5UG-14359-58128
5 vaccinations
17 coded responses
66 check-ins
13 free-text entries
6 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 601 / IL
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
ZGA-24473-17346
Child or adolescent in my care · Male · 2021-07-19
Timeline
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2021-03-29
Registered in v-safe
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2021-03-29
Dose 1 — Pfizer-BioNTech
- 2021-03-29
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2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-12
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2021-04-19
Dose 2 — Pfizer-BioNTech
- 2021-04-19
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2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-21
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2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Muscle or body achesAdult check-in
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-05-03
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2021-05-10
Survey response — day 21, dose 2MedDRA: Abdominal discomfort — Feeling: FairFree text: Upset stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
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2021-05-24
Survey response — day 35, dose 2MedDRA: Fatigue, Sleep deficit — Feeling: FairFree text: Sleep cycle is reduced and causing fatigue during day time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-31
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2021-07-19
Survey response — 3 months, dose 2MedDRA: Abdominal discomfort, Office visit, Pain, Pruritus, Rash, Self-medication — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Persistent rash on lower part of back of neck, inner side of upper arms and armpit, pain fully itchy for three weeks. Have been using Lotrimin deodorant athletes foot powder spray twice a day. Upset stomach for last four days. Taking Alka Seltzer. · Healthcare visit (other): Discussed during annual physicalMedDRA releases: 2024-11 · check-in free text available
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2021-07-19
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-26
- 2021-07-29
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2021-10-18
Survey response — 6 months, dose 2MedDRA: Arthralgia, Back pain, Rash, Sensitive skin — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Persistent joint pain and lower back pain, as well as a rash in both underarms and back of neck that required prednisone treatment to subside after three months. The healed rash areas are still very sensitive.MedDRA releases: 2024-11 · check-in free text available
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2021-10-18
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-19
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2021-11-13
Dose 3 — Pfizer-BioNTech
- 2021-11-13
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2021-11-14
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate irregular — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body achesFree text: Elevated heartbeat at 103BPM averageMedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
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2021-11-16
Survey response — days 1–6 daily, dose 3MedDRA: Pyrexia, Sleep disorder — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Woke up at 3am with feverMedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
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2021-11-18
Survey response — days 1–6 daily, dose 3MedDRA: Chest pain — Feeling: Good · Fatigue or tirednessFree text: Slight chest painMedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-11-20
- 2021-11-27
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2021-12-04
Survey response — day 21, dose 3MedDRA: Abdominal pain upper, Impaired work ability, Pain, Pyrexia — Feeling: Fair · Be unable to work or attend schoolFree text: Night fever and body pain, stomach pain. Missed one day at work due to low fever.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-11
- 2021-12-18
- 2021-12-25
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2022-02-12
Survey response — 3 months, dose 3MedDRA: Chest pain, Headache, Oropharyngeal pain — Feeling: Fair · Be unable to work or attend schoolFree text: Mild burning feeling in left thoracic area lower side of lung. Headache and mild sore throat but no drainage.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-14
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2022-05-21
Dose 4 — Pfizer-BioNTech
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2022-05-22
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-05-23
Survey response — days 1–6 daily, dose 4MedDRA: Heart rate increased, Pyrexia, Somnolence — Feeling: GoodFree text: First 24 hours after 2nd booster: Avg heart rate: 100 BPM accompanied by high fever, slept all day too. Recovered completely 48 hours after shot.MedDRA releases: 2024-11 · check-in free text available
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2022-05-24
Survey response — days 1–6 daily, dose 4MedDRA: Sleep disorder — Feeling: GoodFree text: Interrupted sleep at night - but not fatigued during day all the same!MedDRA releases: 2024-11 · check-in free text available
- 2022-05-25
- 2022-05-26
- 2022-05-27
- 2022-05-28
- 2022-06-04
- 2022-06-11
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2022-06-18
