36Y-59853-75345
1 vaccination
4 coded responses
7 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 275 / NC
- Registered
- 2021-04-17
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-17
Registered in v-safe
-
2021-04-17
Dose 1 — Pfizer-BioNTech
- 2021-04-18
- 2021-04-18
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2021-04-19
Survey response — days 1–6 daily, dose 1MedDRA: Constipation, Eructation, Flatulence — Feeling: GoodFree text: I am getting too much of wind passing and burps. Also constipation. I noticed this difference as I had a grewt motion flow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — days 1–6 daily, dose 1MedDRA: Constipation, Head discomfort — Feeling: GoodFree text: Light heaviness in head, constipationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — days 1–6 daily, dose 1MedDRA: Constipation, Head discomfort, Muscle tightness — Feeling: GoodFree text: Light heaviness in head, still feeling constipation but better from yesterday, slight muscle tighteness in the calfMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
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2022-04-19
Survey response — 12 months, dose 1MedDRA: Blood creatinine increased, Eye inflammation, Unevaluable event, Urinary tract inflammation, Uveitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: Inflammation in eye and kidney. Getting treated with high creatinine level due to inflammation in Kidney. Also getting treated for uveitis for my both eyes. Is it covid affect to temper the immune system impacting imflammation build in the body · Healthcare visit (other): Kidney biopsyMedDRA releases: 2024-11 · check-in free text available
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2022-04-19
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-04-20
-
2022-04-20
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-17 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I am getting too much of wind passing and burps. Also constipation. I noticed this difference as I had a grewt motion flow.
Systemic reaction (other): Light heaviness in head, constipation
Systemic reaction (other): Light heaviness in head, still feeling constipation but better from yesterday, slight muscle tighteness in the calf
Release 11 — 12 months, dose 1
Symptoms: Inflammation in eye and kidney. Getting treated with high creatinine level due to inflammation in Kidney. Also getting treated for uveitis for my both eyes. Is it covid affect to temper the immune system impacting imflammation build in the body
Healthcare visit (other): Kidney biopsy
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 | Blood creatinine increased | · | · | ✓ |
| SD | Eye inflammation | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Urinary tract inflammation | · | · | ✓ |
| SD | Uveitis | · | · | ✓ |
| SRO | Constipation | ✓ | ✓ | ✓ |
| SRO | Eructation | ✓ | ✓ | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release