2CJ-10397-96813
5 vaccinations
9 coded responses
53 check-ins
9 free-text entries
5 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 662 / KS
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Registered in v-safe
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2021-02-17
Dose 1 — Pfizer-BioNTech
- 2021-02-17
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2021-02-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-02-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
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2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Back injury, Back pain — Feeling: Fair · Site: Redness · Joint painsFree text: I bent down down to pick up a bottle and somehow hurt my lower back. Probably not related to vaccine but my lower back hurts.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Redness · Joint pains, Muscle or body achesAdult check-in
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
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2021-03-12
Dose 2 — Pfizer-BioNTech
- 2021-03-12
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2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · HeadacheAdult check-in
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2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Joint pains, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
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2021-03-19
Health check-in — day 7, dose 2Feeling: Good · Fever · Chills, Fatigue or tiredness, NauseaAdult check-in
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2021-03-26
Survey response — day 14, dose 2MedDRA: Back pain, Neck pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Back/neck painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-02
- 2021-04-11
- 2021-04-16
- 2021-04-23
- 2021-06-11
- 2021-09-10
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2021-10-01
Dose 3 — Pfizer-BioNTech
- 2021-10-01
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2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness · NauseaAdult check-in
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
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2021-11-05
Survey response — day 35, dose 3MedDRA: Chest pain, Hospitalisation, Pain — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Chest pain. Spent two days in hospital for evaluation. Conclusion was heart is normal. Pain source unknown at this time.MedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Report sent to call center — day 35, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-11-08
- 2021-11-12
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2022-01-01
Survey response — 3 months, dose 3MedDRA: Spinal operation — 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 · HospitalizationFree text: Upper back Surgery.MedDRA releases: 2024-11 · check-in free text available
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2022-01-01
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 prHospitalization · 1 call case(s)
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2022-01-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-01-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-01-05
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-01
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2022-04-07
Dose 4 — Pfizer-BioNTech
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2022-04-15
Survey response — day 7, dose 4MedDRA: Tinnitus — Feeling: GoodFree text: Ear RingingMedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
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2022-04-28
Survey response — day 21, dose 4MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
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2022-05-05
Survey response — day 28, dose 4MedDRA: Chills, Pyrexia — Feeling: GoodFree text: I had an evening of low grade fever and chills.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-12
- 2022-05-19
- 2022-07-07
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2022-09-21
Dose 5 — Pfizer-BioNTech
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2022-10-06
Survey response — 6 months, dose 4MedDRA: COVID-19, Hypertension, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had Covid in early July. Very soar throat for 36 hours and vey high blood pressure but no other problems.MedDRA releases: 2024-11 · check-in free text available
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2022-10-06
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-07
- 2022-10-19
- 2022-10-20
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2022-10-20
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-26
- 2022-11-02
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2022-12-21
Survey response — 3 months, dose 5MedDRA: Feeling of body temperature change, Skin burning sensation, Skin discolouration, Skin irritation — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Burning skin all over my body. No rash and very little discoloration. My back and my upper legs feel like they are icey-hot. Not disabling or terrible but it is irritating. Called doctor and just completed an oral steroid pac. No helpMedDRA releases: 2024-11 · check-in free text available
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2022-12-21
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-22
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2022-12-23
Call successfulCompleted over the phone
- 2023-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Pfizer-BioNTech | |
| 2 | 2021-03-12 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-04-07 | Pfizer-BioNTech | No |
| 5 | 2022-09-21 | Pfizer-BioNTech | No |
Call center
5 call center cases
5 successful
VAERS report filed, before or during a call: 1
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I bent down down to pick up a bottle and somehow hurt my lower back. Probably not related to vaccine but my lower back hurts.
Release 6 — day 14, dose 2
Symptoms: Back/neck pain
Release 10 — day 35, dose 3
Symptoms: Chest pain. Spent two days in hospital for evaluation. Conclusion was heart is normal. Pain source unknown at this time.
Release 10 — 3 months, dose 3
Symptoms: Upper back Surgery.
Release 11 — day 7, dose 4
Systemic reaction (other): Ear Ringing
Release 11 — day 21, dose 4
Symptoms: Runny nose
Release 11 — day 28, dose 4
Symptoms: I had an evening of low grade fever and chills.
Release 12 — 6 months, dose 4
Symptoms: I had Covid in early July. Very soar throat for 36 hours and vey high blood pressure but no other problems.
Release 12 — 3 months, dose 5
Symptoms: Burning skin all over my body. No rash and very little discoloration. My back and my upper legs feel like they are icey-hot. Not disabling or terrible but it is irritating. Called doctor and just completed an oral steroid pac. No help
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Feeling of body temperature change | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Skin burning sensation | · | · | ✓ |
| SD | Skin discolouration | · | · | ✓ |
| SD | Skin irritation | · | · | ✓ |
| SD | Spinal operation | · | · | ✓ |
| SRO | Back injury | ✓ | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release