2PQ-11456-26310
3 vaccinations
4 coded responses
10 check-ins
4 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 31-35
- ZIP prefix
- 080 / NJ
- Registered
- 2021-10-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-29
Dose 1 — Pfizer-BioNTech
-
2021-04-19
Dose 2 — Pfizer-BioNTech
-
2021-10-19
Dose 3 — Pfizer-BioNTech
-
2021-10-21
Registered in v-safe
-
2021-10-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-26
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
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2021-11-30
Survey response — day 42, dose 3MedDRA: Colitis, Condition aggravated, Herpes simplex, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: My G.I disease has flared up (HSV-1 Colitis/Postherpetic Neuralgia). Getting the COVID-19 Booster (Pfizer) exacerbated this situation more. All my Doctors have been told.MedDRA releases: 2024-11 · check-in free text available
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2022-01-18
Survey response — 3 months, dose 3MedDRA: Enterocolitis viral, Large intestine infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Developed another infection in my colon as consequence of the viral Colitis I have. It has been treated with a protocol of Acyclovir.MedDRA releases: 2024-11 · check-in free text available
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2022-04-19
Survey response — 6 months, dose 3MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: I have been having a new flare up of my G.I condition. Doctors are monitoring though this has postponed my Second COVID-19 Booster.MedDRA releases: 2024-11 · check-in free text available
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2022-10-19
Survey response — 12 months, dose 3MedDRA: Fatigue, Influenza, Oropharyngeal pain, Respiratory tract congestion, Sinus headache, Sneezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I became infected with the Flu Virus and experienced sore-throat, fatigue, congestion, sinus headache and sneezing. All symptoms resolved themselves in 4-days except for the congestion which, slowly, has been getting less and less problematic.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Pfizer-BioNTech | No |
| 2 | 2021-04-19 | Pfizer-BioNTech | No |
| 3 | 2021-10-19 | Pfizer-BioNTech | No |
Free text
Release 10 — day 42, dose 3
Symptoms: My G.I disease has flared up (HSV-1 Colitis/Postherpetic Neuralgia). Getting the COVID-19 Booster (Pfizer) exacerbated this situation more. All my Doctors have been told.
Release 10 — 3 months, dose 3
Symptoms: Developed another infection in my colon as consequence of the viral Colitis I have. It has been treated with a protocol of Acyclovir.
Release 11 — 6 months, dose 3
Symptoms: I have been having a new flare up of my G.I condition. Doctors are monitoring though this has postponed my Second COVID-19 Booster.
Release 12 — 12 months, dose 3
Symptoms: I became infected with the Flu Virus and experienced sore-throat, fatigue, congestion, sinus headache and sneezing. All symptoms resolved themselves in 4-days except for the congestion which, slowly, has been getting less and less problematic.
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 |
|---|---|---|---|---|
| SD | Colitis | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Enterocolitis viral | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Herpes simplex | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Large intestine infection | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release