2N4-23932-19752
1 vaccination
6 coded responses
9 check-ins
6 free-text entries
5 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 782 / TX
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 1 — Pfizer-BioNTech
- 2021-02-26
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2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Ulcer, Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Ulcer · Healthcare visit (other): Trying to get appointmemtMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Ulcer — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: UlcerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-05
Survey response — day 7, dose 1MedDRA: Office visit — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professionalFree text: Regular doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-12
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2021-03-21
Survey response — day 21, dose 1MedDRA: Peripheral swelling, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: My left leg took a turn for the it is swollen again · Healthcare visit (other): Schedule visit with wound care specialistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-05
Survey response — day 35, dose 1MedDRA: Biopsy, Specialist consultation, Ulcer — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: I still have the ulcer it is drying up, went to a wound care specialist he took a biopsy of the ulcer. Will have appointment next week to see report. · Healthcare visit (other): Specialist visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Report sent to call center — day 35, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-11
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2021-06-17
Call successfulParticipant prefers to complete VAERS report online
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2021-08-27
Survey response — 6 months, dose 1MedDRA: Gastric ulcer, Skin ulcer — Feeling: Fair · Be unable to work or attend schoolFree text: Found ulcer in stomach does it go alone with the one on my leg that appeared 12 hour on my first Pfizer vac?MedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Pfizer-BioNTech |
Call center
5 call center cases
5 successful
Free text
Release 4 — days 1–6 daily, dose 1
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Ulcer
Release 5 — day 7, dose 1
Healthcare visit (other): Regular doctor
Release 6 — day 21, dose 1
Symptoms: My left leg took a turn for the it is swollen again
Healthcare visit (other): Schedule visit with wound care specialist
Release 6 — day 35, dose 1
Symptoms: I still have the ulcer it is drying up, went to a wound care specialist he took a biopsy of the ulcer. Will have appointment next week to see report.
Healthcare visit (other): Specialist visit
Release 9 — 6 months, dose 1
Symptoms: Found ulcer in stomach does it go alone with the one on my leg that appeared 12 hour on my first Pfizer vac?
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 | ✓ | ✓ | ✓ |
| HCVO | Specialist consultation | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Biopsy | ✓ | ✓ | ✓ |
| SD | Gastric ulcer | ✓ | · | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Skin ulcer | ✓ | · | ✓ |
| SD | Specialist consultation | ✓ | ✓ | ✓ |
| SD | Ulcer | ✓ | ✓ | ✓ |
| SRO | Ulcer | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release