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
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2020-12-18
Dose 1 — Pfizer-BioNTech
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2020-12-18
Dose 2 — Pfizer-BioNTech
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2020-12-19
Registered in v-safe
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2020-12-19
Survey response — days 1–6 daily, dose 1MedDRA: Flank pain, Immediate post-injection reaction — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Flank pain 30min after injMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-20
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Immediate post-injection reaction, Paraesthesia — Feeling: Good · Site: Pain · Fatigue or tirednessFree 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
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2020-12-21
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Myalgia, Self-medication, Sleep disorder — Feeling: Fair · Headache, Joint pains, Muscle or body achesFree 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
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2020-12-22
Survey response — days 1–6 daily, dose 1MedDRA: Flank pain — Feeling: Fair · Muscle or body achesFree text: Around noon I started having lower left flank pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-23
Survey response — days 1–6 daily, dose 1MedDRA: Flank pain — Feeling: Fair · Muscle or body achesFree 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
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2020-12-24
Survey response — days 1–6 daily, dose 1MedDRA: Flank pain — Feeling: Fair · Muscle or body achesFree text: Left side flank painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-25
Survey response — day 7, dose 1MedDRA: Flank pain — Feeling: Good · Muscle or body achesFree text: Left flank pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-10
Survey response — day 21, dose 2MedDRA: Incomplete course of vaccination, No adverse event — Feeling: PoorFree 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
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-18 | Pfizer-BioNTech | |
| 2 | 2020-12-18 | Pfizer-BioNTech |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Flank pain 30min after inj
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.
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.
Systemic reaction (other): Around noon I started having lower left flank pain.
Systemic reaction (other): Same left back flank pain. Ibuprofen makes it go away but it returns.
Systemic reaction (other): Left side flank pain
Release 1 — day 7, dose 1
Systemic reaction (other): Left flank pain.
Release 1 — day 21, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Incomplete course of vaccination | ✓ | ✓ | ✓ |
| SD | No adverse event | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ○ | ○ | ○ |
| SRO | Flank pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Insomnia | ○ | ○ | ○ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release