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6QX-24211-79222

3 vaccinations 8 coded responses 11 check-ins 8 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
847 / UT
Registered
2021-10-11
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2021-01-13
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-03
    Dose 2 — Pfizer-BioNTech
  3. 2021-10-07
    Dose 3 — Pfizer-BioNTech
  4. 2021-10-11
    Registered in v-safe
  5. 2021-10-11
    Survey response — days 1–6 daily, dose 3
    MedDRA: Bell's palsy — Feeling: Poor · Muscle or body aches
    Free text: Bells palsy
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-10-12
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pain, Pre-existing disease — Feeling: Poor · Muscle or body aches
    Free text: It hurts bad where I had shingles many years ago.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-10-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Muscle or body aches
    Adult check-in
  8. 2021-10-14
    Survey response — day 7, dose 3
    MedDRA: Arthralgia, Bell's palsy, Condition aggravated, Neck pain, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site
    Free text: Bells palsy, and extreme pain in my shoulder and neck where I had shingles 35 years ago. Never had a problem with it until I got the booster shot !
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-10-21
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  10. 2021-10-28
    Survey response — day 21, dose 3
    MedDRA: Herpes simplex, Pre-existing disease — Feeling: Poor
    Free text: Since the booster shot my shingles have been getting progressively worse. Haven't had a problem with them for 25 years until the booster shot.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-11-04
    Survey response — day 28, dose 3
    MedDRA: Arthralgia, Bell's palsy — Feeling: Poor
    Free text: Severe pain in Left shoulder. Bells palsy is getting worse.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-11-11
    Survey response — day 35, dose 3
    MedDRA: Arthralgia — Feeling: Poor
    Free text: Shoulder is very sore.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-11-18
    Survey response — day 42, dose 3
    MedDRA: Skin ulcer — Feeling: Poor
    Free text: Sores have appeared on my left buttocks
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-01-10
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  15. 2022-04-07
    Survey response — 6 months, dose 3
    MedDRA: Bell's palsy, Herpes zoster — Feeling: Fair · 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 visit, Emergency room or emergency department visit
    Free text: Shingles and Bell's palsy
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-04-07
    Report sent to call center — 6 months, dose 3
    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 visit · Emergency room or emergency department visit · 1 call case(s)
  17. 2022-04-12
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-01-13Pfizer-BioNTech No
22021-02-03Pfizer-BioNTech No
32021-10-07Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3

2021-10-11

Systemic reaction (other): Bells palsy

2021-10-12

Systemic reaction (other): It hurts bad where I had shingles many years ago.

Release 10 — day 7, dose 3

2021-10-14

Systemic reaction (other): Bells palsy, and extreme pain in my shoulder and neck where I had shingles 35 years ago. Never had a problem with it until I got the booster shot !

Release 10 — day 21, dose 3

2021-10-28

Symptoms: Since the booster shot my shingles have been getting progressively worse. Haven't had a problem with them for 25 years until the booster shot.

Release 10 — day 28, dose 3

2021-11-04

Symptoms: Severe pain in Left shoulder. Bells palsy is getting worse.

Release 10 — day 35, dose 3

2021-11-11

Symptoms: Shoulder is very sore.

Release 10 — day 42, dose 3

2021-11-18

Symptoms: Sores have appeared on my left buttocks

Release 11 — 6 months, dose 3

2022-04-07

Symptoms: Shingles and Bell's palsy

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

FieldPreferred term2021-092023-042024-11
SDArthralgia · · ✓
SDBell's palsy · · ✓
SDHerpes simplex · · ✓
SDHerpes zoster · · ✓
SDPre-existing disease · · ✓
SDSkin ulcer · · ✓
SROArthralgia · · ✓
SROBell's palsy · · ✓
SROCondition aggravated · · ✓
SRONeck pain · · ✓
SROPain · · ✓
SROPre-existing disease · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release