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ZMR-14422-67862

2 vaccinations 6 coded responses 17 check-ins 6 free-text entries 1 call case
Sex
Male
Age at first dose
16-20
ZIP prefix
902 / CA
Registered
2021-05-08
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-07
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-08
    Registered in v-safe
  3. 2021-05-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Soreness around the injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Epistaxis, Pyrexia — Feeling: Good · Site: Swelling · Headache
    Free text: Yesterday, after the first check up, I had a 101° fever and a bloody nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · Abdominal pain
    Adult check-in
  6. 2021-05-21
    Survey response — day 14, dose 1
    MedDRA: Epistaxis, Muscular weakness — Feeling: Good
    Free text: Weakness in ankles, bloody noses
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-28
    Dose 2 — Pfizer-BioNTech
  8. 2021-05-28
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches
    Adult check-in
  9. 2021-05-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · Muscle or body aches
    Adult check-in
  10. 2021-05-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  11. 2021-05-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-06-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Nausea
    Adult check-in
  13. 2021-06-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  14. 2021-06-11
    Survey response — day 14, dose 2
    MedDRA: Epistaxis — Feeling: Good · Be unable to work or attend school
    Free text: A lot of bloody noses
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-07-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-07-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-08-27
    Survey response — 3 months, dose 2
    MedDRA: Hypersensitivity, Pre-existing disease, Skin hyperpigmentation — Feeling: Good
    Free text: Extreme allergiesHyperpigmentation
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2021-11-26
    Survey response — 6 months, dose 2
    MedDRA: Abdominal pain upper, Nasal congestion, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Extremely bad chronic nasal congestion, To the point where it is hard to breathe. In addition to occasional stomach pains. However, I believe the causes were not related to the vaccine. · Healthcare visit (other): Doctors office visit
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-11-26
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  22. 2021-11-30

Vaccinations

DoseDateManufacturerCo-administered
12021-05-07Pfizer-BioNTech
22021-05-28Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-11-26 Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-08

Systemic reaction (other): Soreness around the injection site

2021-05-09

Systemic reaction (other): Yesterday, after the first check up, I had a 101° fever and a bloody nose

Release 8 — day 14, dose 1

2021-05-21

Symptoms: Weakness in ankles, bloody noses

Release 9 — day 14, dose 2

2021-06-11

Symptoms: A lot of bloody noses

Release 9 — 3 months, dose 2

2021-08-27

Symptoms: Extreme allergiesHyperpigmentation

Release 10 — 6 months, dose 2

2021-11-26

Symptoms: Extremely bad chronic nasal congestion, To the point where it is hard to breathe. In addition to occasional stomach pains. However, I believe the causes were not related to the vaccine.
Healthcare visit (other): Doctors office visit

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
HCVOOffice visit · · ✓
SDAbdominal pain upper · · ✓
SDEpistaxis ✓ ✓ ✓
SDHypersensitivity ✓ · ✓
SDMuscular weakness ✓ ✓ ✓
SDNasal congestion · · ✓
SDPre-existing disease ✓ · ✓
SDSkin hyperpigmentation ✓ · ✓
SROEpistaxis ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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