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28J-23983-36807

1 vaccination 4 coded responses 13 check-ins 4 free-text entries 3 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
780 / TX
Registered
2020-12-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-19
    Registered in v-safe
  2. 2020-12-19
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-19
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2020-12-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2020-12-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches
    Adult check-in
  6. 2020-12-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches
    Adult check-in
  7. 2020-12-28
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-02
    Survey response — day 14, dose 1
    MedDRA: Asthenia, Chills, Cough, Hyperhidrosis, Pneumonia, Pyrexia, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Tested positive for Covid 12/31Profuse sweating, cough , fever and chills only one night, very low energy, pneumonia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-02
    Report sent to call center — day 14, dose 1
    Be unable to work · Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-01-09
    Survey response — day 21, dose 1
    MedDRA: Pneumonia, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Tested positive for Covid 12/31. Got Regeneron antibodies. Had pneumonia. Plan on returning to work tomorrow
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-09
    Report sent to call center — day 21, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-01-16
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-01-23
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  14. 2021-02-01
    Health check-in — day 42, dose 1
    Feeling: Fair
    Adult check-in
  15. 2021-03-20
    Survey response — 3 months, dose 1
    MedDRA: Fatigue, Nausea — Feeling: Fair
    Free text: Fatigue and nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-19
    Health check-in — 6 months, dose 1
    Feeling: Fair
    Adult check-in
  17. 2021-12-19
    Survey response — 12 months, dose 1
    MedDRA: COVID-19, Chest wall operation, Cough, Flail chest, Haemothorax, Rib fracture, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization
    Free text: Symptoms: Fractured ribs. Bil Hemothorax. Flail chest. Chest surgery. More chest surgery in am. My cough never went away after Covid. Got progressively worse. Till this · Healthcare visit (other): See above
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-12-19
    Report sent to call center — 12 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  19. 2021-12-21
  20. 2021-12-30
    Call successful
    Participant prefers to complete VAERS report online
  21. 2021-12-30
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12020-12-19Pfizer-BioNTech

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 1 — day 14, dose 1

2021-01-02

Symptoms: Tested positive for Covid 12/31Profuse sweating, cough , fever and chills only one night, very low energy, pneumonia

Release 1 — day 21, dose 1

2021-01-09

Symptoms: Tested positive for Covid 12/31. Got Regeneron antibodies. Had pneumonia. Plan on returning to work tomorrow

Release 6 — 3 months, dose 1

2021-03-20

Symptoms: Fatigue and nausea

Release 10 — 12 months, dose 1

2021-12-19

Symptoms: Fractured ribs. Bil Hemothorax. Flail chest. Chest surgery. More chest surgery in am. My cough never went away after Covid. Got progressively worse. Till this
Healthcare visit (other): See above

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
HCVOUnevaluable event · · ✓
SDAsthenia ✓ ✓ ✓
SDChest wall operation · · ✓
SDChills ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDCOVID-19 · · ✓
SDFatigue ✓ ✓ ✓
SDFlail chest · · ✓
SDHaemothorax · · ✓
SDHyperhidrosis ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPneumonia ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRib fracture · · ✓
SDSARS-CoV-2 test positive ✓ ✓ ✓

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