ZZW-26199-76519
2 vaccinations
8 coded responses
18 check-ins
8 free-text entries
6 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 720 / AR
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-07
Dose 1 — Pfizer-BioNTech
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2021-04-10
Registered in v-safe
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2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia — Feeling: Fair · Joint pains · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: The joint pain is in my right foot at my big toeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Erythema, Peripheral swelling — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: I have low back pain & my right foot near my big toe is red and swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Localised infection, Office visit, Pain in extremity — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: My foot pain due to an infection is much improved. My back pain has increased due to a gallbladder test that required me to lay flat on my back for over an hour hour while I was being scanned hurt so bad during & after the test that I had to go to my chiropractor to get some relief startedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-16
Survey response — day 7, dose 1MedDRA: Back pain, Chiropractic, Condition aggravated, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: My right foot gout is not as bad. My chiropractor says some of my back pain is due to gout. Did the shot make my body susceptible to the gout which occurred 3-4 days after the injection?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — day 14, dose 1MedDRA: Abdominal distension, Feeding disorder — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: My stomach did not process my supper Monday night Tuesday morning so I was bloated & unable to eat anything Tuesday & I may not be able to eat anything today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-28
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2021-05-05
Survey response — day 28, dose 1MedDRA: Cholecystectomy — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, HospitalizationFree text: I had my gallbladder removedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Report sent to call center — day 28, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-08
Dose 2 — Pfizer-BioNTech
- 2021-05-12
- 2021-05-14
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-06-05
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2021-06-12
Survey response — day 35, dose 2MedDRA: Abdominal pain, Office visit, Painful respiration — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have abdominal pain when I breathe & the deeper I breathe the more pain I have · Healthcare visit (other): I saw my surgeonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-12
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-18
- 2021-06-21
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2021-06-22
Call successfulCompleted over the phone
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2021-08-08
Survey response — 3 months, dose 2MedDRA: Blood creatinine decreased, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: My creatinine has gone to 1.8 from 1.1. I have the kidney autoimmune disease IGA NephropathyMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-08
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-18
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2021-08-19
Callback requested for11:00AM ET
- 2021-08-23
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2021-08-23
Call successfulCompleted over the phone
- 2021-11-06
- 2022-05-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Pfizer-BioNTech | |
| 2 | 2021-05-08 | Pfizer-BioNTech |
Call center
6 call center cases
6 successful
VAERS report filed, before or during a call: 6
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): The joint pain is in my right foot at my big toe
Systemic reaction (other): I have low back pain & my right foot near my big toe is red and swollen
Systemic reaction (other): My foot pain due to an infection is much improved. My back pain has increased due to a gallbladder test that required me to lay flat on my back for over an hour hour while I was being scanned hurt so bad during & after the test that I had to go to my chiropractor to get some relief started
Release 7 — day 7, dose 1
Systemic reaction (other): My right foot gout is not as bad. My chiropractor says some of my back pain is due to gout. Did the shot make my body susceptible to the gout which occurred 3-4 days after the injection?
Release 7 — day 14, dose 1
Symptoms: My stomach did not process my supper Monday night Tuesday morning so I was bloated & unable to eat anything Tuesday & I may not be able to eat anything today.
Release 8 — day 28, dose 1
Symptoms: I had my gallbladder removed
Release 9 — day 35, dose 2
Symptoms: I have abdominal pain when I breathe & the deeper I breathe the more pain I have
Healthcare visit (other): I saw my surgeon
Release 9 — 3 months, dose 2
Symptoms: My creatinine has gone to 1.8 from 1.1. I have the kidney autoimmune disease IGA Nephropathy
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 distension | ✓ | ✓ | ✓ |
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Blood creatinine decreased | ✓ | · | ✓ |
| SD | Cholecystectomy | ✓ | ✓ | ✓ |
| SD | Feeding disorder | ✓ | ✓ | ✓ |
| SD | Painful respiration | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chiropractic | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Infection | ○ | ○ | ○ |
| SRO | Localised infection | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release