23D-33785-45425
3 vaccinations
5 coded responses
18 check-ins
5 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 850 / AZ
- Registered
- 2020-12-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-21
Dose 1 — Pfizer-BioNTech
-
2020-12-25
Registered in v-safe
- 2020-12-25
- 2020-12-27
- 2020-12-28
- 2021-01-04
-
2021-01-11
Dose 2 — Pfizer-BioNTech
- 2021-01-18
- 2021-01-25
- 2021-02-01
-
2021-02-08
Survey response — day 28, dose 2MedDRA: Abdominal pain, Emergency care, Pancreatic disorder — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Moderate to servere right upper quadrant pain requiring an ER visit. Still being evaluated- colitis (a formerly unknown problem?) vs. newly detected pancreatic cyst.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-15
Survey response — day 35, dose 2MedDRA: Pancreatic disorder — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Diagnosed with a pancreatic cyst vs tumor. MRSi pending.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
-
2021-04-12
Survey response — 3 months, dose 2MedDRA: Pancreatic cyst, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: Mucinous cyst of the pancreas · Healthcare visit (other): Surgery scheduledMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-12
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-07-12
Survey response — 6 months, dose 2MedDRA: Hospitalisation, Sepsis — 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 · Emergency room or emergency department visit, HospitalizationFree text: I had a hospital admission with the diagnosis of severe sepsis 2 weeks after a scheduled abdominal surgery to remove a pancreatic cyst.. 10 day hospital admission. 30 days of IV antibiotics followed by 2 weeks of oral antibiotics.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-12
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)
- 2021-07-15
-
2021-07-20
Call successfulParticipant prefers to complete VAERS report online
-
2021-09-01
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-09-29
- 2021-10-06
- 2021-10-13
- 2021-12-01
-
2022-03-04
Survey response — 6 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activitiesFree text: COVID diagnosed on 01/01/2022.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-21 | Pfizer-BioNTech | |
| 2 | 2021-01-11 | Pfizer-BioNTech | |
| 3 | 2021-09-01 | Pfizer-BioNTech | Flu |
Call center
3 call center cases
3 successful
Free text
Release 3 — day 28, dose 2
Symptoms: Moderate to servere right upper quadrant pain requiring an ER visit. Still being evaluated- colitis (a formerly unknown problem?) vs. newly detected pancreatic cyst.
Release 4 — day 35, dose 2
Symptoms: Diagnosed with a pancreatic cyst vs tumor. MRSi pending.
Release 7 — 3 months, dose 2
Release 9 — 6 months, dose 2
Symptoms: I had a hospital admission with the diagnosis of severe sepsis 2 weeks after a scheduled abdominal surgery to remove a pancreatic cyst.. 10 day hospital admission. 30 days of IV antibiotics followed by 2 weeks of oral antibiotics.
Release 11 — 6 months, dose 3
Symptoms: COVID diagnosed on 01/01/2022.
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Pancreatic cyst | ✓ | ✓ | ✓ |
| SD | Pancreatic disorder | ✓ | ✓ | ✓ |
| SD | Sepsis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release