5SD-19037-22042
4 vaccinations
10 coded responses
30 check-ins
9 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 550 / MN
- Registered
- 2021-04-24
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
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2021-04-03
Dose 1 — Pfizer-BioNTech
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2021-04-24
Registered in v-safe
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2021-04-24
Dose 2 — Pfizer-BioNTech
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2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Extreme numbness in arms and legsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
- 2021-05-16
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2021-05-23
Survey response — day 28, dose 2MedDRA: Muscle spasms, Self-medication — Feeling: GoodFree text: Some minor cramping in both legs, but alleviated it with baby aspirin.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-29
- 2021-06-05
- 2021-07-27
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2021-10-27
Survey response — 6 months, dose 2MedDRA: Back pain, Neck pain, Pain in extremity — Feeling: Fair · Be unable to work or attend schoolFree text: Sharp pains in my back,neck and legs.MedDRA releases: 2024-11 · check-in free text available
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2021-11-18
Dose 3 — Pfizer-BioNTech
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2021-11-22
Survey response — days 1–6 daily, dose 3MedDRA: Muscular weakness, Thinking abnormal — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Weakness in arms and legs,moderate thinking issuesMedDRA releases: 2024-11 · check-in free text available
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2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-27
Health check-in — day 7, dose 3Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-03
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2021-12-10
Survey response — day 21, dose 3MedDRA: Acne, Asthenia, Furuncle, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Very weak for a day then fine for 2-3 days also experiencing some boils or acne flare-ups on both sides of my legs but one goes away on one side then comes back on the other leg or buttocks area. Kind of weird.MedDRA releases: 2024-11 · check-in free text available
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2021-12-16
Survey response — day 28, dose 3MedDRA: Blister, Scab, Skin lesion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Continue to get oil bubble lesions on my legs and buttocks, two aren't healing very well and one on my left leg is still scabbed up.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-23
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2021-12-30
Survey response — day 42, dose 3MedDRA: Impaired healing, Mass — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Reoccurence of large oil lumps,still waiting for 3 of them to heal,2 have fully healed.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-17
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2022-05-19
Survey response — 6 months, dose 3MedDRA: Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Headaches getting more consistant, not sure if related to the shotsMedDRA releases: 2024-11 · check-in free text available
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2022-05-19
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
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2022-05-23
Callback requested for03:20PM ET
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2022-05-26
Call successfulCompleted over the phone
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2022-10-07
Dose 4 — Pfizer-BioNTech
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2022-10-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Joint painsAdult check-in
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2022-10-12
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-13
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2022-10-14
Health check-in — day 7, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
- 2022-10-21
- 2022-10-28
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2022-11-04
Survey response — day 28, dose 4MedDRA: Headache — Feeling: FairFree text: HeadachesMedDRA releases: 2024-11 · check-in free text available
- 2022-11-11
- 2022-11-18
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2023-01-06
Survey response — 3 months, dose 4MedDRA: Dry skin, Pruritus — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-03 | Pfizer-BioNTech | |
| 2 | 2021-04-24 | Pfizer-BioNTech | |
| 3 | 2021-11-18 | Pfizer-BioNTech | No |
| 4 | 2022-10-07 | 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 2
Systemic reaction (other): Extreme numbness in arms and legs
Release 8 — day 28, dose 2
Symptoms: Some minor cramping in both legs, but alleviated it with baby aspirin.
Release 10 — 6 months, dose 2
Symptoms: Sharp pains in my back,neck and legs.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Weakness in arms and legs,moderate thinking issues
Release 10 — day 21, dose 3
Symptoms: Very weak for a day then fine for 2-3 days also experiencing some boils or acne flare-ups on both sides of my legs but one goes away on one side then comes back on the other leg or buttocks area. Kind of weird.
Release 10 — day 28, dose 3
Symptoms: Continue to get oil bubble lesions on my legs and buttocks, two aren't healing very well and one on my left leg is still scabbed up.
Release 10 — day 42, dose 3
Symptoms: Reoccurence of large oil lumps,still waiting for 3 of them to heal,2 have fully healed.
Release 11 — 6 months, dose 3
Symptoms: Headaches getting more consistant, not sure if related to the shots
Release 12 — day 28, dose 4
Symptoms: Headaches
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 | Acne | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Blister | · | · | ✓ |
| SD | Dry skin | · | · | ✓ |
| SD | Furuncle | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Impaired healing | · | · | ✓ |
| SD | Mass | · | · | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Scab | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Skin lesion | · | · | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | · | · | ✓ |
| SRO | Thinking abnormal | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release