62U-18783-44337
2 vaccinations
22 coded responses
23 check-ins
22 free-text entries
7 call cases
- Sex
- —
- Age at first dose
- 31-35
- ZIP prefix
- 040 / ME
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-09
Registered in v-safe
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2021-04-09
Dose 1 — Pfizer-BioNTech
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2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Light headednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Light headed, dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: DizzinessMedDRA 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: Dizziness, Syncope — Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Dizzy, fainting feelingMedDRA 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: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — day 7, dose 1MedDRA: Ageusia, Anosmia, Dizziness — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Dizziness, intermittent loss of taste and smellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — day 14, dose 1MedDRA: Dizziness, Fall — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Worse dizziness leading to two falls and worsenedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Dose 2 — Pfizer-BioNTech
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2021-04-30
Survey response — day 0, dose 2MedDRA: Loss of consciousness — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: Passed outMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Coordination abnormal, Cough, Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Wheezy cough, dizziness/lack of coordinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Feeling abnormal — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Alice in wonderland syndrome, brain fog, dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Survey response — days 1–6 daily, dose 2MedDRA: Alice in wonderland syndrome, Asthenia, Feeling abnormal — Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Alice in wonderland syndrome, brain fog, weaknessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Lower respiratory tract infection, Pre-existing disease — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Alice in wonderland syndrome, chest coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Poor · Site: Itching · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: Alice in wonderland syndrome, brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Survey response — day 7, dose 2MedDRA: Unevaluable event — Feeling: Poor · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Alice in wonderland syndromeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Survey response — day 14, dose 2MedDRA: Arrhythmia, Arthralgia, Brain fog, Emergency care — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Joint pain, brain fog, heart arrhythmia, had to visit ERMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Survey response — day 21, dose 2MedDRA: Anaphylactic reaction — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: AnaphylaxisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Report sent to call center — day 21, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-28
Survey response — day 28, dose 2MedDRA: Anaphylactic reaction, Cough — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Anaphylaxis, chesty coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Report sent to call center — day 28, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-05
Survey response — day 35, dose 2MedDRA: Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Increased number of anaphylaxis, heightened allergies and need for an inhalerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-05
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-11
Survey response — day 42, dose 2MedDRA: Asthma — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: AsthmaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-11
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-21
Call successfulCompleted over the phone
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2021-08-01
Survey response — 3 months, dose 2MedDRA: Ageusia, Anaphylactic reaction, Brain fog, Confusional state, Dizziness, Dyspnoea, Gait disturbance, Hypersensitivity, Nausea, Palpitations, Parosmia, Pre-existing disease, Tremor, Vertigo — 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 visitFree text: Shaking hands uncontrollably, anaphylaxis, vertigo, nausea, loss of taste, smelling burnt plastic, heart palpitations, faintness, brain fog, increased allergic responses, shortness of breath, confusion, difficulty walkingMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-01
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-12
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2021-10-29
Survey response — 6 months, dose 2MedDRA: Anaphylactic reaction, Ataxia, Cognitive disorder, Condition aggravated, Dizziness, Joint dislocation, Mastocytosis, Office visit, Pain, Pre-existing disease — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Diagnosis of mastocytosis from physician. Increase in hEDS symptoms- thumb and scapula dislocating. Anaphylaxis from environmental trigger. Chronic fatigue, feelings of faintness, loss of muscle control, full-body ache, cognitive issues. Not workingMedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-05
Call successfulCompleted over the phone
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2022-04-30
Survey response — 12 months, dose 2MedDRA: Presyncope — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Vaso vagal while drivingMedDRA releases: 2024-11 · check-in free text available
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2022-04-30
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-05-02
- 2022-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Pfizer-BioNTech | |
| 2 | 2021-04-30 | Pfizer-BioNTech |
Call center
7 call center cases
6 successful · 1 unsuccessful
VAERS report filed, before or during a call: 7
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Light headedness
Systemic reaction (other): Light headed, dizzy
Systemic reaction (other): Dizziness
Systemic reaction (other): Dizzy, fainting feeling
Systemic reaction (other): Dizziness
Release 7 — day 7, dose 1
Systemic reaction (other): Dizziness, intermittent loss of taste and smell
Release 7 — day 14, dose 1
Symptoms: Worse dizziness leading to two falls and worsened
Release 8 — day 0, dose 2
Systemic reaction (other): Passed out
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Wheezy cough, dizziness/lack of coordination
Systemic reaction (other): Alice in wonderland syndrome, brain fog, dizziness
Systemic reaction (other): Alice in wonderland syndrome, brain fog, weakness
Systemic reaction (other): Alice in wonderland syndrome, chest cough
Systemic reaction (other): Alice in wonderland syndrome, brain fog
Release 8 — day 7, dose 2
Systemic reaction (other): Alice in wonderland syndrome
Release 8 — day 14, dose 2
Symptoms: Joint pain, brain fog, heart arrhythmia, had to visit ER
Release 8 — day 21, dose 2
Symptoms: Anaphylaxis
Release 8 — day 28, dose 2
Symptoms: Anaphylaxis, chesty cough
Release 8 — day 35, dose 2
Symptoms: Increased number of anaphylaxis, heightened allergies and need for an inhaler
Release 9 — day 42, dose 2
Symptoms: Asthma
Release 9 — 3 months, dose 2
Symptoms: Shaking hands uncontrollably, anaphylaxis, vertigo, nausea, loss of taste, smelling burnt plastic, heart palpitations, faintness, brain fog, increased allergic responses, shortness of breath, confusion, difficulty walking
Release 10 — 6 months, dose 2
Symptoms: Diagnosis of mastocytosis from physician. Increase in hEDS symptoms- thumb and scapula dislocating. Anaphylaxis from environmental trigger. Chronic fatigue, feelings of faintness, loss of muscle control, full-body ache, cognitive issues. Not working cut off by CDC
Release 11 — 12 months, dose 2
Symptoms: Vaso vagal while driving
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 | Ageusia | ✓ | · | ✓ |
| SD | Anaphylactic reaction | ✓ | ✓ | ✓ |
| SD | Arrhythmia | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthma | ✓ | ✓ | ✓ |
| SD | Ataxia | · | · | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Cognitive disorder | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Confusional state | ✓ | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | · | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Fall | ✓ | ✓ | ✓ |
| SD | Gait disturbance | ✓ | · | ✓ |
| SD | Hypersensitivity | ✓ | · | ✓ |
| SD | Joint dislocation | · | · | ✓ |
| SD | Mastocytosis | · | · | ✓ |
| SD | Nausea | ✓ | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Palpitations | ✓ | · | ✓ |
| SD | Parosmia | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Presyncope | · | · | ✓ |
| SD | Tremor | ✓ | · | ✓ |
| SD | Vertigo | ✓ | · | ✓ |
| SRO | Ageusia | ✓ | ✓ | ✓ |
| SRO | Alice in wonderland syndrome | ✓ | ✓ | ✓ |
| SRO | Anosmia | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Coordination abnormal | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Loss of consciousness | ✓ | ✓ | ✓ |
| SRO | Lower respiratory tract infection | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Syncope | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release