6J5-56384-83277
2 vaccinations
8 coded responses
22 check-ins
8 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 26-30
- ZIP prefix
- 462 / IN
- Registered
- 2020-12-18
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-18
Registered in v-safe
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2020-12-18
Dose 1 — Pfizer-BioNTech
- 2020-12-18
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2020-12-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2020-12-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2020-12-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2020-12-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2020-12-23
- 2020-12-25
- 2021-01-03
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2021-01-08
Dose 2 — Pfizer-BioNTech
- 2021-01-08
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2021-01-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-01-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2021-01-11
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus, Rash — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection siteFree text: Had a patchy histaminergic rash last night over entire body with moderate pruritis. Resolved in 2 hours from initial onset.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Dysgeusia — Feeling: Fair · Headache, Fatigue or tirednessFree text: Non productive cough for the past 2 days. Sometimes has metallic taste but no blood or sputum produced.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-13
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Haemoptysis — Feeling: Fair · HeadacheFree text: Nonproductive cough with taste of blood x4 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Fair · Headache, Fatigue or tirednessFree text: Nonproductive coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-15
Survey response — day 7, dose 2MedDRA: Cough, Oropharyngeal pain, Pharyngeal swelling — Feeling: Fair · Headache, Fatigue or tirednessFree text: Sore and swollen throat. Nagging non-productive coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Survey response — day 14, dose 2MedDRA: Dysphagia, Emergency care, Lymphadenopathy, Obstructive airways disorder, Tonsillar hypertrophy — 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 visitFree text: Swollen tonsils starting Jan 13 but thought nothing of it. This progressed over MLK weekend to involve mult lymph nodes and cervical chains. Got severe enough to cause dysphagia and sig. airway restriction. Had to go to ED on 1/19 for IV Decadron.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Report sent to call center — day 14, 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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2021-01-29
Survey response — day 21, dose 2MedDRA: Cough, Dysphagia, Emergency care, Lymphadenopathy, Respiratory disorder, SARS-CoV-2 test negative, Swelling — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Still recovering from post-dose day 5 cervical lymphadenopathy requiring ER treatment for dysphagia/breathing problems. Swelling now improved after IV steroids in ER, but still have nagging cough/bronchitis symptoms. 2 neg COVID tests back then.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
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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2021-02-05
Survey response — day 28, dose 2MedDRA: Cough, Emergency care, Lymphadenopathy — Feeling: FairFree text: Continued nagging cough w/ pain where the lymphadenopathy was that previously required IV dexamethasone and ED treatment.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-19
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2021-05-31
Call successfulCompleted over the phone
- 2022-01-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-18 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Had a patchy histaminergic rash last night over entire body with moderate pruritis. Resolved in 2 hours from initial onset.
Systemic reaction (other): Non productive cough for the past 2 days. Sometimes has metallic taste but no blood or sputum produced.
Systemic reaction (other): Nonproductive cough with taste of blood x4 days
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Nonproductive cough
Release 2 — day 7, dose 2
Systemic reaction (other): Sore and swollen throat. Nagging non-productive cough
Release 2 — day 14, dose 2
Symptoms: Swollen tonsils starting Jan 13 but thought nothing of it. This progressed over MLK weekend to involve mult lymph nodes and cervical chains. Got severe enough to cause dysphagia and sig. airway restriction. Had to go to ED on 1/19 for IV Decadron.
Release 3 — day 21, dose 2
Symptoms: Still recovering from post-dose day 5 cervical lymphadenopathy requiring ER treatment for dysphagia/breathing problems. Swelling now improved after IV steroids in ER, but still have nagging cough/bronchitis symptoms. 2 neg COVID tests back then.
Release 3 — day 28, dose 2
Symptoms: Continued nagging cough w/ pain where the lymphadenopathy was that previously required IV dexamethasone and ED treatment.
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 | Cough | ✓ | ✓ | ✓ |
| SD | Dysphagia | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Obstructive airways disorder | ✓ | ✓ | ✓ |
| SD | Respiratory disorder | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SD | Tonsillar hypertrophy | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Haemoptysis | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release