4V7-30322-79891
2 vaccinations
17 coded responses
25 check-ins
17 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 104 / NY
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Registered in v-safe
-
2021-03-01
Dose 1 — Pfizer-BioNTech
- 2021-03-01
-
2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Hypoaesthesia eye — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: last night uncontrollable shivers. Left lower eye numbnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite, Feeling abnormal, Hypoaesthesia oral, Muscle twitching — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Occasional twitch /numbness lower left lip. Loss of appetite. Brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Brain fog, Cold-stimulus headache — Feeling: Fair · Site: Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Brain fog, Feeling abnormal — Feeling: Good · Headache, Fatigue or tiredness, Abdominal painFree text: Brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Good · Headache, Fatigue or tirednessFree text: Brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Survey response — day 7, dose 1MedDRA: Asthenopia, Dry mouth, Feeling abnormal — Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessFree text: Brain Fog, tired eyes, dry mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Survey response — day 14, dose 1MedDRA: Abdominal pain upper, Fatigue, Headache, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Body aches, Headache, fatigue, stomach painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Dose 2 — Pfizer-BioNTech
-
2021-03-22
Survey response — day 0, dose 2MedDRA: Arthralgia, Genital pain — Feeling: Good · Site: Pain, Itching · Headache, Joint painsFree text: Occasional sharp pain in my joints and genitaliaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Very loose stools,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea — Feeling: Good · Site: Swelling · Joint pains, Abdominal painFree text: Loose stoolMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Flushing — Feeling: Good · Site: Swelling · Joint painsFree text: FlushingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea — Feeling: Good · Joint pains, Abdominal pain · Be unable to do your normal daily activitiesFree text: Loose stoolsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-03-30
- 2021-04-05
- 2021-04-12
-
2021-04-19
Survey response — day 28, dose 2MedDRA: Cough — Feeling: GoodFree text: Dry CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
-
2021-05-03
Survey response — day 42, dose 2MedDRA: Cough — Feeling: GoodFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-21
Survey response — 3 months, dose 2MedDRA: Cough, Pain in extremity — Feeling: FairFree text: Soreness in arm veins, dry coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-21
Survey response — 6 months, dose 2MedDRA: Cough, Fatigue, Myalgia, Sensitive skin, Vasodilatation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Skin sensitivity. Muscle aches. Extreme fatigue, bulging veins. Intermittent cough.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-24
Survey response — 12 months, dose 2MedDRA: Asthma, Bronchitis — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Bronchitis, asthmaMedDRA releases: 2024-11 · check-in free text available
-
2022-03-24
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
-
2022-03-28
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Pfizer-BioNTech | |
| 2 | 2021-03-22 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): last night uncontrollable shivers. Left lower eye numbness
Systemic reaction (other): Occasional twitch /numbness lower left lip. Loss of appetite. Brain fog
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Brain fog
Systemic reaction (other): Brain fog
Systemic reaction (other): Brain fog
Release 5 — day 7, dose 1
Systemic reaction (other): Brain Fog, tired eyes, dry mouth
Release 5 — day 14, dose 1
Symptoms: Body aches, Headache, fatigue, stomach pain
Release 6 — day 0, dose 2
Systemic reaction (other): Occasional sharp pain in my joints and genitalia
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Very loose stools,
Systemic reaction (other): Loose stool
Systemic reaction (other): Flushing
Systemic reaction (other): Loose stools
Release 7 — day 28, dose 2
Symptoms: Dry Cough
Release 8 — day 42, dose 2
Symptoms: Cough
Release 9 — 3 months, dose 2
Symptoms: Soreness in arm veins, dry cough
Release 9 — 6 months, dose 2
Symptoms: Skin sensitivity. Muscle aches. Extreme fatigue, bulging veins. Intermittent cough.
Release 11 — 12 months, dose 2
Symptoms: Bronchitis, asthma
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Sensitive skin | · | · | ✓ |
| SD | Vasodilatation | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Asthenopia | ✓ | ✓ | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cold-stimulus headache | ✓ | ✓ | ○ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Genital pain | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia eye | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release