556-18842-97581
1 vaccination
6 coded responses
15 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 16-20
- ZIP prefix
- 105 / NY
- Registered
- 2021-06-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-14
Registered in v-safe
-
2021-06-14
Dose 1 — Pfizer-BioNTech
- 2021-06-14
- 2021-06-15
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2021-06-16
Survey response — days 1–6 daily, dose 1MedDRA: Middle insomnia, Oropharyngeal pain, Tongue movement disturbance — Feeling: Poor · Rash, not including the immediate area around the injection site · Be unable to work or attend schoolFree text: I had a mild sore throat when going to bed and woke up with the most painful sore throat I have ever had in my life. I couldn't even move my tongueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-17
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2021-06-18
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion — Feeling: Good · Fatigue or tirednessFree text: Stuffy noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-19
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: PoorFree text: Intense coughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-20
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion — Feeling: GoodFree text: Stuffy NOSEMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-21
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2021-06-28
Survey response — day 14, dose 1MedDRA: Back pain, Headache, Neck pain, Sleep disorder — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I've gotten very sick in the past few days. Constant headaches, neck and back pain I've been bedridden and practically unable to sleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-05
Survey response — day 21, dose 1MedDRA: Arthralgia, Decreased appetite, Headache, Influenza, Mobility decreased, Neck pain, Pyrexia — 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: I was bedridden with a high fever, constant head, neck, and shoulder pain, a lack of appetite, and general suffering for an entire 5 days. I got the fluMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-05
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-08
Call successfulCompleted over the phone
- 2021-07-12
- 2021-07-21
- 2021-07-26
- 2021-09-13
- 2021-12-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-14 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): I had a mild sore throat when going to bed and woke up with the most painful sore throat I have ever had in my life. I couldn't even move my tongue
Systemic reaction (other): Stuffy nose
Systemic reaction (other): Intense coughing
Systemic reaction (other): Stuffy NOSE
Release 9 — day 14, dose 1
Symptoms: I've gotten very sick in the past few days. Constant headaches, neck and back pain I've been bedridden and practically unable to sleep
Release 9 — day 21, dose 1
Symptoms: I was bedridden with a high fever, constant head, neck, and shoulder pain, a lack of appetite, and general suffering for an entire 5 days. I got the flu
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Middle insomnia | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Tongue movement disturbance | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release