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
-
2021-05-07
Dose 1 — Pfizer-BioNTech
-
2021-05-08
Registered in v-safe
-
2021-05-08
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Soreness around the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-09
Survey response — days 1–6 daily, dose 1MedDRA: Epistaxis, Pyrexia — Feeling: Good · Site: Swelling · HeadacheFree text: Yesterday, after the first check up, I had a 101° fever and a bloody noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
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2021-05-21
Survey response — day 14, dose 1MedDRA: Epistaxis, Muscular weakness — Feeling: GoodFree text: Weakness in ankles, bloody nosesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Dose 2 — Pfizer-BioNTech
- 2021-05-28
-
2021-05-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Muscle or body achesAdult check-in
- 2021-05-30
- 2021-05-31
- 2021-06-02
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2021-06-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
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2021-06-11
Survey response — day 14, dose 2MedDRA: Epistaxis — Feeling: Good · Be unable to work or attend schoolFree text: A lot of bloody nosesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-20
- 2021-06-25
- 2021-07-02
- 2021-07-09
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2021-08-27
Survey response — 3 months, dose 2MedDRA: Hypersensitivity, Pre-existing disease, Skin hyperpigmentation — Feeling: GoodFree text: Extreme allergiesHyperpigmentationMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-26
Survey response — 6 months, dose 2MedDRA: 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 professionalFree 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 visitMedDRA releases: 2024-11 · check-in free text available
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2021-11-26
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-11-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-07 | Pfizer-BioNTech | |
| 2 | 2021-05-28 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-26 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Soreness around the injection site
Systemic reaction (other): Yesterday, after the first check up, I had a 101° fever and a bloody nose
Release 8 — day 14, dose 1
Symptoms: Weakness in ankles, bloody noses
Release 9 — day 14, dose 2
Symptoms: A lot of bloody noses
Release 9 — 3 months, dose 2
Symptoms: Extreme allergiesHyperpigmentation
Release 10 — 6 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Epistaxis | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | · | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Skin hyperpigmentation | ✓ | · | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release