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
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2021-02-08
Dose 1 — Pfizer-BioNTech
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2021-03-01
Dose 2 — Pfizer-BioNTech
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2021-11-01
Dose 3 — Pfizer-BioNTech
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2021-11-04
Registered in v-safe
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2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Muscle or body achesAdult check-in
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2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, DiarrheaAdult check-in
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2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Itching · Fever · Headache, Fatigue or tirednessAdult check-in
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2021-11-08
Health check-in — day 7, dose 3Feeling: Fair · Site: Itching · Fever · Headache, Muscle or body achesAdult check-in
- 2021-11-15
- 2021-11-22
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2021-11-29
Survey response — day 28, dose 3MedDRA: Arthralgia, Back pain, Headache, Nausea, Respiratory tract congestion — Feeling: PoorFree 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
- 2021-12-06
- 2021-12-14
- 2022-01-31
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2022-04-04
Dose 4 — Pfizer-BioNTechCo-administered: Other
- 2022-04-30
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2022-05-02
Survey response — day 28, dose 4MedDRA: Asthenia, Headache, Myalgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Head aches, sore muscles , drained of energyMedDRA releases: 2024-11 · check-in free text available
- 2022-05-09
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2022-05-16
Survey response — day 42, dose 4MedDRA: Headache, Myalgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Lots of headaches and sire muscles at timesMedDRA releases: 2024-11 · check-in free text available
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2022-07-04
Survey response — 3 months, dose 4MedDRA: Eye swelling, Fatigue, Headache, Nausea, Oropharyngeal pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Headaches, enlarged eyes , sore throat, tired, sick to stomachMedDRA releases: 2024-11 · check-in free text available
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2022-10-05
Survey response — 6 months, dose 4MedDRA: 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 visitFree 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
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2022-10-05
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-10-06
Call successfulDoes not wish to fill out VAERS report
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2023-04-04
Survey response — 12 months, dose 4MedDRA: Office visit, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Pfizer-BioNTech | No |
| 2 | 2021-03-01 | Pfizer-BioNTech | No |
| 3 | 2021-11-01 | Pfizer-BioNTech | No |
| 4 | 2022-04-04 | Pfizer-BioNTech | Other |
Call center
1 call center case
1 successful
Free text
Release 10 — day 28, dose 3
Symptoms: Developing shoulder and back muscle pains on left side and stay congested, headaches ans nauseous.
Release 11 — day 28, dose 4
Symptoms: Head aches, sore muscles , drained of energy
Release 11 — day 42, dose 4
Symptoms: Lots of headaches and sire muscles at times
Release 12 — 3 months, dose 4
Symptoms: Headaches, enlarged eyes , sore throat, tired, sick to stomach
Release 12 — 6 months, dose 4
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Eye swelling | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release