6QC-17455-06802
4 vaccinations
6 coded responses
48 check-ins
6 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 145 / NY
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Pfizer-BioNTech
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
-
2021-02-04
Survey response — day 7, dose 1MedDRA: Insomnia — Feeling: GoodFree text: I am not sleeping well, waking up every hour or so and not being able to get back to sleep after 5 am. It has gone on 4-5 nights and is not normal for meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Survey response — day 14, dose 1MedDRA: Hyperaesthesia teeth — Feeling: GoodFree text: My teeth are very sensitiveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Dose 2 — Pfizer-BioNTech
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-03-04
- 2021-03-13
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-05-20
- 2021-08-22
-
2021-10-12
Dose 3 — Pfizer-BioNTech
-
2021-10-17
Survey response — days 1–6 daily, dose 3MedDRA: Oropharyngeal pain — Feeling: GoodFree text: sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-10-18
- 2021-10-19
- 2021-10-26
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
-
2022-01-11
Survey response — 3 months, dose 3MedDRA: Cough, Ear pain, Oropharyngeal pain, SARS-CoV-2 test positive, Taste disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Severe sore throat and ears and cough. Tested positive for Covid-19 with at home test. I am getting better but my taste is offMedDRA releases: 2024-11 · check-in free text available
- 2022-04-12
- 2022-10-13
-
2022-11-08
Dose 4 — Pfizer-BioNTech
- 2022-11-08
-
2022-11-09
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2022-11-10
- 2022-11-11
- 2022-11-12
-
2022-11-14
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Muscle or body aches, Abdominal painAdult check-in
- 2022-11-15
-
2022-11-22
Survey response — day 14, dose 4MedDRA: Condition aggravated, Emergency care, Hypoaesthesia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Nov 18 went to the ER with knubness on my left side. CT and neuro exam did not look like a stroke. I have peripheral neoropathy from GBS in 1957. It appears to me that the vaccine aggrevated my neoropathy. Still having slight numbness.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-22
Report sent to call center — day 14, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-11-25
Call successfulParticipant prefers to complete VAERS report online
- 2022-11-29
-
2022-12-06
Survey response — day 28, dose 4MedDRA: Hypoaesthesia, Muscle tightness, Musculoskeletal stiffness, Neuralgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: The numbness increased from last week. Actually what I called numbness is a sensation without external stimulus. It could be described as a stiffness or tightness, or nerve static.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-06
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-07
-
2022-12-07
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-12-22
- 2023-02-07
- 2023-05-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Pfizer-BioNTech | |
| 2 | 2021-02-18 | Pfizer-BioNTech | |
| 3 | 2021-10-12 | Pfizer-BioNTech | No |
| 4 | 2022-11-08 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): I am not sleeping well, waking up every hour or so and not being able to get back to sleep after 5 am. It has gone on 4-5 nights and is not normal for me
Release 4 — day 14, dose 1
Symptoms: My teeth are very sensitive
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): sore throat
Release 10 — 3 months, dose 3
Symptoms: Severe sore throat and ears and cough. Tested positive for Covid-19 with at home test. I am getting better but my taste is off
Release 12 — day 14, dose 4
Symptoms: Nov 18 went to the ER with knubness on my left side. CT and neuro exam did not look like a stroke. I have peripheral neoropathy from GBS in 1957. It appears to me that the vaccine aggrevated my neoropathy. Still having slight numbness.
Release 12 — day 28, dose 4
Symptoms: The numbness increased from last week. Actually what I called numbness is a sensation without external stimulus. It could be described as a stiffness or tightness, or nerve static.
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 | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Hyperaesthesia teeth | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Muscle tightness | · | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Neuralgia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Taste disorder | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release