4NZ-32389-26875
3 vaccinations
8 coded responses
37 check-ins
8 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 852 / AZ
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-18
Registered in v-safe
-
2021-02-18
Dose 1 — Pfizer-BioNTech
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-03-04
-
2021-03-11
Dose 2 — Pfizer-BioNTech
- 2021-03-11
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
-
2021-04-02
Survey response — day 21, dose 2MedDRA: Abdominal discomfort, Chills, Dizziness — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Stomach irritation; body swings in feeling chills; light headed at timesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-08
Survey response — day 28, dose 2MedDRA: Headache — Feeling: FairFree text: Low level re-occurring headache. Some days it's constant. I take a daily aspirin (81 mg) per Dr orders as a blood thinner. So I can only use ibuprofen or alleve 1x per day at lest 8 hrs after the aspirin. Nothing so far has eliminated the headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-22
- 2021-06-10
-
2021-06-14
Call successfulParticipant prefers to complete VAERS report online
- 2021-09-11
-
2021-09-27
Dose 3 — Pfizer-BioNTech
- 2021-09-30
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-11
- 2021-10-18
-
2021-10-25
Survey response — day 28, dose 3MedDRA: Discomfort, Musculoskeletal pain — Feeling: GoodFree text: Discomfort and pain where butt cheeks come togetherMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — day 35, dose 3MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Lower back painMedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
-
2021-12-27
Survey response — 3 months, dose 3MedDRA: Nasal congestion, Pre-existing disease, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Constant ringing in my ears. Stuffy nose and blocked nasal passages from pollen allergy.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-27
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-12-28
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-03-28
Survey response — 6 months, dose 3MedDRA: Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Continued ringing in my ears (tinnitus). It never stops. Ringing 24/7MedDRA releases: 2024-11 · check-in free text available
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2022-03-28
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-29
-
2022-04-26
Call successfulParticipant prefers to complete VAERS report online
-
2022-09-27
Survey response — 12 months, dose 3MedDRA: Limb injury, Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: Injured left foot. Nothing Covid related though · Healthcare visit (other): SurgeryMedDRA releases: 2024-11 · check-in free text available
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2022-09-27
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-09-29
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Pfizer-BioNTech | |
| 2 | 2021-03-11 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
Call center
4 call center cases
4 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Light headed
Release 6 — day 21, dose 2
Symptoms: Stomach irritation; body swings in feeling chills; light headed at times
Release 7 — day 28, dose 2
Symptoms: Low level re-occurring headache. Some days it's constant. I take a daily aspirin (81 mg) per Dr orders as a blood thinner. So I can only use ibuprofen or alleve 1x per day at lest 8 hrs after the aspirin. Nothing so far has eliminated the headache. cut off by CDC
Release 10 — day 28, dose 3
Symptoms: Discomfort and pain where butt cheeks come together
Release 10 — day 35, dose 3
Symptoms: Lower back pain
Release 10 — 3 months, dose 3
Symptoms: Constant ringing in my ears. Stuffy nose and blocked nasal passages from pollen allergy.
Release 11 — 6 months, dose 3
Symptoms: Continued ringing in my ears (tinnitus). It never stops. Ringing 24/7
Release 12 — 12 months, dose 3
Symptoms: Injured left foot. Nothing Covid related though
Healthcare visit (other): Surgery
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 | Surgery | · | · | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Limb injury | · | · | ✓ |
| SD | Musculoskeletal pain | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release