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6U6-31047-33966

2 vaccinations 4 coded responses 8 check-ins 4 free-text entries 0 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
495 / MI
Registered
2021-04-11
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-11
    Registered in v-safe
  2. 2021-04-11
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-04-11
    Survey response — day 0, dose 1
    MedDRA: Headache, Neck pain — Feeling: Good
    Free text: Mild Neck Pain and HeadAce
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-04-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-05-09
    Survey response — day 28, single dose
    MedDRA: Ear discomfort, Medical counselling — Feeling: Fair
    Free text: From day one I took this vaccine it has blocked partially my left ear. I tried on my own and did inform my doctor about this symptom.I have to check ear , nose and throat doctor.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-16
    Survey response — day 35, single dose
    MedDRA: Ear discomfort — Feeling: Fair
    Free text: Just Left Ear block -from day one I feel very uncomfortable in left ear. I need to check with ENT specialist regarding this block.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-26
    Health check-in — day 42, single dose
    Feeling: Fair
    Adult check-in
  9. 2021-07-13
    Survey response — 3 months, dose 1
    MedDRA: Discomfort, Ear discomfort, Neuralgia, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Having issues related to nerve pain in leg. INever had this issue before but after taking vaccine two prominent things should up. Severe pain in leg first night in April 11th 2021 and Blocking only left ear - very uncomfortable all these months.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2022-04-11
    Dose 2 — Pfizer-BioNTech
  11. 2022-04-11
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-11Janssen/Johnson & Johnson
22022-04-11Pfizer-BioNTech No

Free text

Release 7 — day 0, dose 1

2021-04-11

Systemic reaction (other): Mild Neck Pain and HeadAce

Release 8 — day 28, single dose

2021-05-09

Symptoms: From day one I took this vaccine it has blocked partially my left ear. I tried on my own and did inform my doctor about this symptom.I have to check ear , nose and throat doctor.

Release 8 — day 35, single dose

2021-05-16

Symptoms: Just Left Ear block -from day one I feel very uncomfortable in left ear. I need to check with ENT specialist regarding this block.

Release 9 — 3 months, dose 1

2021-07-13

Symptoms: Having issues related to nerve pain in leg. INever had this issue before but after taking vaccine two prominent things should up. Severe pain in leg first night in April 11th 2021 and Blocking only left ear - very uncomfortable all these months.

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
SDDiscomfort ✓ ✓ ✓
SDEar discomfort ✓ ✓ ✓
SDMedical counselling ✓ ✓ ✓
SDNeuralgia ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓

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