6J7-71623-23906
2 vaccinations
5 coded responses
15 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 189 / PA
- 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
- 2021-04-09
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2021-04-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-12
Survey response — days 1–6 daily, dose 1MedDRA: Hyperaesthesia — Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Sensitivity to touch in lower chest/mid-section, mid-back, and backside of arms.MedDRA 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: Paraesthesia — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have pins and needles feeling in my lower chest and stomach, my middle back, and the backsides of my arms. Feels somewhat like rash but no skin discoloration or hivesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Medical counselling, Paraesthesia, Rash, SARS-CoV-2 test — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Still have rash like irritation on lowe chest and stomach, middle back, and back of arms. Like pins and needles feeling · Healthcare visit (other): I went to COVID-19 testing centerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-15
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Skin sensitisation — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Skin sensitivity like a rash on my lower chest and stomach and middle back. No rash or hive on skin surface thoughsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Health check-in — day 7, dose 1Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-30
Dose 2 — Pfizer-BioNTech
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2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-05-08
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2021-05-17
Survey response — day 14, dose 2MedDRA: Fatigue — Feeling: FairFree text: Waves of tiredness. Tiring to easily from activities.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
- 2021-05-28
- 2021-06-12
- 2021-07-30
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2022-02-22
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Pfizer-BioNTech | |
| 2 | 2021-04-30 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Sensitivity to touch in lower chest/mid-section, mid-back, and backside of arms.
Systemic reaction (other): I have pins and needles feeling in my lower chest and stomach, my middle back, and the backsides of my arms. Feels somewhat like rash but no skin discoloration or hives
Systemic reaction (other): Still have rash like irritation on lowe chest and stomach, middle back, and back of arms. Like pins and needles feeling
Healthcare visit (other): I went to COVID-19 testing center
Systemic reaction (other): Skin sensitivity like a rash on my lower chest and stomach and middle back. No rash or hive on skin surface thoughs
Release 8 — day 14, dose 2
Symptoms: Waves of tiredness. Tiring to easily from activities.
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hyperaesthesia | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Skin sensitisation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release