3NX-29206-28086
1 vaccination
6 coded responses
14 check-ins
6 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 66+
- ZIP prefix
- 496 / MI
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Pfizer-BioNTech
-
2021-01-22
Registered in v-safe
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2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Dysphagia, Medical counselling, Visual impairment — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): My vision in my right eye was like a veil was covering my eye. I could only see out if left eye. Very weird. I had tightness in my chest and swallowing was weird · Healthcare visit (other): Called my drs office and explained my issues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Increased upper airway secretion, Mobility decreased, Pain, Productive cough, Rhinorrhoea — Feeling: Fair · Site: Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I can finally raise my arm over my head without pain. Now have runny nose and phlegm buildup in my throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Pain in extremity, Rhinorrhoea — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Arm is still sore and I still have runny nose and cough. PhlegmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Hyperhidrosis, Nasopharyngitis, Productive cough — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Phlegm is increasing. May have a cold or something coming on. Sweating alotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — day 7, dose 1MedDRA: Fatigue — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Just feel totally drained yetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-10
- 2021-02-17
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2021-02-24
Survey response — day 35, dose 1MedDRA: Dysgeusia, Headache, Rash — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Weird taste of metal in my mouth when not eating anything, rash on right side , still exhausted more than usual, I rarely get headaches and I have had several since that shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-04-21
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2021-05-29
Call successfulParticipant prefers to complete VAERS report online
- 2021-07-21
- 2022-01-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): My vision in my right eye was like a veil was covering my eye. I could only see out if left eye. Very weird. I had tightness in my chest and swallowing was weird
Healthcare visit (other): Called my drs office and explained my issues.
Systemic reaction (other): I can finally raise my arm over my head without pain. Now have runny nose and phlegm buildup in my throat
Systemic reaction (other): Arm is still sore and I still have runny nose and cough. Phlegm
Systemic reaction (other): Phlegm is increasing. May have a cold or something coming on. Sweating alot
Release 2 — day 7, dose 1
Systemic reaction (other): Just feel totally drained yet
Release 4 — day 35, dose 1
Symptoms: Weird taste of metal in my mouth when not eating anything, rash on right side , still exhausted more than usual, I rarely get headaches and I have had several since that 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 counselling | ✓ | ✓ | ✓ |
| SD | Dysgeusia | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dysphagia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Increased upper airway secretion | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Productive cough | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release