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
-
2021-04-11
Registered in v-safe
-
2021-04-11
Dose 1 — Janssen/Johnson & Johnson
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2021-04-11
Survey response — day 0, dose 1MedDRA: Headache, Neck pain — Feeling: GoodFree text: Mild Neck Pain and HeadAceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-04-27
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2021-05-09
Survey response — day 28, single doseMedDRA: Ear discomfort, Medical counselling — Feeling: FairFree 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
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2021-05-16
Survey response — day 35, single doseMedDRA: Ear discomfort — Feeling: FairFree 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
- 2021-05-26
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2021-07-13
Survey response — 3 months, dose 1MedDRA: Discomfort, Ear discomfort, Neuralgia, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activitiesFree 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
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2022-04-11
Dose 2 — Pfizer-BioNTech
- 2022-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-11 | Janssen/Johnson & Johnson | |
| 2 | 2022-04-11 | Pfizer-BioNTech | No |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Mild Neck Pain and HeadAce
Release 8 — day 28, single dose
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Discomfort | ✓ | ✓ | ✓ |
| SD | Ear discomfort | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Neuralgia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release