Y92-69855-55749
2 vaccinations
4 coded responses
5 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 957 / CA
- Registered
- 2021-07-09
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-09
Registered in v-safe
-
2021-07-09
Dose 1 — Pfizer-BioNTech
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2021-07-25
Survey response — day 14, dose 1MedDRA: Asthenia, Chest pain, Dyspnoea, Fatigue, Headache, Nasal congestion, Palpitations, Paraesthesia, Pyrexia, Tremor — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Heart pounding, chest pains, hard to breath. Tingling in arms and legs , hands , feet. Shaky muscles. Headache, fever. Nasal congestion. Tired, no energyMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-30
Dose 2 — Pfizer-BioNTech
- 2021-07-31
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2021-08-01
Survey response — days 1–6 daily, dose 2MedDRA: Myocarditis — Feeling: GoodFree text: I need to make a correction. I only had the first dose. of I had symptoms of myocarditisMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-20
Survey response — day 21, dose 2MedDRA: Dyspnoea, Muscular weakness, Palpitations, Tremor — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Heart racing , head pounding , cant breath. Weak muscles, shakyMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-29
Survey response — day 28, dose 2MedDRA: Arrhythmia, Cardiac disorder, Dyspnoea, Hypoaesthesia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Heart issues. Couldnt breathe, rhythmic problems now. My numbness is back in my extremities. I personally want an alternative for my next vaccine. I dont want to keep going through this.MedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-09 | Pfizer-BioNTech | No |
| 2 | 2021-07-30 | Pfizer-BioNTech | No |
Free text
Release 9 — day 14, dose 1
Symptoms: Heart pounding, chest pains, hard to breath. Tingling in arms and legs , hands , feet. Shaky muscles. Headache, fever. Nasal congestion. Tired, no energy
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): I need to make a correction. I only had the first dose. of I had symptoms of myocarditis
Release 9 — day 21, dose 2
Symptoms: Heart racing , head pounding , cant breath. Weak muscles, shaky
Release 9 — day 28, dose 2
Symptoms: Heart issues. Couldnt breathe, rhythmic problems now. My numbness is back in my extremities. I personally want an alternative for my next vaccine. I dont want to keep going through this.
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 | Arrhythmia | ✓ | · | ✓ |
| SD | Asthenia | ✓ | · | ✓ |
| SD | Cardiac disorder | ✓ | · | ✓ |
| SD | Chest pain | ✓ | · | ✓ |
| SD | Dyspnoea | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Hypoaesthesia | ✓ | · | ✓ |
| SD | Muscular weakness | ✓ | · | ✓ |
| SD | Nasal congestion | ✓ | · | ✓ |
| SD | Palpitations | ✓ | · | ✓ |
| SD | Paraesthesia | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SD | Tremor | ✓ | · | ✓ |
| SRO | Myocarditis | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release