4RE-19590-76982
4 vaccinations
15 coded responses
45 check-ins
15 free-text entries
5 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 450 / OH
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
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2021-03-18
Dose 1 — Pfizer-BioNTech
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2021-03-19
Registered in v-safe
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2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia, Middle insomnia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Insomnia last night. Awake all night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
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2021-03-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-25
Health check-in — day 7, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-01
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2021-04-08
Survey response — day 21, dose 1MedDRA: Office visit, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Aching legs and feet. Went to podiatrist today. · Healthcare visit (other): Dr office visit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-13
Dose 2 — Pfizer-BioNTech
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2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-22
Health check-in — day 7, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-27
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2021-05-04
Survey response — day 21, dose 2MedDRA: Pre-existing disease, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Allergies and temperature higher.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Survey response — day 28, dose 2MedDRA: Dry throat, Ear pruritus, Paranasal sinus hypersecretion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sinus drainage, dry throat and itchy ears.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-18
Survey response — day 35, dose 2MedDRA: Feeling hot — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sweaty and hot most of the time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-25
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2021-07-13
Survey response — 3 months, dose 2MedDRA: Arthralgia, Back injury — 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 · Emergency room or emergency department visit, HospitalizationFree text: Broken back and broke wristMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-13
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-07-15
Call successfulDoes not wish to fill out VAERS report
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2021-10-12
Survey response — 6 months, dose 2MedDRA: Blood pressure increased, Spinal fracture, Wrist fracture — 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 · Emergency room or emergency department visit, HospitalizationFree text: Broken back, broken wrist and higher than normal bpMedDRA releases: 2024-11 · check-in free text available
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2021-10-12
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
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2021-10-13
Dose 3 — Pfizer-BioNTechCo-administered: Flu
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2021-10-13
Health check-in — day 0, dose 3Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-13
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2021-10-14
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-18
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-19
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
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2021-10-20
Health check-in — day 7, dose 3Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-27
- 2021-11-03
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2021-11-10
Survey response — day 28, dose 3MedDRA: Blood pressure increased — 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: Elevated blood pressure spikes.MedDRA releases: 2024-11 · check-in free text available
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2021-11-10
Report sent to call center — day 28, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · no matching call case
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2021-11-17
Survey response — day 35, dose 3MedDRA: Blood pressure increased, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Blood pressure spikes , constant headaches above my eyes .MedDRA releases: 2024-11 · check-in free text available
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2021-11-24
Survey response — day 42, dose 3MedDRA: Blood pressure increased — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Elevated blood pressure reading. Sporadic.MedDRA releases: 2024-11 · check-in free text available
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2022-01-12
Survey response — 3 months, dose 3MedDRA: Blood pressure decreased, Blood pressure increased, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Very high and very low blood pressure. Constantly tired.MedDRA releases: 2024-11 · check-in free text available
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2022-04-13
Survey response — 6 months, dose 3MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Major back pain.MedDRA releases: 2024-11 · check-in free text available
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2022-04-13
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
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2022-04-18
Dose 4 — Pfizer-BioNTech
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2022-04-18
Survey response — day 0, dose 4MedDRA: Dizziness — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
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2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-19
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2022-04-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-04-21
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-04-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Good · Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2022-05-02
Survey response — day 14, dose 4MedDRA: Dizziness, Loss of consciousness — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Dizziness and passing out.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-09
- 2022-05-16
- 2022-05-23
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2022-06-01
Survey response — day 42, dose 4MedDRA: Blood pressure increased, Dizziness, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Dizziness, blood pressure spikes have been worsening. · Healthcare visit (other): Drs office.MedDRA releases: 2024-11 · check-in free text available
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2022-06-01
Report sent to call center — day 42, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2022-06-02
Call successfulCompleted over the phone
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2022-06-02
Call successfulCompleted over the phone
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2022-06-02
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Pfizer-BioNTech | |
| 2 | 2021-04-13 | Pfizer-BioNTech | |
| 3 | 2021-10-13 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-18 | Pfizer-BioNTech | No |
Call center
5 call center cases
5 successful
VAERS report filed, before or during a call: 3
1 check-in flagged for a call with no call center case on record
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Insomnia last night. Awake all night.
Release 7 — day 21, dose 1
Symptoms: Aching legs and feet. Went to podiatrist today.
Healthcare visit (other): Dr office visit.
Release 8 — day 21, dose 2
Symptoms: Allergies and temperature higher.
Release 8 — day 28, dose 2
Symptoms: Sinus drainage, dry throat and itchy ears.
Release 8 — day 35, dose 2
Symptoms: Sweaty and hot most of the time.
Release 9 — 3 months, dose 2
Symptoms: Broken back and broke wrist
Release 10 — 6 months, dose 2
Symptoms: Broken back, broken wrist and higher than normal bp
Release 10 — day 28, dose 3
Symptoms: Elevated blood pressure spikes.
Release 10 — day 35, dose 3
Symptoms: Blood pressure spikes , constant headaches above my eyes .
Release 10 — day 42, dose 3
Symptoms: Elevated blood pressure reading. Sporadic.
Release 10 — 3 months, dose 3
Symptoms: Very high and very low blood pressure. Constantly tired.
Release 11 — 6 months, dose 3
Symptoms: Major back pain.
Release 11 — day 0, dose 4
Systemic reaction (other): Dizziness
Release 11 — day 14, dose 4
Symptoms: Dizziness and passing out.
Release 11 — day 42, dose 4
Symptoms: Dizziness, blood pressure spikes have been worsening.
Healthcare visit (other): Drs office.
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back injury | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Blood pressure decreased | · | · | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dry throat | ✓ | ✓ | ✓ |
| SD | Ear pruritus | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Loss of consciousness | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Spinal fracture | · | · | ✓ |
| SD | Wrist fracture | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Middle insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release