YX8-71396-29793
2 vaccinations
10 coded responses
24 check-ins
10 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 078 / NJ
- Registered
- 2021-12-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-12-10
Registered in v-safe
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2021-12-10
Dose 1 — Pfizer-BioNTech
- 2021-12-10
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2021-12-11
Survey response — days 1–6 daily, dose 1MedDRA: Deafness unilateral, Respiratory tract congestion — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Stuffy head. Slight hearing loss on my right sideMedDRA releases: 2024-11 · check-in free text available
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2021-12-12
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Heart rate irregular, Pyrexia — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Had a 100.5 fever last night. No fever at all today. The other night my heart felt like it was not beating right, but has since resolved itself. Slight headache this morning but it went away on its ownMedDRA releases: 2024-11 · check-in free text available
- 2021-12-13
- 2021-12-14
- 2021-12-15
- 2021-12-16
- 2021-12-17
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2021-12-24
Survey response — day 14, dose 1MedDRA: Fatigue, Feeling abnormal, Rash — Feeling: GoodFree text: Tiny bumps on my stomache. Not itchy. Developed about a week ago. But they are not bothering me. Saturday the 18th i did not feel good at all. Like the first day after. Very tired. Felt like i was fighting something off.MedDRA releases: 2024-11 · check-in free text available
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2021-12-31
Dose 2 — Pfizer-BioNTech
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2021-12-31
Survey response — day 0, dose 2MedDRA: Adverse reaction — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Very slight on my stomache showed up a short while after my first dose.MedDRA releases: 2024-11 · check-in free text available
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2022-01-01
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction, Reaction to previous exposure to any vaccine — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Second dose much worse than the first. At least as bad as when I had CovidMedDRA releases: 2024-11 · check-in free text available
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2022-01-02
Survey response — days 1–6 daily, dose 2MedDRA: Deafness unilateral, Eye pain, Photophobia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Hearing in my right ear loss. My eyes were severely painful couldnt stand any light until a few hours agoMedDRA releases: 2024-11 · check-in free text available
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2022-01-03
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain, Hypoacusis — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Eyes still a little sore hearing still not working right on my right sideMedDRA releases: 2024-11 · check-in free text available
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2022-01-04
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Have had a slight rash on my stomache since the first shot.MedDRA releases: 2024-11 · check-in free text available
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2022-01-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-01-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2022-01-07
- 2022-01-15
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2022-01-22
Survey response — day 21, dose 2MedDRA: Deafness unilateral, Head discomfort, Reaction to previous exposure to any vaccine — Feeling: FairFree text: My head has pressure. My hearing on my right side started to slighly lose it after the first shot but after the second shit its getting worse. Mostly on my right side.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-30
- 2022-02-05
- 2022-02-13
- 2022-04-03
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2022-07-01
Survey response — 6 months, dose 2MedDRA: Malaise, Pyrexia, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I tested positive for Covid May 19th. Was very sick again from it. 103.2 fever. Was sicker longer the second time than when i had the first strain. Still dealing with side effects from it.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-10 | Pfizer-BioNTech | No |
| 2 | 2021-12-31 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1
Systemic reaction (other): Stuffy head. Slight hearing loss on my right side
Systemic reaction (other): Had a 100.5 fever last night. No fever at all today. The other night my heart felt like it was not beating right, but has since resolved itself. Slight headache this morning but it went away on its own
Release 10 — day 14, dose 1
Symptoms: Tiny bumps on my stomache. Not itchy. Developed about a week ago. But they are not bothering me. Saturday the 18th i did not feel good at all. Like the first day after. Very tired. Felt like i was fighting something off.
Release 10 — day 0, dose 2
Systemic reaction (other): Very slight on my stomache showed up a short while after my first dose.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Second dose much worse than the first. At least as bad as when I had Covid
Systemic reaction (other): Hearing in my right ear loss. My eyes were severely painful couldnt stand any light until a few hours ago
Systemic reaction (other): Eyes still a little sore hearing still not working right on my right side
Systemic reaction (other): Have had a slight rash on my stomache since the first shot.
Release 11 — day 21, dose 2
Symptoms: My head has pressure. My hearing on my right side started to slighly lose it after the first shot but after the second shit its getting worse. Mostly on my right side.
Release 12 — 6 months, dose 2
Symptoms: I tested positive for Covid May 19th. Was very sick again from it. 103.2 fever. Was sicker longer the second time than when i had the first strain. Still dealing with side effects from it.
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 | Deafness unilateral | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Head discomfort | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Deafness unilateral | · | · | ✓ |
| SRO | Eye pain | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Heart rate irregular | · | · | ✓ |
| SRO | Hypoacusis | · | · | ✓ |
| SRO | Photophobia | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release