Survey response — day 28, dose 4MedDRA: Abdominal pain upper, Arthralgia, Fatigue, Myalgia, Pain in extremity — Feeling: GoodFree text: Stomach pain, knee and calf pain, front lower left ribs muscle pain and fatigue for four days last week. Recovered now.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-25
- 2022-07-02
- 2022-08-21
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2022-11-19
Survey response — 6 months, dose 4MedDRA: Hypertension, Mitral valve incompetence, Tricuspid valve incompetence — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Hypertension, mild mitral valve regurgitation, trace tricuspid regurgitation in my heart.MedDRA releases: 2024-11 · check-in free text available
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2022-11-19
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-11-21
Call successfulParticipant prefers to complete VAERS report online
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2022-11-21
Call successfulParticipant prefers to complete VAERS report online
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2022-11-21
Call successfulParticipant prefers to complete VAERS report online
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2022-12-29
Dose 5 — Pfizer-BioNTech
- 2022-12-29
-
2022-12-30
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2022-12-31
- 2023-01-01
- 2023-01-02
- 2023-01-03
- 2023-01-04
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2023-01-07
Survey response — day 7, dose 5MedDRA: Oropharyngeal pain — Feeling: Poor · Fever · Joint pains, Muscle or body achesMedDRA releases: 2024-11
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2023-01-12
Survey response — day 14, dose 5MedDRA: Office visit, Oropharyngeal pain, Viral infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-01-12
Report sent to call center — day 14, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2023-01-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-01-19
- 2023-01-26
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2023-02-02
Survey response — day 35, dose 5MedDRA: Thyroid mass, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-02-02
Report sent to call center — day 35, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-02-03
- 2023-02-09
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2023-03-30
Survey response — 3 months, dose 5MedDRA: Benign neoplasm of thyroid gland, Biopsy thyroid gland abnormal, Pre-existing disease, Pulmonary fibrosis, Surgery, Thyroidectomy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-30
Report sent to call center — 3 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-31
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Pfizer-BioNTech | |
| 2 | 2021-04-19 | Pfizer-BioNTech | |
| 3 | 2021-11-13 | Pfizer-BioNTech | No |
| 4 | 2022-05-21 | Pfizer-BioNTech | No |
| 5 | 2022-12-29 | Pfizer-BioNTech | No |
Call center
6 call center cases
4 successful · 2 unsuccessful
Free text
Release 8 — day 21, dose 2
Symptoms: Upset stomach
Release 8 — day 35, dose 2
Symptoms: Sleep cycle is reduced and causing fatigue during day time.
Release 9 — 3 months, dose 2
Symptoms: Persistent rash on lower part of back of neck, inner side of upper arms and armpit, pain fully itchy for three weeks. Have been using Lotrimin deodorant athletes foot powder spray twice a day. Upset stomach for last four days. Taking Alka Seltzer.
Healthcare visit (other): Discussed during annual physical
Release 10 — 6 months, dose 2
Symptoms: Persistent joint pain and lower back pain, as well as a rash in both underarms and back of neck that required prednisone treatment to subside after three months. The healed rash areas are still very sensitive.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Elevated heartbeat at 103BPM average
Systemic reaction (other): Woke up at 3am with fever
Systemic reaction (other): Slight chest pain
Release 10 — day 21, dose 3
Symptoms: Night fever and body pain, stomach pain. Missed one day at work due to low fever.
Release 11 — 3 months, dose 3
Symptoms: Mild burning feeling in left thoracic area lower side of lung. Headache and mild sore throat but no drainage.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): First 24 hours after 2nd booster: Avg heart rate: 100 BPM accompanied by high fever, slept all day too. Recovered completely 48 hours after shot.
Systemic reaction (other): Interrupted sleep at night - but not fatigued during day all the same!
Release 12 — day 28, dose 4
Symptoms: Stomach pain, knee and calf pain, front lower left ribs muscle pain and fatigue for four days last week. Recovered now.
Release 12 — 6 months, dose 4
Symptoms: Hypertension, mild mitral valve regurgitation, trace tricuspid regurgitation in my heart.
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 | Office visit | · | · | ✓ |
| HCVO | Surgery | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Benign neoplasm of thyroid gland | · | · | ✓ |
| SD | Biopsy thyroid gland abnormal | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Mitral valve incompetence | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Pulmonary fibrosis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sensitive skin | · | · | ✓ |
| SD | Sleep deficit | ✓ | ✓ | ✓ |
| SD | Thyroid mass | · | · | ✓ |
| SD | Thyroidectomy | · | · | ✓ |
| SD | Tricuspid valve incompetence | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Heart rate irregular | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Sleep disorder | · | · | ✓ |
| SRO | Somnolence | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release