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ZAD-24759-61011

2 vaccinations 8 coded responses 8 check-ins 8 free-text entries 0 call cases
Sex
Male
Age at first dose
41-45
ZIP prefix
770 / TX
Registered
2020-12-19
Relationship
Self

Timeline

  1. 2020-12-18
    Dose 1 — Pfizer-BioNTech
  2. 2020-12-18
    Dose 2 — Pfizer-BioNTech
  3. 2020-12-19
    Registered in v-safe
  4. 2020-12-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Flank pain, Immediate post-injection reaction — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Flank pain 30min after inj
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2020-12-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia, Immediate post-injection reaction, Paraesthesia — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: I forgot to mention that 30min after I got the vaccine I had facial tingling and some numbness to left side of face. Went away after 30 or so min.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2020-12-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Myalgia, Self-medication, Sleep disorder — Feeling: Fair · Headache, Joint pains, Muscle or body aches
    Free text: Last night i was having trouble sleeping from total body musce aches. Took 3 ibuprofen and when woke up fine. Had my first headache around noon today...still present.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2020-12-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Flank pain — Feeling: Fair · Muscle or body aches
    Free text: Around noon I started having lower left flank pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2020-12-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Flank pain — Feeling: Fair · Muscle or body aches
    Free text: Same left back flank pain. Ibuprofen makes it go away but it returns.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2020-12-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Flank pain — Feeling: Fair · Muscle or body aches
    Free text: Left side flank pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2020-12-25
    Survey response — day 7, dose 1
    MedDRA: Flank pain — Feeling: Good · Muscle or body aches
    Free text: Left flank pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-10
    Survey response — day 21, dose 2
    MedDRA: Incomplete course of vaccination, No adverse event — Feeling: Poor
    Free text: I didnt get the second vaccine because my reaction to the first dose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-18Pfizer-BioNTech
22020-12-18Pfizer-BioNTech

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-19

Systemic reaction (other): Flank pain 30min after inj

2020-12-20

Systemic reaction (other): I forgot to mention that 30min after I got the vaccine I had facial tingling and some numbness to left side of face. Went away after 30 or so min.

2020-12-21

Systemic reaction (other): Last night i was having trouble sleeping from total body musce aches. Took 3 ibuprofen and when woke up fine. Had my first headache around noon today...still present.

2020-12-22

Systemic reaction (other): Around noon I started having lower left flank pain.

2020-12-23

Systemic reaction (other): Same left back flank pain. Ibuprofen makes it go away but it returns.

2020-12-24

Systemic reaction (other): Left side flank pain

Release 1 — day 7, dose 1

2020-12-25

Systemic reaction (other): Left flank pain.

Release 1 — day 21, dose 2

2021-01-10

Symptoms: I didnt get the second vaccine because my reaction to the first dose.

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
SDIncomplete course of vaccination ✓ ✓ ✓
SDNo adverse event ✓ ✓ ✓
SDUnevaluable event ○ ○ ○
SROFlank pain ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROInsomnia ○ ○ ○
SROMyalgia ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSleep disorder ✓ ✓ ✓

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