22S-16737-26198
6 vaccinations
8 coded responses
55 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 150 / PA
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Dose 1 — Pfizer-BioNTech
-
2021-02-26
Registered in v-safe
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
-
2021-03-15
Dose 2 — Pfizer-BioNTech
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-29
-
2021-04-05
Survey response — day 21, dose 2MedDRA: Diarrhoea, Flatulence, Muscle spasms — Feeling: GoodFree text: Muscle cramp left breast. Lots of stomach gas and intestinal gas. Diarrhea. Lasted several hours after Easter dinner. All symptoms have subsided and are no longer present.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-06-14
-
2021-08-18
Dose 3 — Pfizer-BioNTech
- 2021-09-13
- 2021-09-13
- 2021-09-15
-
2021-09-22
Survey response — day 35, dose 3MedDRA: Syncope — Feeling: GoodFree text: FaintingMedDRA releases: 2024-11 · check-in free text available
- 2021-09-29
- 2021-11-17
-
2022-02-16
Survey response — 6 months, dose 3MedDRA: No adverse event, Pre-existing disease, Surgery — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Back pain from a fall. Had pacemaker installed due to arrhythmia. No issue relative to covid-19 vaccinations; all is well. · Healthcare visit (other): Pacemaker surgeryMedDRA releases: 2024-11 · check-in free text available
-
2022-02-16
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-02-23
-
2022-02-28
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-01
Dose 4 — Pfizer-BioNTech
-
2022-04-14
Survey response — day 7, dose 4MedDRA: Pre-existing disease, Sacral pain, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I have Stenosis and related back pain in the sacrum · Healthcare visit (other): Prednisone script, 3-day course from my PCPMedDRA releases: 2024-11 · check-in free text available
-
2022-04-14
Report sent to call center — day 7, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-15
- 2022-04-22
- 2022-04-26
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-07-01
-
2022-09-23
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-30
-
2022-09-30
Survey response — day 7, dose 5MedDRA: No adverse event — Feeling: Good · Site: Pain · HeadacheFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-12-23
- 2023-03-24
-
2023-05-10
Dose 6 — Pfizer-BioNTech
- 2023-05-10
-
2023-05-11
Survey response — days 1–6 daily, dose 6MedDRA: Injection site pain — Feeling: GoodMedDRA releases: 2024-11
- 2023-05-12
- 2023-05-13
-
2023-05-15
Survey response — days 1–6 daily, dose 6MedDRA: Muscle strain — Feeling: Good · Muscle or body achesMedDRA releases: 2024-11
-
2023-05-16
Survey response — days 1–6 daily, dose 6MedDRA: Muscle strain, Myalgia — Feeling: Good · Muscle or body achesMedDRA releases: 2024-11
- 2023-05-17
- 2023-05-24
- 2023-05-31
- 2023-06-07
- 2023-06-14
- 2023-06-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Pfizer-BioNTech | |
| 2 | 2021-03-15 | Pfizer-BioNTech | |
| 3 | 2021-08-18 | Pfizer-BioNTech | No |
| 4 | 2022-04-01 | Pfizer-BioNTech | No |
| 5 | 2022-09-23 | Pfizer-BioNTech | Flu |
| 6 | 2023-05-10 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 6 — day 21, dose 2
Symptoms: Muscle cramp left breast. Lots of stomach gas and intestinal gas. Diarrhea. Lasted several hours after Easter dinner. All symptoms have subsided and are no longer present.
Release 9 — day 35, dose 3
Symptoms: Fainting
Release 11 — 6 months, dose 3
Symptoms: Back pain from a fall. Had pacemaker installed due to arrhythmia. No issue relative to covid-19 vaccinations; all is well.
Healthcare visit (other): Pacemaker surgery
Release 11 — day 7, dose 4
Systemic reaction (other): I have Stenosis and related back pain in the sacrum
Healthcare visit (other): Prednisone script, 3-day course from my PCP
Release 12 — day 7, dose 5
Systemic reaction (other): No
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 | Medical counselling | · | · | ○ |
| HCVO | Surgery | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Flatulence | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | No adverse event | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Syncope | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Muscle strain | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Sacral pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release