2FZ-28503-11635
5 vaccinations
23 coded responses
33 check-ins
22 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 125 / NY
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-04
Dose 1 — Pfizer-BioNTech
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2021-03-25
Dose 2 — Pfizer-BioNTech
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2021-04-02
Registered in v-safe
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2021-04-02
Survey response — day 7, dose 2MedDRA: Tinnitus — Feeling: Fair · ChillsFree text: TinnitusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — day 14, dose 2MedDRA: Chills, Tinnitus — Feeling: FairFree text: Greater frequency of chills And a more constant ringing in the earsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — day 21, dose 2MedDRA: Chills, Tinnitus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Tinnitus and chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — day 28, dose 2MedDRA: Chills, Tinnitus — Feeling: FairFree text: Chills and tinnitusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Survey response — day 35, dose 2MedDRA: Tinnitus — Feeling: FairFree text: Tinnitus still persistingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-06-24
- 2021-09-23
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2021-09-30
Dose 3 — Pfizer-BioNTech
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2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: Fair · Site: Pain · ChillsFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: Fair · Site: Pain · ChillsFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
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2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: Good · Site: PainFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
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2021-10-06
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
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2021-10-07
Survey response — day 7, dose 3MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Chills · Be unable to do your normal daily activitiesFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
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2021-10-14
Survey response — day 14, dose 3MedDRA: Tinnitus — Feeling: GoodFree text: Tinnitus, more frequent and louderMedDRA releases: 2024-11 · check-in free text available
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2021-10-21
Survey response — day 21, dose 3MedDRA: Chills, Tinnitus — Feeling: FairFree text: Chills and tinnitusMedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Survey response — day 28, dose 3MedDRA: Chills, Tinnitus — Feeling: GoodFree text: Still have chills and tinnitusMedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Survey response — day 35, dose 3MedDRA: Chills, Tinnitus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still have the chills and tinnitusMedDRA releases: 2024-11 · check-in free text available
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2021-11-11
Survey response — day 42, dose 3MedDRA: Tinnitus — Feeling: Good · Be unable to work or attend schoolFree text: Tinnitus still an issue!!MedDRA releases: 2024-11 · check-in free text available
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2021-12-30
Survey response — 3 months, dose 3MedDRA: Chills, Tinnitus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Chills, tinnitusMedDRA releases: 2024-11 · check-in free text available
- 2022-03-31
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2022-04-06
Dose 4 — Pfizer-BioNTech
- 2022-04-20
- 2022-04-27
- 2022-05-04
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2022-05-11
Survey response — day 35, dose 4MedDRA: Pre-existing disease, Tinnitus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Tinnitus had gotten worseMedDRA releases: 2024-11 · check-in free text available
- 2022-05-18
- 2022-07-06
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2022-09-28
Dose 5 — Pfizer-BioNTech
- 2022-10-05
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2022-10-21
Survey response — day 21, dose 5MedDRA: Nasal congestion, Pyrexia, Tinnitus — 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 · Telehealth, virtual health, or email health consultationFree text: Ringing ears, stuffy nose, slightly feverishMedDRA releases: 2024-11 · check-in free text available
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2022-10-21
Report sent to call center — day 21, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-24
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2022-10-24
Call successfulCompleted over the phone
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2022-10-26
Survey response — day 28, dose 5MedDRA: Headache, Pain, SARS-CoV-2 test positive, Tinnitus — 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 · Telehealth, virtual health, or email health consultationFree text: I am still testing C-19 positive and have body aches, a terrible headache and tinnitusMedDRA releases: 2024-11 · check-in free text available
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2022-10-26
Report sent to call center — day 28, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-27
- 2022-10-27
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2022-10-27
Call successfulCompleted over the phone
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2022-11-02
Survey response — day 35, dose 5MedDRA: Fatigue, Myalgia, Tinnitus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Persistent tinnitus and fatigue Also muscle achesMedDRA releases: 2024-11 · check-in free text available
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2022-11-09
Survey response — day 42, dose 5MedDRA: COVID-19, Headache, Pain, Pyrexia, SARS-CoV-2 test positive, Tinnitus — 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 · Telehealth, virtual health, or email health consultationFree text: Had COVID-19 Tested positive for ten days Had fever, body aches, intense headache and still have tinnitus two weeks laterMedDRA releases: 2024-11 · check-in free text available
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2022-11-09
Report sent to call center — day 42, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-11-10
Call successfulReported to VAERS during previous contact from GDIT
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2022-12-28
Survey response — 3 months, dose 5MedDRA: Anosmia — Feeling: GoodFree text: Loss of smellMedDRA releases: 2024-11 · check-in free text available
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2023-03-29
Survey response — 6 months, dose 5MedDRA: Arthropod bite, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-03-29
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-03-30
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2023-03-30
Callback requested for11:00PM ET
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2023-03-30
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Pfizer-BioNTech | |
| 2 | 2021-03-25 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
| 4 | 2022-04-06 | Pfizer-BioNTech | No |
| 5 | 2022-09-28 | Pfizer-BioNTech | No |
Call center
4 call center cases
4 successful
VAERS report filed, before or during a call: 4
Free text
Release 6 — day 7, dose 2
Systemic reaction (other): Tinnitus
Release 7 — day 14, dose 2
Symptoms: Greater frequency of chills And a more constant ringing in the ears
Release 7 — day 21, dose 2
Symptoms: Tinnitus and chills
Release 7 — day 28, dose 2
Symptoms: Chills and tinnitus
Release 8 — day 35, dose 2
Symptoms: Tinnitus still persisting
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Tinnitus
Systemic reaction (other): Tinnitus
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Tinnitus
Systemic reaction (other): Tinnitus
Release 10 — day 7, dose 3
Systemic reaction (other): Tinnitus
Release 10 — day 14, dose 3
Symptoms: Tinnitus, more frequent and louder
Release 10 — day 21, dose 3
Symptoms: Chills and tinnitus
Release 10 — day 28, dose 3
Symptoms: Still have chills and tinnitus
Release 10 — day 35, dose 3
Symptoms: Still have the chills and tinnitus
Release 10 — day 42, dose 3
Symptoms: Tinnitus still an issue!!
Release 10 — 3 months, dose 3
Symptoms: Chills, tinnitus
Release 11 — day 35, dose 4
Symptoms: Tinnitus had gotten worse
Release 12 — day 21, dose 5
Symptoms: Ringing ears, stuffy nose, slightly feverish
Release 12 — day 28, dose 5
Symptoms: I am still testing C-19 positive and have body aches, a terrible headache and tinnitus
Release 12 — day 35, dose 5
Symptoms: Persistent tinnitus and fatigue Also muscle aches
Release 12 — day 42, dose 5
Symptoms: Had COVID-19 Tested positive for ten days Had fever, body aches, intense headache and still have tinnitus two weeks later
Release 12 — 3 months, dose 5
Symptoms: Loss of smell
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 | Anosmia | · | · | ✓ |
| SD | Arthropod bite | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release