3TL-23580-12745
5 vaccinations
11 coded responses
45 check-ins
11 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 551 / MN
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-28
Registered in v-safe
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2020-12-28
Dose 1 — Pfizer-BioNTech
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2020-12-28
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: GoodFree text: Really mild dizziness briefly around noon—unusual for that time of day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: The bandaid was pulling my arm hair.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-30
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2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Just learned that my TB interferon test drawn the day after vaccine converted to positive. Doubt they're related, thought I should report.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-31
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-01-03
- 2021-01-04
- 2021-01-13
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2021-01-18
Dose 2 — Pfizer-BioNTech
- 2021-01-18
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2021-01-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
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2021-01-26
Call successfulCompleted over the phone
- 2021-02-01
- 2021-02-08
- 2021-02-15
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2021-02-22
Survey response — day 35, dose 2MedDRA: Accident, Bone contusion, Fall, Spinal column injury — Feeling: GoodFree text: I fell on my butt skiing and bruised my coccyxMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-04-19
- 2021-07-19
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2021-10-05
Dose 3 — Pfizer-BioNTech
- 2022-01-18
- 2022-04-05
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2022-04-14
Dose 4 — Pfizer-BioNTech
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2022-04-15
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Fair · Site: PainFree text: LightheadednessMedDRA releases: 2024-11 · check-in free text available
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2022-04-16
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Fair · Site: PainFree text: LightheadednessMedDRA releases: 2024-11 · check-in free text available
- 2022-04-17
- 2022-04-18
- 2022-04-19
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2022-04-20
Survey response — days 1–6 daily, dose 4MedDRA: Ear congestion, Nasal congestion, Oropharyngeal pain, Respiratory symptom — Feeling: Fair · Headache, Muscle or body achesFree text: Sore throat, ear and nasal congestion feels like URI coming onMedDRA releases: 2024-11 · check-in free text available
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2022-04-21
Survey response — day 7, dose 4MedDRA: Cough, Lacrimation increased, Oropharyngeal pain, Respiratory symptom, Upper-airway cough syndrome — Feeling: Poor · HeadacheFree text: Sore throat, post nasal drainage, cough, watery eyes-usual URI sxMedDRA releases: 2024-11 · check-in free text available
- 2022-04-28
- 2022-05-05
- 2022-05-12
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2022-05-19
Survey response — day 35, dose 4MedDRA: Headache, Oropharyngeal pain — Feeling: FairFree text: Sore throat, headacheMedDRA releases: 2024-11 · check-in free text available
- 2022-05-26
- 2022-07-14
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2022-09-27
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-12
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2022-10-18
Survey response — day 21, dose 5MedDRA: Upper respiratory tract infection — Feeling: PoorFree text: Standard URIMedDRA releases: 2024-11 · check-in free text available
- 2022-10-25
- 2022-11-01
- 2022-11-08
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2022-12-27
Survey response — 3 months, dose 5MedDRA: Respiratory symptom — Feeling: FairFree text: URI symptomsMedDRA releases: 2024-11 · check-in free text available
- 2023-03-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Pfizer-BioNTech | |
| 2 | 2021-01-18 | Pfizer-BioNTech | |
| 3 | 2021-10-05 | Pfizer-BioNTech | No |
| 4 | 2022-04-14 | Pfizer-BioNTech | No |
| 5 | 2022-09-27 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Really mild dizziness briefly around noon—unusual for that time of day.
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): The bandaid was pulling my arm hair.
Systemic reaction (other): Just learned that my TB interferon test drawn the day after vaccine converted to positive. Doubt they're related, thought I should report.
Release 4 — day 35, dose 2
Symptoms: I fell on my butt skiing and bruised my coccyx
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Lightheadedness
Systemic reaction (other): Lightheadedness
Systemic reaction (other): Sore throat, ear and nasal congestion feels like URI coming on
Release 11 — day 7, dose 4
Systemic reaction (other): Sore throat, post nasal drainage, cough, watery eyes-usual URI sx
Release 11 — day 35, dose 4
Symptoms: Sore throat, headache
Release 12 — day 21, dose 5
Symptoms: Standard URI
Release 12 — 3 months, dose 5
Symptoms: URI symptoms
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 | Accident | ✓ | · | ✓ |
| SD | Bone contusion | ✓ | · | ✓ |
| SD | Fall | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | Spinal column injury | ○ | ✓ | ○ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Ear congestion | · | · | ✓ |
| SRO | Lacrimation increased | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Respiratory symptom | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Upper-airway cough syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release