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45H-81066-39493

4 vaccinations 6 coded responses 17 check-ins 5 free-text entries 1 call case
Sex
Male
Age at first dose
46-50
ZIP prefix
319 / GA
Registered
2021-11-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-08
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-01
    Dose 2 — Pfizer-BioNTech
  3. 2021-11-01
    Dose 3 — Pfizer-BioNTech
  4. 2021-11-04
    Registered in v-safe
  5. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache, Muscle or body aches
    Adult check-in
  6. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Diarrhea
    Adult check-in
  7. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Itching · Fever · Headache, Fatigue or tiredness
    Adult check-in
  8. 2021-11-08
    Health check-in — day 7, dose 3
    Feeling: Fair · Site: Itching · Fever · Headache, Muscle or body aches
    Adult check-in
  9. 2021-11-15
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  10. 2021-11-22
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  11. 2021-11-29
    Survey response — day 28, dose 3
    MedDRA: Arthralgia, Back pain, Headache, Nausea, Respiratory tract congestion — Feeling: Poor
    Free text: Developing shoulder and back muscle pains on left side and stay congested, headaches ans nauseous.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-12-06
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  13. 2021-12-14
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  14. 2022-01-31
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  15. 2022-04-04
    Dose 4 — Pfizer-BioNTech
    Co-administered: Other
  16. 2022-04-30
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  17. 2022-05-02
    Survey response — day 28, dose 4
    MedDRA: Asthenia, Headache, Myalgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Head aches, sore muscles , drained of energy
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-05-09
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  19. 2022-05-16
    Survey response — day 42, dose 4
    MedDRA: Headache, Myalgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Lots of headaches and sire muscles at times
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-07-04
    Survey response — 3 months, dose 4
    MedDRA: Eye swelling, Fatigue, Headache, Nausea, Oropharyngeal pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Headaches, enlarged eyes , sore throat, tired, sick to stomach
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-10-05
    Survey response — 6 months, dose 4
    MedDRA: Ageusia, Anosmia, Asthenia, Brain fog, Dyspnoea, Dyspnoea exertional, Memory impairment — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Weaknesses, hard to breat at times during and after short walks. Brain fog, seem to forget and or not remember commonly things in my life. My smell and taste comes and goes.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-10-05
    Report sent to call center — 6 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  23. 2022-10-06
    Call successful
    Does not wish to fill out VAERS report
  24. 2023-04-04
    Survey response — 12 months, dose 4
    MedDRA: Office visit, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-02-08Pfizer-BioNTech No
22021-03-01Pfizer-BioNTech No
32021-11-01Pfizer-BioNTech No
42022-04-04Pfizer-BioNTech Other

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — day 28, dose 3

2021-11-29

Symptoms: Developing shoulder and back muscle pains on left side and stay congested, headaches ans nauseous.

Release 11 — day 28, dose 4

2022-05-02

Symptoms: Head aches, sore muscles , drained of energy

Release 11 — day 42, dose 4

2022-05-16

Symptoms: Lots of headaches and sire muscles at times

Release 12 — 3 months, dose 4

2022-07-04

Symptoms: Headaches, enlarged eyes , sore throat, tired, sick to stomach

Release 12 — 6 months, dose 4

2022-10-05

Symptoms: Weaknesses, hard to breat at times during and after short walks. Brain fog, seem to forget and or not remember commonly things in my life. My smell and taste comes and goes.

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

FieldPreferred term2021-092023-042024-11
SDAgeusia · · ✓
SDAnosmia · · ✓
SDArthralgia · · ✓
SDAsthenia · · ✓
SDBack pain · · ✓
SDBrain fog · · ✓
SDDyspnoea · · ✓
SDDyspnoea exertional · · ✓
SDEye swelling · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDMemory impairment · · ✓
SDMyalgia · · ✓
SDNausea · · ✓
SDOffice visit · · ✓
SDOropharyngeal pain · · ✓
SDRespiratory tract congestion · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release