2F9-64841-93426
3 vaccinations
11 coded responses
27 check-ins
11 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 070 / NJ
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-04
Registered in v-safe
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2021-03-04
Dose 1 — Pfizer-BioNTech
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2021-03-04
Survey response — day 0, dose 1MedDRA: Loss of consciousness — Feeling: GoodFree text: A momentary like < 1 second and not unpleasant, loss of consciousness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: GoodFree text: Within a few minutes of responding to this health checker yesterday, I drank a cold smoothie and had an irresistible urge to cough, and none of the smoothie had gotten into my windpipe. So I drank warm fluid and the urge to cough eventually went away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
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2021-03-25
Dose 2 — Pfizer-BioNTech
- 2021-03-25
- 2021-03-26
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2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased, Chills, Pyrexia — Feeling: FairFree text: Last night I was 99.3° and the night before I was 99.0° and had chills, but otherwise felt ok.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature normal, Chills, Dizziness — Feeling: GoodFree text: I seem to have mild symptoms in late afternoon or evening: temps up to 99.3°, slight chills, some wooziness...MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Lower back pain my stretching exercises have not relieved it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Hypotension — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: LBP, like yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — day 7, dose 2MedDRA: Hypotension — Feeling: Poor · Chills, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesFree text: Still having LBP and getting some help from CBD caps.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-15
- 2021-04-22
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2021-04-29
Survey response — day 35, dose 2MedDRA: Chills, Pyrexia — Feeling: FairFree text: I dont know if this really counts, but my body doesnt seem to regulate its temperature so well. If I feel warm, any draft can bring on a chill. My actual temperature never qualifies as a low-grade fever though. It never goes above 99.2°.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
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2021-06-24
Survey response — 3 months, dose 2MedDRA: Arthralgia, Electric shock sensation, Neck pain, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Electric shocks in my tongue along with neck/shoulder pain.Medication helping. Brain MRI scheduled. · Healthcare visit (other): PMD in person. Neurologist in person.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-24
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-01
Call successfulParticipant prefers to complete VAERS report online
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2021-09-23
Survey response — 6 months, dose 2MedDRA: Pain, Skin tightness — Feeling: FairFree text: Persistent feelings of tightness and pain/pressure under the right clavicle that tends to loosen up during the day.MedDRA releases: 2024-11 · check-in free text available
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2022-01-25
Dose 3 — Pfizer-BioNTech
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2022-03-25
Survey response — 12 months, dose 2MedDRA: Multiple sclerosis, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I only said yes because I don't remember the last time you checked in. It would help if you gave a date. I received a diagnosis 12/28/21 of mild MS, first onset May 2021. Maybe it was latent for 20 years, but I suspect the 2nd Covax activated it. · Healthcare visit (other): Office visits to 1 PMD and 2 neurologists.MedDRA releases: 2024-11 · check-in free text available
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2022-03-25
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2022-03-28
Call successfulParticipant prefers to complete VAERS report online
- 2022-04-26
- 2022-07-27
- 2023-01-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Pfizer-BioNTech | |
| 2 | 2021-03-25 | Pfizer-BioNTech | |
| 3 | 2022-01-25 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): A momentary like < 1 second and not unpleasant, loss of consciousness.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Within a few minutes of responding to this health checker yesterday, I drank a cold smoothie and had an irresistible urge to cough, and none of the smoothie had gotten into my windpipe. So I drank warm fluid and the urge to cough eventually went away.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Last night I was 99.3° and the night before I was 99.0° and had chills, but otherwise felt ok.
Systemic reaction (other): I seem to have mild symptoms in late afternoon or evening: temps up to 99.3°, slight chills, some wooziness...
Systemic reaction (other): Lower back pain my stretching exercises have not relieved it.
Systemic reaction (other): LBP, like yesterday.
Release 6 — day 7, dose 2
Systemic reaction (other): Still having LBP and getting some help from CBD caps.
Release 8 — day 35, dose 2
Symptoms: I dont know if this really counts, but my body doesnt seem to regulate its temperature so well. If I feel warm, any draft can bring on a chill. My actual temperature never qualifies as a low-grade fever though. It never goes above 99.2°.
Release 9 — 3 months, dose 2
Symptoms: Electric shocks in my tongue along with neck/shoulder pain.Medication helping. Brain MRI scheduled.
Healthcare visit (other): PMD in person. Neurologist in person.
Release 9 — 6 months, dose 2
Symptoms: Persistent feelings of tightness and pain/pressure under the right clavicle that tends to loosen up during the day.
Release 11 — 12 months, dose 2
Symptoms: I only said yes because I don't remember the last time you checked in. It would help if you gave a date. I received a diagnosis 12/28/21 of mild MS, first onset May 2021. Maybe it was latent for 20 years, but I suspect the 2nd Covax activated it.
Healthcare visit (other): Office visits to 1 PMD and 2 neurologists.
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Electric shock sensation | ✓ | ✓ | ✓ |
| SD | Multiple sclerosis | · | · | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Skin tightness | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | · | ✓ |
| SRO | Body temperature normal | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hypotension | ✓ | ✓ | ✓ |
| SRO | Loss of consciousness | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release