5HN-17091-01133
2 vaccinations
4 coded responses
23 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 430 / OH
- Registered
- 2021-08-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-22
Call successfulParticipant prefers to complete VAERS report online
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2021-08-06
Registered in v-safe
-
2021-08-06
Dose 1 — Pfizer-BioNTech
- 2021-08-06
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2021-08-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-08-08
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness, NauseaFree text: Light headedMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-08-10
- 2021-08-11
- 2021-08-12
- 2021-08-13
- 2021-08-20
-
2021-08-27
Dose 2 — Pfizer-BioNTech
- 2021-08-27
- 2021-08-28
- 2021-08-29
- 2021-08-30
- 2021-08-31
- 2021-09-01
- 2021-09-03
- 2021-09-10
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2021-09-17
Survey response — day 21, dose 2MedDRA: Dizziness — Feeling: GoodFree text: Beginning on Sunday night, I have felt dizzy, almost like I have vertigo or lost my balance. I felt that way for about 3 days. I do fell much better today.MedDRA releases: 2024-11 · check-in free text available
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2021-09-24
Survey response — day 28, dose 2MedDRA: Dizziness, Vertigo — Feeling: GoodFree text: I have been battling what feels like dizziness or vertigo since Sunday, September 12th. It seems like it is getting better today, but I have had a few spells of relief before it come back again.MedDRA releases: 2024-11 · check-in free text available
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2021-10-01
Survey response — day 35, dose 2MedDRA: Chest pain, Dizziness, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Very dizzy. Im scheduled to see cardiologist on Monday for dizziness as what feels like vertigo. Also experiencing tiredness, and chest pain. Chest pain is about a 2 on scare of 10. But still getting looked at. · Healthcare visit (other): Going to see cardiologist on Monday.MedDRA releases: 2024-11 · check-in free text available
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2021-10-01
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-08
- 2021-11-26
- 2022-02-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-06 | Pfizer-BioNTech | No |
| 2 | 2021-08-27 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Light headed
Release 9 — day 21, dose 2
Symptoms: Beginning on Sunday night, I have felt dizzy, almost like I have vertigo or lost my balance. I felt that way for about 3 days. I do fell much better today.
Release 9 — day 28, dose 2
Symptoms: I have been battling what feels like dizziness or vertigo since Sunday, September 12th. It seems like it is getting better today, but I have had a few spells of relief before it come back again.
Release 9 — day 35, dose 2
Symptoms: Very dizzy. Im scheduled to see cardiologist on Monday for dizziness as what feels like vertigo. Also experiencing tiredness, and chest pain. Chest pain is about a 2 on scare of 10. But still getting looked at.
Healthcare visit (other): Going to see cardiologist on Monday.
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 | Unevaluable event | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Dizziness | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release