3LX-23401-37388
2 vaccinations
6 coded responses
8 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 928 / CA
- Registered
- 2021-05-23
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-30
Dose 1 — Pfizer-BioNTech
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2021-05-21
Dose 2 — Pfizer-BioNTech
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2021-05-23
Registered in v-safe
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2021-05-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Headache, Muscle or body aches, Vomiting · Be unable to do your normal daily activitiesAdult check-in
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2021-05-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-25
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Fair · HeadacheFree text: Headache is same past 3 days no changeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Survey response — days 1–6 daily, dose 2MedDRA: Muscular weakness — Feeling: Fair · HeadacheFree text: My hand where I got shot seems tired since morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-27
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Headache — Feeling: Fair · Headache, Fatigue or tirednessFree text: Headache has subsided and Arm where I got shot still feels tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Survey response — day 7, dose 2MedDRA: Headache — Feeling: Fair · HeadacheFree text: Headache still persistsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-15
Survey response — day 21, dose 2MedDRA: Arthralgia, Headache, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Headache still persists and do get joint pains on and off..it stays for some time and then goes off .headache is everyday and joint pains are 2 to 3 times a week since my 2nd dose of vaccination · Healthcare visit (other): Went to see PCPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-15
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-22
Call successfulParticipant prefers to complete VAERS report online
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2021-06-25
Survey response — day 35, dose 2MedDRA: Headache, Pain — Feeling: FairFree text: Headache and body aches start any time and goes away any time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-30 | Pfizer-BioNTech | |
| 2 | 2021-05-21 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Headache is same past 3 days no change
Systemic reaction (other): My hand where I got shot seems tired since morning
Systemic reaction (other): Headache has subsided and Arm where I got shot still feels tired
Release 8 — day 7, dose 2
Systemic reaction (other): Headache still persists
Release 9 — day 21, dose 2
Symptoms: Headache still persists and do get joint pains on and off..it stays for some time and then goes off .headache is everyday and joint pains are 2 to 3 times a week since my 2nd dose of vaccination
Healthcare visit (other): Went to see PCP
Release 9 — day 35, dose 2
Symptoms: Headache and body aches start any time and goes away any time.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release