4YD-19846-08507
4 vaccinations
15 coded responses
41 check-ins
14 free-text entries
6 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 402 / KY
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-04
Registered in v-safe
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2021-02-04
Dose 1 — Pfizer-BioNTech
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2021-02-04
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: FairFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
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2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: GoodFree text: Yes. I had surgery on my left shoulder over a year ago and there has been a return of pai in the area where a screw was placed to hold the muscle in place after it was cut away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
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2021-02-19
Survey response — day 14, dose 1MedDRA: Eye pain — Feeling: GoodFree text: Extreme pain in my left eye.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Dose 2 — Pfizer-BioNTech
- 2021-02-25
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Skin warm — Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: Face feels like it is on fire and extreme dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
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2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Muscle or body achesAdult check-in
- 2021-03-04
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2021-03-11
Survey response — day 14, dose 2MedDRA: Hypoaesthesia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Numbness in left shoulder in area of surgery of November 2019MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
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2021-03-25
Survey response — day 28, dose 2MedDRA: Back pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Back pain more than usual. Wife also. She got 2d shot day before me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — day 35, dose 2MedDRA: Dizziness, Hypersensitivity, Pain, Pre-existing disease — Feeling: FairFree text: For some reason my weekly allergy shots seem to cause me more pain. Also did dizzy spells are mor common.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
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2021-05-27
Survey response — 3 months, dose 2MedDRA: Chest pain, Hospitalisation — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationFree text: Chest pains requiring hospitalization. Stress test and echo plus cath procedures for Friday 28 May 2021.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-27
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-26
Survey response — 6 months, dose 2MedDRA: Back pain, Chest pain, Coronary arterial stent insertion, Dizziness, Emergency care, Fall, Gait inability — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Severe back pain. Pain so bad unable to walk had to call EMS & go to ER. Severe dizziness and have fallen several times. Chest pain. · Healthcare visit (other): Had to have a stent put I. HeartMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-26
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-27
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2021-10-12
Dose 3 — Pfizer-BioNTech
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2022-02-25
Survey response — 12 months, dose 2MedDRA: Arthralgia, Back pain, Fatigue, Rhinorrhoea — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Hip and back pain. Runny nose. Tiredness.MedDRA releases: 2024-11 · check-in free text available
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2022-02-25
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-03-01
Call successfulCompleted over the phone
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2022-03-01
Call successfulCompleted over the phone
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2022-03-04
Call successfulCompleted over the phone
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2022-04-23
Dose 4 — Pfizer-BioNTech
- 2022-04-23
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2022-04-24
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
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2022-04-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Itching · Muscle or body aches, NauseaAdult check-in
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-04-29
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-05-21
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2022-05-30
Survey response — day 35, dose 4MedDRA: Abdominal discomfort — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Upset stomachMedDRA releases: 2024-11 · check-in free text available
- 2022-06-04
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2022-07-23
Survey response — 3 months, dose 4MedDRA: COVID-19 — Feeling: Good · 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: CovidMedDRA releases: 2024-11 · check-in free text available
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2022-07-23
Report sent to call center — 3 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 · 1 call case(s)
- 2022-07-26
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2022-07-27
Callback requested for10:00AM ET
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2022-07-27
Call successfulCompleted over the phone
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2022-10-22
Survey response — 6 months, dose 4MedDRA: Flank pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pain in right side. Possible surgery in the next month on Gallbladder.MedDRA releases: 2024-11 · check-in free text available
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2022-10-22
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-10-25
Call successfulReported to VAERS during previous contact from GDIT
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2023-04-23
Survey response — 12 months, dose 4MedDRA: Dizziness, Loss of consciousness, Unevaluable event — Feeling: Poor · 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 visitMedDRA releases: 2024-11
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2023-04-23
Report sent to call center — 12 months, dose 4Be 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 · 1 call case(s)
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2023-04-24
Call successfulReported to VAERS during previous contact from GDIT
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Pfizer-BioNTech | |
| 2 | 2021-02-25 | Pfizer-BioNTech | |
| 3 | 2021-10-12 | Pfizer-BioNTech | No |
| 4 | 2022-04-23 | Pfizer-BioNTech | No |
Call center
6 call center cases
6 successful
VAERS report filed, before or during a call: 6
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Dizziness
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Yes. I had surgery on my left shoulder over a year ago and there has been a return of pai in the area where a screw was placed to hold the muscle in place after it was cut away.
Release 4 — day 14, dose 1
Symptoms: Extreme pain in my left eye.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Face feels like it is on fire and extreme dizziness
Release 5 — day 14, dose 2
Symptoms: Numbness in left shoulder in area of surgery of November 2019
Release 6 — day 28, dose 2
Symptoms: Back pain more than usual. Wife also. She got 2d shot day before me.
Release 6 — day 35, dose 2
Symptoms: For some reason my weekly allergy shots seem to cause me more pain. Also did dizzy spells are mor common.
Release 8 — 3 months, dose 2
Symptoms: Chest pains requiring hospitalization. Stress test and echo plus cath procedures for Friday 28 May 2021.
Release 9 — 6 months, dose 2
Symptoms: Severe back pain. Pain so bad unable to walk had to call EMS & go to ER. Severe dizziness and have fallen several times. Chest pain.
Healthcare visit (other): Had to have a stent put I. Heart
Release 11 — 12 months, dose 2
Symptoms: Hip and back pain. Runny nose. Tiredness.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Dizziness
Release 11 — day 35, dose 4
Symptoms: Upset stomach
Release 12 — 3 months, dose 4
Symptoms: Covid
Release 12 — 6 months, dose 4
Symptoms: Pain in right side. Possible surgery in the next month on Gallbladder.
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 | Coronary arterial stent insertion | ✓ | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | · | ✓ |
| SD | Eye pain | ✓ | ✓ | ✓ |
| SD | Fall | ✓ | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Flank pain | · | · | ✓ |
| SD | Gait inability | ✓ | · | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Loss of consciousness | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release