3KJ-14972-00267
2 vaccinations
3 coded responses
3 check-ins
3 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 086 / NJ
- Registered
- 2021-05-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Dose 1 — Pfizer-BioNTech
-
2021-02-20
Dose 2 — Pfizer-BioNTech
-
2021-05-11
Registered in v-safe
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2021-05-22
Survey response — 3 months, dose 2MedDRA: Burning sensation, Head discomfort, Headache, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Burning / pressure / pain feeling in the head, particularly in the forehead area. · Healthcare visit (other): Several in person visits and consultations with different doctors as well as visits for testing for radiology, bloodwork, etc.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-22
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-21
Survey response — 6 months, dose 2MedDRA: Burning sensation, Head discomfort, Headache, Medical procedure, Office visit — 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Symptoms: Further pain, burning, discomfort in head that has not stopped and has been constant since I got my second dose 6 months ago. · Healthcare visit (other): Many regular in person doctor vists, tests, proceduresMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-21
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 pr1 call case(s)
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2021-08-24
Call successfulReported to VAERS voluntarily prior to GDIT contact
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2022-02-21
Survey response — 12 months, dose 2MedDRA: Burning sensation, Headache — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Head pain, burning sensations ever since 2nd vaccine shot.MedDRA releases: 2024-11 · check-in free text available
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2022-02-21
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-02-21
Call successfulReported to VAERS voluntarily prior to GDIT contact
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Pfizer-BioNTech | |
| 2 | 2021-02-20 | Pfizer-BioNTech |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 3
Free text
Release 8 — 3 months, dose 2
Symptoms: Burning / pressure / pain feeling in the head, particularly in the forehead area.
Healthcare visit (other): Several in person visits and consultations with different doctors as well as visits for testing for radiology, bloodwork, etc.
Release 9 — 6 months, dose 2
Symptoms: Further pain, burning, discomfort in head that has not stopped and has been constant since I got my second dose 6 months ago.
Healthcare visit (other): Many regular in person doctor vists, tests, procedures
Release 11 — 12 months, dose 2
Symptoms: Head pain, burning sensations ever since 2nd vaccine shot.
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 | Medical procedure | ✓ | · | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Burning sensation | ✓ | ✓ | ✓ |
| SD | Head discomfort | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release