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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

  1. 2021-04-08
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-29
    Registered in v-safe
  3. 2021-04-29
    Dose 2 — Pfizer-BioNTech
  4. 2021-04-29
    Survey response — day 0, dose 2
    MedDRA: 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 activities
    Free text: Inflammation of intestines and severe lower lumbar/si joint point
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 visit
    Free 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 door
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-30
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: 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 activities
    Adult check-in
  8. 2021-05-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Insomnia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: 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 activities
    Adult check-in
  10. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: 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 activities
    Adult check-in
  11. 2021-05-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free 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
  12. 2021-05-06
    Health check-in — day 7, dose 2
    Feeling: Poor · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  13. 2021-05-13
    Survey response — day 14, dose 2
    MedDRA: 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 visit
    Free 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 specialist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-13
    Report sent to call center — day 14, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-05-20
    Health check-in — day 21, dose 2
    Feeling: Poor
    Adult check-in
  16. 2021-05-27
    Survey response — day 28, dose 2
    MedDRA: 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 professional
    Free text: Symptoms: Swelling and pain in ribs, scrotal swelling, pain and swelling in knuckles and toe joints, intestinal bleeding and inflammation · Healthcare visit (other): Rheumatologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-27
    Report sent to call center — day 28, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-06-03
    Survey response — day 35, dose 2
    MedDRA: 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 professional
    Free text: Symptoms: Having severe intestinal inflammation, severe fatigue, major muscle aches and joint inflammation. · Healthcare visit (other): In person rheumatologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-06-03
    Report sent to call center — day 35, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-06-10
    Health check-in — day 42, dose 2
    Feeling: Poor
    Adult check-in
  21. 2021-07-31
    Survey response — 3 months, dose 2
    MedDRA: 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 professional
    Free text: Symptoms: C Diff infection, · Healthcare visit (other): Gastroenterologist visit
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  22. 2021-07-31
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  23. 2021-08-04
  24. 2021-08-06
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-04-08Pfizer-BioNTech
22021-04-29Pfizer-BioNTech

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 8 — day 0, dose 2

2021-04-29

Systemic reaction (other): Inflammation of intestines and severe lower lumbar/si joint point

Release 8 — days 1–6 daily, dose 2

2021-04-30

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

2021-05-02

Systemic reaction (other): Insomnia

2021-05-05

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

2021-05-13

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

2021-05-27

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

2021-06-03

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

2021-07-31

Symptoms: C Diff infection,
Healthcare visit (other): Gastroenterologist visit

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDArthritis ✓ ✓ ✓
SDAutoimmune disorder ✓ ✓ ✓
SDClostridium difficile infection ✓ · ✓
SDFatigue ✓ ✓ ✓
SDGastrointestinal inflammation ✓ ✓ ✓
SDInflammation ✓ ✓ ✓
SDIntestinal haemorrhage ✓ ✓ ✓
SDMusculoskeletal chest pain ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDScrotal swelling ✓ ✓ ✓
SDSwelling ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROArthritis ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROGastrointestinal inflammation ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROInflammation ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release