5GW-78609-44039
5 vaccinations
21 coded responses
66 check-ins
20 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 554 / MN
- Registered
- 2021-04-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-11
Dose 1 — Pfizer-BioNTech
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2021-04-12
Registered in v-safe
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2021-04-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Dry mouth — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: dry cough, dry mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Fatigue, Insomnia — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: dry cough, tiredness from some insomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: dry coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: Good · Fatigue or tirednessFree text: dry cough, seasonal allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease, Seasonal allergy — Feeling: Good · Fatigue or tirednessFree text: seasonal allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — day 7, dose 1MedDRA: Cough, Pre-existing disease — Feeling: Good · Fatigue or tirednessFree text: dry cough, seasonal allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Survey response — day 14, dose 1MedDRA: Chills, Dizziness, Hyperhidrosis — Feeling: GoodFree text: one night, woke up to use bathroom, while there became light headed/dizzy, chills and slightly sweating. I laid down on floor for a few minutes and symptoms subsided. I returned to bed. This isnt normal for me. but I dont believe its the vaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Dose 2 — Pfizer-BioNTech
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2021-05-02
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain · HeadacheFree text: injection at 2:30 pm CDT today. check in at 10:30 pm CDT.MedDRA 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 · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-06
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: lowered appetite.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-09
Survey response — day 7, dose 2MedDRA: Adverse reaction — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: replaced stairs to back deck yesterday, so some symptoms may be related to that work, 13 hrs of effort.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-16
- 2021-05-23
- 2021-05-30
- 2021-06-06
- 2021-06-13
- 2021-08-01
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2021-11-01
Survey response — 6 months, dose 2MedDRA: Swelling, Tenderness — Feeling: GoodFree text: In late September a 3mm wide sized bump presented on my left middle finger, distal phalange near the joint with middle phalange, near interphalargral crease, finger print side. only painful with pressure. has not resolved since then.MedDRA releases: 2024-11 · check-in free text available
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2021-12-02
Dose 3 — Moderna
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2021-12-02
Survey response — day 0, dose 3MedDRA: Unevaluable event — Feeling: Good · Site: ItchingFree text: maybe a little stiffness near my neck, left (injection) side.MedDRA releases: 2024-11 · check-in free text available
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2021-12-03
Survey response — days 1–6 daily, dose 3MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessFree text: Stiffness in neckMedDRA releases: 2024-11 · check-in free text available
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2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Presyncope — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Pre-syncopeMedDRA releases: 2024-11 · check-in free text available
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2021-12-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-12-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-01-08
- 2022-01-14
- 2022-03-03
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2022-04-02
Dose 4 — Pfizer-BioNTech
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2022-04-03
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness · HeadacheAdult check-in
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2022-04-04
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness · HeadacheAdult check-in
- 2022-04-05
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2022-04-06
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-04-07
- 2022-04-08
- 2022-04-09
- 2022-04-16
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-14
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2022-07-04
Survey response — 3 months, dose 4MedDRA: Back pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Unrelated to vaccination: back is sore after lifting 32 lbs. bags of lawn fertilizer yesterday and fertilizing the lawn.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-01
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2022-10-28
Dose 5 — Pfizer-BioNTech
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2022-10-28
Survey response — day 0, dose 5MedDRA: No adverse event — Feeling: Good · Site: PainFree text: Just received shot 3 hours ago.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-29
- 2022-10-30
- 2022-10-31
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2022-11-01
Survey response — days 1–6 daily, dose 5MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Site: Pain · Joint painsFree text: Joint pain at shoulder near injection site, but pre existed injection.MedDRA releases: 2024-11 · check-in free text available
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2022-11-02
Survey response — days 1–6 daily, dose 5MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Joint painsFree text: Shoulder, left. joint near injection site.MedDRA releases: 2024-11 · check-in free text available
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2022-11-03
Survey response — days 1–6 daily, dose 5MedDRA: Arthralgia — Feeling: Good · Site: Pain · Joint painsFree text: pain in shoulder jointMedDRA releases: 2024-11 · check-in free text available
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2022-11-04
Survey response — day 7, dose 5MedDRA: Arthralgia — Feeling: Good · Site: Pain · Joint painsFree text: Shoulder joint pain, leftMedDRA releases: 2024-11 · check-in free text available
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2023-01-27
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2023-04-28
Survey response — 6 months, dose 5MedDRA: Dizziness, Emergency care — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-04-28
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
- 2023-05-02
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2023-05-08
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-11 | Pfizer-BioNTech | |
| 2 | 2021-05-02 | Pfizer-BioNTech | |
| 3 | 2021-12-02 | Moderna | No |
| 4 | 2022-04-02 | Pfizer-BioNTech | No |
| 5 | 2022-10-28 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): dry cough, dry mouth
Systemic reaction (other): dry cough, tiredness from some insomnia
Systemic reaction (other): dry cough
Systemic reaction (other): dry cough, seasonal allergies
Systemic reaction (other): seasonal allergies
Release 7 — day 7, dose 1
Systemic reaction (other): dry cough, seasonal allergies
Release 7 — day 14, dose 1
Symptoms: one night, woke up to use bathroom, while there became light headed/dizzy, chills and slightly sweating. I laid down on floor for a few minutes and symptoms subsided. I returned to bed. This isnt normal for me. but I dont believe its the va
Release 8 — day 0, dose 2
Systemic reaction (other): injection at 2:30 pm CDT today. check in at 10:30 pm CDT.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): lowered appetite.
Release 8 — day 7, dose 2
Systemic reaction (other): replaced stairs to back deck yesterday, so some symptoms may be related to that work, 13 hrs of effort.
Release 10 — 6 months, dose 2
Symptoms: In late September a 3mm wide sized bump presented on my left middle finger, distal phalange near the joint with middle phalange, near interphalargral crease, finger print side. only painful with pressure. has not resolved since then.
Release 10 — day 0, dose 3
Systemic reaction (other): maybe a little stiffness near my neck, left (injection) side.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Stiffness in neck
Systemic reaction (other): Pre-syncope
Release 12 — 3 months, dose 4
Symptoms: Unrelated to vaccination: back is sore after lifting 32 lbs. bags of lawn fertilizer yesterday and fertilizing the lawn.
Release 12 — day 0, dose 5
Systemic reaction (other): Just received shot 3 hours ago.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Joint pain at shoulder near injection site, but pre existed injection.
Systemic reaction (other): Shoulder, left. joint near injection site.
Systemic reaction (other): pain in shoulder joint
Release 12 — day 7, dose 5
Systemic reaction (other): Shoulder joint pain, left
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 | Back pain | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Swelling | · | · | ✓ |
| SD | Tenderness | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Presyncope | · | · | ✓ |
| SRO | Seasonal allergy | ✓ | ✓ | ○ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release