6AF-29863-37109
5 vaccinations
12 coded responses
44 check-ins
11 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 106 / NY
- Registered
- 2021-09-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-23
Dose 1 — Pfizer-BioNTech
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2021-02-13
Dose 2 — Pfizer-BioNTech
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2021-09-29
Registered in v-safe
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2021-09-29
Dose 3 — Pfizer-BioNTech
- 2021-09-29
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2021-09-30
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesFree text: The lymph node under my armpit in the arm I received my booster shot feels tender and sore todaMedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Muscle or body achesFree text: Lymph nodes under my armpit on the arm wear I got my shotMedDRA releases: 2024-11 · check-in free text available
- 2021-10-05
- 2021-10-06
- 2021-10-13
- 2021-10-20
- 2021-10-27
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2021-11-03
Survey response — day 35, dose 3MedDRA: Muscle fatigue, Pain, Sensitive skin, Vaccine positive rechallenge — Feeling: Fair · Be unable to do your normal daily activitiesFree text: The achiness after my second and third shots seems to be back, especially after the weather got colder. Sensitive skin on my arm of the shot. Both arms and hands feel fatigued. Going on 2 weeks now (3-4 weeks after booster).MedDRA releases: 2024-11 · check-in free text available
- 2021-11-11
- 2021-12-29
- 2022-03-30
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2022-04-03
Dose 4 — Pfizer-BioNTech
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2022-04-04
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
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2022-04-05
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
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2022-04-06
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
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2022-04-07
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: Swollen lymph nodes extending down my arm.MedDRA releases: 2024-11 · check-in free text available
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2022-04-08
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
- 2022-04-09
- 2022-04-10
- 2022-04-17
- 2022-04-24
- 2022-05-01
- 2022-05-08
- 2022-05-15
- 2022-07-03
- 2022-10-02
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2022-10-07
Dose 5 — Pfizer-BioNTech
- 2022-10-07
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2022-10-08
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-10-09
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-10
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-14
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2022-10-21
Survey response — day 14, dose 5MedDRA: Arthralgia, Rhinorrhoea, Sinus congestion — Feeling: FairFree text: Runny nose, sinus congestion, achy jointsMedDRA releases: 2024-11 · check-in free text available
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2022-10-28
Survey response — day 21, dose 5MedDRA: COVID-19, Headache, Nasal congestion, Pain — 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 consultationFree text: I had COVID. Nasal congestion, headache and body aches.MedDRA releases: 2024-11 · check-in free text available
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2022-10-28
Report sent to call center — day 21, dose 5Be 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 · 1 call case(s)
- 2022-11-01
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2022-11-04
Survey response — day 28, dose 5MedDRA: Headache — Feeling: GoodFree text: HeadachesMedDRA releases: 2024-11 · check-in free text available
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2022-11-04
Call successfulParticipant prefers to complete VAERS report online
- 2022-11-11
- 2022-11-18
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2023-01-06
Survey response — 3 months, dose 5MedDRA: Sinusitis — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Pfizer-BioNTech | No |
| 2 | 2021-02-13 | Pfizer-BioNTech | No |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
| 4 | 2022-04-03 | Pfizer-BioNTech | No |
| 5 | 2022-10-07 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): The lymph node under my armpit in the arm I received my booster shot feels tender and sore toda
Systemic reaction (other): Lymph nodes under my armpit on the arm wear I got my shot
Release 10 — day 35, dose 3
Symptoms: The achiness after my second and third shots seems to be back, especially after the weather got colder. Sensitive skin on my arm of the shot. Both arms and hands feel fatigued. Going on 2 weeks now (3-4 weeks after booster).
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen lymph nodes
Systemic reaction (other): Swollen lymph nodes
Systemic reaction (other): Swollen lymph nodes
Systemic reaction (other): Swollen lymph nodes extending down my arm.
Systemic reaction (other): Swollen lymph nodes
Release 12 — day 14, dose 5
Symptoms: Runny nose, sinus congestion, achy joints
Release 12 — day 21, dose 5
Symptoms: I had COVID. Nasal congestion, headache and body aches.
Release 12 — day 28, dose 5
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 | Arthralgia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Muscle fatigue | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sensitive skin | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Vaccine positive rechallenge | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release