2YD-10306-67238
1 vaccination
6 coded responses
15 check-ins
6 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 494 / MI
- Registered
- 2021-06-22
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-06-22
Registered in v-safe
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2021-06-22
Dose 1 — Pfizer-BioNTech
- 2021-06-22
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2021-06-23
Survey response — days 1–6 daily, dose 1MedDRA: Arrhythmia — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Noticeable mild arrhythmia for very short intervals but seems manageableMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-24
- 2021-06-25
- 2021-06-26
- 2021-06-27
- 2021-06-28
- 2021-06-29
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2021-07-06
Survey response — day 14, dose 1MedDRA: Brain fog, Dizziness, Fatigue — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Fatigue, some dizziness and mental fogging I am not sure it its vaccine related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-13
Survey response — day 21, dose 1MedDRA: Coordination abnormal, Dizziness, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Periods of dizziness and uncoordinated leg movment · Healthcare visit (other): Waiting for a medical appointmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-13
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-22
Survey response — day 28, dose 1MedDRA: Hospitalisation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: I was hospitalized and I believe it was directly related to my covid vaccine (first)MedDRA releases: 2024-11 · check-in free text available
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2021-07-22
Report sent to call center — day 28, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-22
- 2021-07-27
- 2021-07-28
- 2021-08-03
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2021-09-21
Survey response — 3 months, dose 1MedDRA: Coordination abnormal, Dizziness, Hospitalisation, Thrombosis — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Dizziness and uncoordinated movement. Blood clot issue which resulted in hospitalization.MedDRA releases: 2024-11 · check-in free text available
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2021-09-21
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-22
- 2021-09-23
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2021-09-27
Call successfulParticipant prefers to complete VAERS report online
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2021-12-21
Survey response — 6 months, dose 1MedDRA: Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: I survived your Fucking murder weapon! · Healthcare visit (other): None of your fucking businessMedDRA releases: 2024-11 · check-in free text available
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2021-12-21
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-12-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-22 | Pfizer-BioNTech | No |
Call center
4 call center cases
3 successful · 1 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Noticeable mild arrhythmia for very short intervals but seems manageable
Release 9 — day 14, dose 1
Symptoms: Fatigue, some dizziness and mental fogging I am not sure it its vaccine related.
Release 9 — day 21, dose 1
Symptoms: Periods of dizziness and uncoordinated leg movment
Healthcare visit (other): Waiting for a medical appointment
Release 9 — day 28, dose 1
Symptoms: I was hospitalized and I believe it was directly related to my covid vaccine (first)
Release 9 — 3 months, dose 1
Symptoms: Dizziness and uncoordinated movement. Blood clot issue which resulted in hospitalization.
Release 10 — 6 months, dose 1
Symptoms: I survived your Fucking murder weapon!
Healthcare visit (other): None of your fucking business
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Coordination abnormal | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Thrombosis | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Arrhythmia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release