3NK-22867-53773
2 vaccinations
3 coded responses
15 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 483 / MI
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Pfizer-BioNTech
- 2021-03-19
-
2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · Site: PainFree text: Did have a headache last night but after going to sleep and waking up today it was gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea, Headache, Hypoaesthesia oral, Nausea — Feeling: Good · Nausea, DiarrheaFree text: Diarrhea and nausea occurred last night around 7pm and lasted for an hour. I did not throw up. I did have a headache later at night and while sleeping woke up at 2am with the right side of my tongue, mouth and lips numb. It was weird. Never happened before. Lasted for about an hour and went away by morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-03-23
- 2021-03-28
- 2021-04-04
-
2021-04-16
Dose 2 — Pfizer-BioNTech
- 2021-04-30
- 2021-05-07
- 2021-05-16
- 2021-05-21
- 2021-05-30
- 2021-07-16
- 2021-10-16
-
2022-04-16
Survey response — 12 months, dose 2MedDRA: Aortic aneurysm rupture, Arterial occlusive disease — 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 · Emergency room or emergency department visit, HospitalizationFree text: Had an aneurysm on one of my abdominal arteries burst due to a blockage of a larger artery. Scheduled for follow up bypass surgery next month to fix root of problem.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-16
Report sent to call center — 12 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 prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-04-20
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Pfizer-BioNTech | |
| 2 | 2021-04-16 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Did have a headache last night but after going to sleep and waking up today it was gone.
Systemic reaction (other): Diarrhea and nausea occurred last night around 7pm and lasted for an hour. I did not throw up. I did have a headache later at night and while sleeping woke up at 2am with the right side of my tongue, mouth and lips numb. It was weird. Never happened before. Lasted for about an hour and went away by morning.
Release 11 — 12 months, dose 2
Symptoms: Had an aneurysm on one of my abdominal arteries burst due to a blockage of a larger artery. Scheduled for follow up bypass surgery next month to fix root of problem.
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 | Aortic aneurysm rupture | · | · | ✓ |
| SD | Arterial occlusive disease | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release