2BK-14653-06993
3 vaccinations
3 coded responses
13 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 300 / GA
- Registered
- 2021-01-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Dose 1 — Pfizer-BioNTech
-
2021-01-03
Registered in v-safe
- 2021-01-03
-
2021-01-05
Survey response — day 7, dose 1MedDRA: Ocular hyperaemia — Feeling: GoodFree text: Left eye is redMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-11
-
2021-01-15
Dose 2 — Pfizer-BioNTech
- 2021-02-01
- 2021-02-05
- 2021-02-14
- 2021-02-19
- 2021-02-26
- 2021-04-18
- 2021-07-16
-
2021-10-30
Dose 3 — Moderna
-
2022-01-29
Survey response — 3 months, dose 3MedDRA: Gastrointestinal disorder, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Stomach issues . IBS. May have had this issues before 2019 · Healthcare visit (other): General practitionerMedDRA releases: 2024-11 · check-in free text available
-
2022-01-29
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-02
-
2022-02-02
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-30
Survey response — 6 months, dose 3MedDRA: Irritable bowel syndrome — Feeling: GoodFree text: IBSMedDRA releases: 2024-11 · check-in free text available
- 2022-10-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Pfizer-BioNTech | |
| 2 | 2021-01-15 | Pfizer-BioNTech | |
| 3 | 2021-10-30 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-29 | Successful 2022-02-02 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Left eye is red
Release 11 — 3 months, dose 3
Symptoms: Stomach issues . IBS. May have had this issues before 2019
Healthcare visit (other): General practitioner
Release 11 — 6 months, dose 3
Symptoms: IBS
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 | Gastrointestinal disorder | · | · | ✓ |
| SD | Irritable bowel syndrome | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Ocular hyperaemia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release