527-31075-83278
2 vaccinations
8 coded responses
14 check-ins
8 free-text entries
5 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 781 / TX
- Registered
- 2021-04-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-08
Dose 1 — Pfizer-BioNTech
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2021-04-29
Registered in v-safe
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2021-04-29
Dose 2 — Pfizer-BioNTech
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2021-04-29
Survey response — day 0, dose 2MedDRA: Arthritis, Back pain, Gastrointestinal inflammation, Inflammation — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Inflammation of intestines and severe lower lumbar/si joint pointMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Back pain, Hyperhidrosis, Office visit — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Systemic reaction (other): Excessive sweating, severe back pain, severe joint pain, had a doctors appointment and they sent me to emergency clinic · Healthcare visit (other): Started with regular doctors visit and was taken to emergency dept next doorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: InsomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Employer not allowing me to return to work until physician sign off, but physician wont sign off as all they can tell me is Ive had an exaggerated response to this vaccine. Trying to get into a rheumatologist. Still 6 weeks out. Been unable to work since 36 hours after first dose. After second dose issues exacerbated. What am I supposed to do here? This is going to cost me my freaking job.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Health check-in — day 7, dose 2Feeling: Poor · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-13
Survey response — day 14, dose 2MedDRA: Autoimmune disorder, Office visit — Feeling: Poor · Be unable to work, 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: Vaccine has activated an unknown to me auto immune condition. Waiting for test results to identify the exact condition. · Healthcare visit (other): Rheumatologist, pain management specialist, spinal specialistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Report sent to call center — day 14, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-20
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2021-05-27
Survey response — day 28, dose 2MedDRA: Arthralgia, Inflammation, Intestinal haemorrhage, Musculoskeletal chest pain, Office visit, Scrotal swelling, Swelling — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Swelling and pain in ribs, scrotal swelling, pain and swelling in knuckles and toe joints, intestinal bleeding and inflammation · Healthcare visit (other): RheumatologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-27
Report sent to call center — day 28, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-03
Survey response — day 35, dose 2MedDRA: Arthritis, Fatigue, Gastrointestinal inflammation, Myalgia, Office visit — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Having severe intestinal inflammation, severe fatigue, major muscle aches and joint inflammation. · Healthcare visit (other): In person rheumatologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-10
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2021-07-31
Survey response — 3 months, dose 2MedDRA: Clostridium difficile infection, Office visit — 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 professionalFree text: Symptoms: C Diff infection, · Healthcare visit (other): Gastroenterologist visitMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-31
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)
- 2021-08-04
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2021-08-06
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Pfizer-BioNTech | |
| 2 | 2021-04-29 | Pfizer-BioNTech |
Call center
5 call center cases
5 successful
Free text
Release 8 — day 0, dose 2
Systemic reaction (other): Inflammation of intestines and severe lower lumbar/si joint point
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Excessive sweating, severe back pain, severe joint pain, had a doctors appointment and they sent me to emergency clinic
Healthcare visit (other): Started with regular doctors visit and was taken to emergency dept next door
Systemic reaction (other): Insomnia
Systemic reaction (other): Employer not allowing me to return to work until physician sign off, but physician wont sign off as all they can tell me is Ive had an exaggerated response to this vaccine. Trying to get into a rheumatologist. Still 6 weeks out. Been unable to work since 36 hours after first dose. After second dose issues exacerbated. What am I supposed to do here? This is going to cost me my freaking job.
Release 8 — day 14, dose 2
Symptoms: Vaccine has activated an unknown to me auto immune condition. Waiting for test results to identify the exact condition.
Healthcare visit (other): Rheumatologist, pain management specialist, spinal specialist
Release 8 — day 28, dose 2
Symptoms: Swelling and pain in ribs, scrotal swelling, pain and swelling in knuckles and toe joints, intestinal bleeding and inflammation
Healthcare visit (other): Rheumatologist
Release 8 — day 35, dose 2
Symptoms: Having severe intestinal inflammation, severe fatigue, major muscle aches and joint inflammation.
Healthcare visit (other): In person rheumatologist
Release 9 — 3 months, dose 2
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 | Arthritis | ✓ | ✓ | ✓ |
| SD | Autoimmune disorder | ✓ | ✓ | ✓ |
| SD | Clostridium difficile infection | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastrointestinal inflammation | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Intestinal haemorrhage | ✓ | ✓ | ✓ |
| SD | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Scrotal swelling | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Arthritis | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Gastrointestinal inflammation | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Inflammation | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release