2NL-20516-66431
4 vaccinations
6 coded responses
19 check-ins
6 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 300 / GA
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Dose 1 — Pfizer-BioNTech
-
2021-03-23
Registered in v-safe
-
2021-03-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Fever · NoneAdult check-in
-
2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia oral — Feeling: Fair · Site: Itching · DiarrheaFree text: Tingle sensation around lips. I allergic to shellfish derivatives. Shellfish derivatives are deadly to me. I'm allergic to Norvir too!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-03-27
-
2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-29
Health check-in — day 7, dose 1Feeling: Good · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-05
- 2021-04-12
-
2021-04-13
Dose 2 — Pfizer-BioNTech
-
2021-04-26
Health check-in — day 7, dose 2Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-28
- 2021-05-04
-
2021-05-11
Survey response — day 28, dose 2MedDRA: Brain fog, Muscular weakness — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Muscle weakness, brain FogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-11
Report sent to call center — day 28, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-20
Survey response — day 35, dose 2MedDRA: Muscular weakness — Feeling: Good · Be unable to do your normal daily activitiesFree text: Muscle weakness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-27
-
2021-07-13
Survey response — 3 months, dose 2MedDRA: Anxiety, Brain fog, Discouragement — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Some brain Fog. Daily anxiety. Occasionally feeling discouraged.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-10-10
Dose 3 — Pfizer-BioNTech
-
2021-10-12
Survey response — 6 months, dose 2MedDRA: Anxiety, Arthralgia, Asthenia, Back pain, Brain fog, Depression, Fatigue, Groin pain, Headache, Neck pain, Pain in extremity, Soliloquy — 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: Brain fog, fatigue, knees+arms+back of neck+ groin area HURT. Low energy, headaches, increased anxiety and depression. Also, I talk to myself for extended periods of time.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-12
Report sent to call center — 6 months, dose 2Be 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 · no matching call case
-
2021-10-12
Call case (no matching report) — SuccessfulCompleted over the phone
- 2021-10-14
-
2022-04-12
Dose 4 — Moderna
-
2022-04-18
Survey response — days 1–6 daily, dose 4MedDRA: Brain fog, Distractibility, Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · 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 consultation, Outpatient clinic or urgent care clinic visitFree text: Brain Fog, focusing and concentrating, memory, easily distracted.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-18
Report sent to call center — days 1–6 daily, dose 4Be 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-19
Health check-in — day 7, dose 4Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Diarrhea · 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 consultationAdult check-in
-
2022-04-19
Report sent to call center — day 7, dose 4Be 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)
-
2022-04-19
Call successfulCompleted over the phone
- 2022-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Pfizer-BioNTech | |
| 2 | 2021-04-13 | Pfizer-BioNTech | |
| 3 | 2021-10-10 | Pfizer-BioNTech | No |
| 4 | 2022-04-12 | Moderna | No |
Call center
4 call center cases
3 successful · 1 unsuccessful
VAERS report filed, before or during a call: 3
1 check-in flagged for a call with no call center case on record
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Tingle sensation around lips. I allergic to shellfish derivatives. Shellfish derivatives are deadly to me. I'm allergic to Norvir too!
Release 8 — day 28, dose 2
Symptoms: Muscle weakness, brain Fog
Release 8 — day 35, dose 2
Symptoms: Muscle weakness.
Release 9 — 3 months, dose 2
Symptoms: Some brain Fog. Daily anxiety. Occasionally feeling discouraged.
Release 10 — 6 months, dose 2
Symptoms: Brain fog, fatigue, knees+arms+back of neck+ groin area HURT. Low energy, headaches, increased anxiety and depression. Also, I talk to myself for extended periods of time.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Brain Fog, focusing and concentrating, memory, easily distracted.
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 | Anxiety | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Discouragement | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Groin pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Soliloquy | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Distractibility | · | · | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release