4HL-65131-42364
5 vaccinations
6 coded responses
31 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 390 / MS
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Dose 1 — Pfizer-BioNTech
-
2021-03-19
Dose 2 — Pfizer-BioNTech
-
2021-03-20
Registered in v-safe
-
2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Confusional state — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Very mild confusionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
-
2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Ageusia — Feeling: GoodFree text: Forgot to report: Day 1, experienced loss of taste. Symptoms ended on day 2 after receiving 2nd COVID-19 shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-04-16
Survey response — day 28, dose 2MedDRA: Dysstasia, Headache, Insomnia, Pain, Pain in extremity, Rash — Feeling: GoodFree text: Weird sharp pain yesterday lower left leg. Very painful to stand, pain lasted through the night, difficulty sleeping. Took meds, pain was gone today. Experience a rash of unusual headaches last few days always on the left side. Managed with meds.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — day 35, dose 2MedDRA: Amnesia, Eye pain, Headache — Feeling: GoodFree text: Very slight loss of memory and headache with pain behind my left eye. The lasted one day and went away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-06-18
- 2021-09-17
-
2021-12-30
Dose 3 — Pfizer-BioNTech
- 2022-03-19
- 2022-03-31
-
2022-04-04
Dose 4 — Pfizer-BioNTech
- 2022-05-05
- 2022-05-09
- 2022-05-17
- 2022-07-05
-
2022-09-28
Dose 5 — Pfizer-BioNTechCo-administered: Flu:Pneumonia
- 2022-10-03
-
2022-10-03
Survey response — days 1–6 daily, dose 5MedDRA: Abnormal dreams — Feeling: GoodFree text: Strange Realistic Dream the night of the shot!MedDRA releases: 2024-11 · check-in free text available
- 2022-10-04
- 2022-10-07
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
-
2022-12-28
Survey response — 3 months, dose 5MedDRA: Cough, Exposure to SARS-CoV-2, Headache, Pain — 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 · Telehealth, virtual health, or email health consultationFree text: Exposed to Contacted COVID-19 Dec 2 -4. Stayed in bed for two weeks; body aches, head aches, major cough, No Fever! The people I was traveling with for 9 hours in a van, all tested positive for COVID-19. Now 4 weeks after exposure, I still have coughMedDRA releases: 2024-11 · check-in free text available
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2022-12-28
Report sent to call center — 3 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-29
-
2022-12-29
Call successfulCompleted over the phone
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Pfizer-BioNTech | |
| 2 | 2021-03-19 | Pfizer-BioNTech | |
| 3 | 2021-12-30 | Pfizer-BioNTech | No |
| 4 | 2022-04-04 | Pfizer-BioNTech | No |
| 5 | 2022-09-28 | Pfizer-BioNTech | Flu:Pneumonia |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Very mild confusion
Systemic reaction (other): Forgot to report: Day 1, experienced loss of taste. Symptoms ended on day 2 after receiving 2nd COVID-19 shot.
Release 7 — day 28, dose 2
Symptoms: Weird sharp pain yesterday lower left leg. Very painful to stand, pain lasted through the night, difficulty sleeping. Took meds, pain was gone today. Experience a rash of unusual headaches last few days always on the left side. Managed with meds.
Release 7 — day 35, dose 2
Symptoms: Very slight loss of memory and headache with pain behind my left eye. The lasted one day and went away.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Strange Realistic Dream the night of the shot!
Release 12 — 3 months, dose 5
Symptoms: Exposed to Contacted COVID-19 Dec 2 -4. Stayed in bed for two weeks; body aches, head aches, major cough, No Fever! The people I was traveling with for 9 hours in a van, all tested positive for COVID-19. Now 4 weeks after exposure, I still have cough cut off by CDC
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 | Amnesia | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dysstasia | ✓ | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Eye pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Pain | ○ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rash | ○ | ✓ | ○ |
| SRO | Abnormal dreams | · | · | ✓ |
| SRO | Ageusia | ✓ | ✓ | ✓ |
| SRO | Confusional state | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release