27Y-29120-50863
4 vaccinations
11 coded responses
47 check-ins
9 free-text entries
5 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 278 / NC
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
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2021-01-15
Dose 1 — Pfizer-BioNTech
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-29
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2021-02-05
Dose 2 — Pfizer-BioNTech
- 2021-02-05
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2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body achesAdult check-in
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
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2021-02-21
Survey response — day 14, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Lymph nodes in neck sensitive with some pain. Same side as arm shots were given in.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-07
- 2021-08-08
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2021-11-22
Dose 3 — Pfizer-BioNTech
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2021-11-22
Health check-in — day 0, dose 3Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-23
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Increased heart rate, resting, steady at 115bpm.MedDRA releases: 2024-11 · check-in free text available
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2021-11-24
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Lymph node pain in armpitsMedDRA releases: 2024-11 · check-in free text available
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2021-11-25
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tirednessFree text: Lymph Node pain in armpits and neckMedDRA releases: 2024-11 · check-in free text available
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2021-11-26
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body achesFree text: Lymph node tenderness in armpits and neckMedDRA releases: 2024-11 · check-in free text available
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2021-11-27
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Good · Site: Pain, SwellingFree text: Slight lymph node tenderness in neck and armpitsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-28
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-20
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2021-12-27
Survey response — day 35, dose 3MedDRA: Diarrhoea, Fatigue — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Spells of extreme fatigue and diarrhea.MedDRA releases: 2024-11 · check-in free text available
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2021-12-27
Report sent to call center — day 35, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-12-28
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2021-12-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-01-03
Survey response — day 42, dose 3MedDRA: Thrombosis — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Upper Extremity Blood ClotMedDRA releases: 2024-11 · check-in free text available
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2022-01-03
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-01-07
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2022-02-21
Survey response — 3 months, dose 3MedDRA: Brachiocephalic vein thrombosis, Pulmonary embolism, Superficial vein thrombosis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Superficial venous thrombosis of right arm cephalic vein and later pulmonary embolism.MedDRA releases: 2024-11 · check-in free text available
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2022-02-21
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-02-23
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2022-10-14
Dose 4 — Pfizer-BioNTech
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-23
- 2022-11-01
- 2022-11-06
- 2022-11-13
- 2022-11-19
- 2022-11-25
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2023-01-13
Survey response — 3 months, dose 4MedDRA: Abdominal distension, Abdominal pain upper, Burning sensation, COVID-19, Discharge, Discomfort, Nasal congestion, Paranasal sinus discomfort, Throat irritation — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-01-13
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2023-01-16
Call successfulParticipant prefers to complete VAERS report online
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2023-01-16
Call successfulParticipant prefers to complete VAERS report online
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2023-01-16
Call successfulParticipant prefers to complete VAERS report online
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2023-04-14
Survey response — 6 months, dose 4MedDRA: Pulmonary embolism — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-04-14
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2023-04-17
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Pfizer-BioNTech | |
| 2 | 2021-02-05 | Pfizer-BioNTech | |
| 3 | 2021-11-22 | Pfizer-BioNTech | No |
| 4 | 2022-10-14 | Pfizer-BioNTech | No |
Call center
5 call center cases
5 successful
Free text
Release 4 — day 14, dose 2
Symptoms: Lymph nodes in neck sensitive with some pain. Same side as arm shots were given in.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Increased heart rate, resting, steady at 115bpm.
Systemic reaction (other): Lymph node pain in armpits
Systemic reaction (other): Lymph Node pain in armpits and neck
Systemic reaction (other): Lymph node tenderness in armpits and neck
Systemic reaction (other): Slight lymph node tenderness in neck and armpits
Release 10 — day 35, dose 3
Symptoms: Spells of extreme fatigue and diarrhea.
Release 10 — day 42, dose 3
Symptoms: Upper Extremity Blood Clot
Release 11 — 3 months, dose 3
Symptoms: Superficial venous thrombosis of right arm cephalic vein and later pulmonary embolism.
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 distension | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Brachiocephalic vein thrombosis | · | · | ✓ |
| SD | Burning sensation | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Discharge | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Pulmonary embolism | · | · | ✓ |
| SD | Superficial vein thrombosis | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Thrombosis | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release