362-18701-15527
2 vaccinations
14 coded responses
22 check-ins
14 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 481 / MI
- Registered
- 2021-09-16
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-09-16
Registered in v-safe
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2021-09-16
Dose 1 — Pfizer-BioNTech
- 2021-09-16
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2021-09-17
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Numbness on the left side of my left footMedDRA releases: 2024-11 · check-in free text available
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2021-09-18
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Stomatitis — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Sores in mouth and numbness on the side of my left footMedDRA releases: 2024-11 · check-in free text available
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2021-09-19
Survey response — days 1–6 daily, dose 1MedDRA: Oral pain — Feeling: Good · Site: PainFree text: Mouth soreMedDRA releases: 2024-11 · check-in free text available
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2021-09-21
Survey response — days 1–6 daily, dose 1MedDRA: Stomatitis — Feeling: Good · Site: PainFree text: Sore in mouthMedDRA releases: 2024-11 · check-in free text available
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2021-09-22
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia — Feeling: Good · Site: PainFree text: Numbness on left side of left foot. Same as before but forgot to mention in a few of these.MedDRA releases: 2024-11 · check-in free text available
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2021-09-23
Survey response — day 7, dose 1MedDRA: Hypoaesthesia, Oral pain, Stomatitis — Feeling: Good · Site: PainFree text: Pain from sorein mouth and numbness on left side of left foot.MedDRA releases: 2024-11 · check-in free text available
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2021-10-02
Survey response — day 14, dose 1MedDRA: Headache, Hypoaesthesia, Injection site pain — Feeling: GoodFree text: Since last check in ive felt a bit of pain near the injection point that has come and gone. I felt a bit of numbness in the hand and arm area of the injection side and noticed on and off headaches.MedDRA releases: 2024-11 · check-in free text available
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2021-10-07
Dose 2 — Pfizer-BioNTech
- 2021-10-07
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2021-10-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-10-09
Survey response — days 1–6 daily, dose 2MedDRA: Nightmare — Feeling: Good · Site: Redness, Itching · Fatigue or tirednessFree text: Nightmarish dreams within a week of both shotsMedDRA releases: 2024-11 · check-in free text available
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2021-10-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-10-12
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
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2021-10-13
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to work or attend schoolFree text: Coughing, sore throat, runny noseMedDRA releases: 2024-11 · check-in free text available
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2021-10-14
Survey response — day 7, dose 2MedDRA: Cough, Rhinorrhoea, Sneezing — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Runny noise, coughing and sneezingMedDRA releases: 2024-11 · check-in free text available
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2021-10-21
Survey response — day 14, dose 2MedDRA: Back pain, Chest pain, Cough, Headache, Oropharyngeal pain, Pain, Rhinorrhoea, Somnolence — Feeling: Good · Be unable to do your normal daily activitiesFree text: Headache, runny nose, cough, drowsy, sore throat and body pains from lower back, upper back and right side of the chest.MedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Survey response — day 21, dose 2MedDRA: Blood pressure increased, Office visit, Pain — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: My blood pressure has been higher than normal along with body aches. · Healthcare visit (other): Visited the nurse practitioner associated with my primary care physicianMedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-11-01
Call successfulParticipant prefers to complete VAERS report online
- 2021-11-04
- 2021-11-15
- 2021-11-18
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2022-01-06
Survey response — 3 months, dose 2MedDRA: Asthenia, Chest pain, Cough, Secretion discharge — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Chest pains on and off, cough, mucus, low energy.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-16 | Pfizer-BioNTech | No |
| 2 | 2021-10-07 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Numbness on the left side of my left foot
Systemic reaction (other): Sores in mouth and numbness on the side of my left foot
Systemic reaction (other): Mouth sore
Systemic reaction (other): Sore in mouth
Systemic reaction (other): Numbness on left side of left foot. Same as before but forgot to mention in a few of these.
Release 9 — day 7, dose 1
Systemic reaction (other): Pain from sorein mouth and numbness on left side of left foot.
Release 9 — day 14, dose 1
Symptoms: Since last check in ive felt a bit of pain near the injection point that has come and gone. I felt a bit of numbness in the hand and arm area of the injection side and noticed on and off headaches.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Nightmarish dreams within a week of both shots
Systemic reaction (other): Sore throat
Systemic reaction (other): Coughing, sore throat, runny nose
Release 10 — day 7, dose 2
Systemic reaction (other): Runny noise, coughing and sneezing
Release 10 — day 14, dose 2
Symptoms: Headache, runny nose, cough, drowsy, sore throat and body pains from lower back, upper back and right side of the chest.
Release 10 — day 21, dose 2
Symptoms: My blood pressure has been higher than normal along with body aches.
Healthcare visit (other): Visited the nurse practitioner associated with my primary care physician
Release 10 — 3 months, dose 2
Symptoms: Chest pains on and off, cough, mucus, low energy.
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 | Asthenia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Nightmare | · | · | ✓ |
| SRO | Oral pain | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
| SRO | Stomatitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release