursMedDRA releases: 2024-11 · check-in free text available
- 2022-01-10
- 2022-02-28
- 2022-11-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-01 | Pfizer-BioNTech | No |
| 2 | 2021-11-29 | Pfizer-BioNTech | No |
Free text
Release 10 — day 0, dose 1
Systemic reaction (other): No
Release 10 — days 1–6 daily, dose 1
Systemic reaction (other): No
Systemic reaction (other): None
Systemic reaction (other): None
Systemic reaction (other): None
Systemic reaction (other): None
Release 10 — day 7, dose 1
Systemic reaction (other): None
Release 10 — day 0, dose 2
Systemic reaction (other): None
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Lower back hurts like hell but otherwise good
Systemic reaction (other): I went to bed directly after work and rested well woke up feeling much better
Systemic reaction (other): I was good early in the day and completely wiped out at the end. Not sick wiped out rather tired and achy wiped out. Otherwise good
Systemic reaction (other): Runny nose but otherwise feel good
Release 10 — day 7, dose 2
Systemic reaction (other): All seems well today
Release 10 — day 21, dose 2
Symptoms: Just lately I have been experiencing some issues with pain in the left quadrant of my chest. I just had blood work done today and will be having a ct scan soon. In part it was the blood from my rectum with dark colored clots that were in addition to cut off by CDC
Release 10 — day 28, dose 2
Symptoms: Although it probably has nothing to do with the vaccine, I find myself in the hospital dealing with as of yet unknown health issues. Abdominal and left side chest pain. Constant pain and stabbing pain. Today was an angiogram. Still waiting for result cut off by CDC
Release 10 — day 35, dose 2
Symptoms: Since my last check in I am still in the hospital. I am awaiting an endoscopic procedure soon. I am experiencing continuing pain in the pancreas area and am still being given a penicillin mix iv and other meds with morphine for pain every 4 hours
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 | Abdominal pain | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pancreatic disorder | · | · | ✓ |
| SD | Rectal haemorrhage | · | · | ✓ |
| SD | Thrombosis | · | · | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release