ZJK-47551-91391
4 vaccinations
20 coded responses
30 check-ins
20 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 038 / NH
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Dose 1 — Pfizer-BioNTech
-
2021-04-07
Registered in v-safe
-
2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: Epilepsy, Pre-existing disease, Seizure — Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: Epilepsy is seizures are bad. Vegal Nerve stimulator is triggering 5 per hourMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Epilepsy, Pre-existing disease — Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: My Vegal nerve stimulatetor has been extremely active regarding my epilepsyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Vegal nerve stimulator improvement. Slower stimulation i.e seizure activities returning to almost normal. Still higher than normal, but improvementMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: Redness · Joint pains, Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, DiarrheaAdult check-in
-
2021-04-12
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Good · Muscle or body aches, DiarrheaFree text: Vegal nerve stimulator is better almost back to normal. Epileptic activities are back to normal or what my pre-existing condition was prior!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-13
Survey response — day 7, dose 1MedDRA: Epilepsy, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Epilepsy still a above normal. Vegal Nerve Stimulator activating slightly above averageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
-
2021-04-27
Dose 2 — Pfizer-BioNTech
-
2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Epilepsy, Seizure — Feeling: Poor · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Epilepsy increases in seizuresMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Vagus nerve disorder — Feeling: Poor · Site: Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Vns activationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Hypoaesthesia, Pre-existing disease — Feeling: Fair · Site: Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Numbness on right side of neck and VNS over activeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia — Feeling: Fair · Site: Redness · Be unable to do your normal daily activitiesFree text: Right side Neck numbness on skin.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Numbness right side of neck and part of faceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-03
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Numbness right side of neck and face, vns over active.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-04
Survey response — day 7, dose 2MedDRA: Device use issue, Hypoaesthesia — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Numbness right side of neck, bottom jaw, vns out of controlMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-11
Survey response — day 14, dose 2MedDRA: Fatigue, Hypoaesthesia, Seizure — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Numbness on front of neck and extreme fatigue, increased seizuresMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-05-25
- 2021-06-01
-
2021-06-08
Survey response — day 42, dose 2MedDRA: Hypoaesthesia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Numbness on right side of neck and face. Epilepsy worsen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-08
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-30
-
2021-10-28
Survey response — 6 months, dose 2MedDRA: Headache, Hypoaesthesia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Headaches and numbness on left side of face and neck. · Healthcare visit (other): Doctors visits.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-02
-
2022-03-14
Call successfulCompleted over the phone
-
2022-04-10
Dose 3 — Pfizer-BioNTech
- 2022-04-27
-
2022-05-10
Dose 4 — Pfizer-BioNTech
-
2022-05-17
Survey response — day 7, dose 4MedDRA: Dyspnoea, Hypoaesthesia — Feeling: Fair · Headache, DiarrheaFree text: Trouble breathing, possibly allergies. Still have numbness on right side of face and neckMedDRA releases: 2024-11 · check-in free text available
- 2022-05-26
-
2022-06-02
Survey response — day 21, dose 4MedDRA: Hypoaesthesia, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Numbness is face and neck, bad congestion.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-08
Survey response — day 28, dose 4MedDRA: Dyspnoea, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Extreme congestion and unable to breathe well.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-14
-
2022-06-21
Survey response — day 42, dose 4MedDRA: Arthralgia, Headache, Myalgia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Extreme headaches, mucele and joint pain.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Pfizer-BioNTech | |
| 2 | 2021-04-27 | Pfizer-BioNTech | |
| 3 | 2022-04-10 | Pfizer-BioNTech | No |
| 4 | 2022-05-10 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-08 | Unsuccessful | |
| 2021-10-28 | Successful 2022-03-14 |
Completed over the phone |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Epilepsy is seizures are bad. Vegal Nerve stimulator is triggering 5 per hour
Systemic reaction (other): My Vegal nerve stimulatetor has been extremely active regarding my epilepsy
Systemic reaction (other): Vegal nerve stimulator improvement. Slower stimulation i.e seizure activities returning to almost normal. Still higher than normal, but improvement
Systemic reaction (other): No
Systemic reaction (other): Vegal nerve stimulator is better almost back to normal. Epileptic activities are back to normal or what my pre-existing condition was prior!
Release 7 — day 7, dose 1
Systemic reaction (other): Epilepsy still a above normal. Vegal Nerve Stimulator activating slightly above average
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Epilepsy increases in seizures
Systemic reaction (other): Vns activation
Systemic reaction (other): Numbness on right side of neck and VNS over active
Systemic reaction (other): Right side Neck numbness on skin.
Systemic reaction (other): Numbness right side of neck and part of face
Systemic reaction (other): Numbness right side of neck and face, vns over active.
Release 8 — day 7, dose 2
Systemic reaction (other): Numbness right side of neck, bottom jaw, vns out of control
Release 8 — day 14, dose 2
Symptoms: Numbness on front of neck and extreme fatigue, increased seizures
Release 8 — day 42, dose 2
Symptoms: Numbness on right side of neck and face. Epilepsy worsen.
Release 10 — 6 months, dose 2
Symptoms: Headaches and numbness on left side of face and neck.
Healthcare visit (other): Doctors visits.
Release 11 — day 7, dose 4
Systemic reaction (other): Trouble breathing, possibly allergies. Still have numbness on right side of face and neck
Release 11 — day 21, dose 4
Symptoms: Numbness is face and neck, bad congestion.
Release 11 — day 28, dose 4
Symptoms: Extreme congestion and unable to breathe well.
Release 12 — day 42, dose 4
Symptoms: Extreme headaches, mucele and joint pain.
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 | Office visit | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Seizure | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Device use issue | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Epilepsy | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Seizure | ✓ | ✓ | ✓ |
| SRO | Vagus nerve disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release