53M-69312-54880
3 vaccinations
8 coded responses
25 check-ins
8 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 606 / IL
- Registered
- 2021-05-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-08
Dose 1 — Pfizer-BioNTech
-
2021-05-01
Dose 2 — Pfizer-BioNTech
-
2021-05-03
Registered in v-safe
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2021-05-03
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, NauseaFree text: Tinnitus,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: Tinnitus left earMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: TinnitusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Survey response — day 7, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: TinnitusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-06-14
- 2021-08-02
- 2021-10-30
-
2021-11-20
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-11-20
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2021-11-21
Survey response — days 1–6 daily, dose 3MedDRA: Chest pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Chest painMedDRA releases: 2024-11 · check-in free text available
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-11-27
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2021-12-04
Survey response — day 14, dose 3MedDRA: Chest pain, Condition aggravated, Palpitations, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Palpitations, chest pain, worsening gerdMedDRA releases: 2024-11 · check-in free text available
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2021-12-04
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-08
- 2021-12-13
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2021-12-18
Survey response — day 28, dose 3MedDRA: Extrasystoles — Feeling: FairFree text: Worsening ectopic beatsMedDRA releases: 2024-11 · check-in free text available
- 2022-01-01
- 2022-02-19
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2022-05-22
Survey response — 6 months, dose 3MedDRA: Gallbladder disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Gall bladder issuesMedDRA releases: 2024-11 · check-in free text available
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2022-05-22
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-23
- 2022-05-23
- 2022-11-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Pfizer-BioNTech | |
| 2 | 2021-05-01 | Pfizer-BioNTech | |
| 3 | 2021-11-20 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-04 | Unsuccessful | |
| 2022-05-22 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Tinnitus,
Systemic reaction (other): Tinnitus left ear
Systemic reaction (other): Tinnitus
Release 8 — day 7, dose 2
Systemic reaction (other): Tinnitus
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Chest pain
Release 10 — day 14, dose 3
Symptoms: Palpitations, chest pain, worsening gerd
Release 10 — day 28, dose 3
Symptoms: Worsening ectopic beats
Release 11 — 6 months, dose 3
Symptoms: Gall bladder issues
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 | Chest pain | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Extrasystoles | · | · | ✓ |
| SD | Gallbladder disorder | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release