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3JS-11031-40138

2 vaccinations 4 coded responses 8 check-ins 4 free-text entries 3 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
200 / DC
Registered
2021-02-23
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2021-02-15
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-23
    Registered in v-safe
  3. 2021-02-23
    Survey response — day 7, dose 1
    MedDRA: Pain, Swelling — Feeling: Fair · Fever · Abdominal pain
    Free text: Feeling pain on lower part of my chaste. specially when I am sitting on the chair, feeling like swollen.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-09
    Dose 2 — Pfizer-BioNTech
  5. 2021-03-27
    Survey response — day 14, dose 2
    MedDRA: Abdominal pain upper, Back pain, Cough, Discomfort, Office visit, Throat irritation — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit
    Free text: Symptoms: I feel pain and information / pressure under my ribs and pain in my middle back. I do have a tackling throats and cough sometimes. I dont have a cold symptoms like runy nose. My lungs Are clear. These Pain and pressures are worse when I sit. · Healthcare visit (other): Visit Dr. Too. I am taking 24 hours allergy medication.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-27
    Report sent to call center — day 14, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-04-05
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  8. 2021-04-07
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  9. 2021-04-16
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-04-22
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-09-08
    Survey response — 6 months, dose 2
    MedDRA: Back pain, Costochondritis, Inflammation, Musculoskeletal chest pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Pain and inflammation under ribs and middle back. Rash in my body and inflammation around ankle and foot. · Healthcare visit (other): Dr. Visits and CT scan
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-09-08
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-09-09
  14. 2021-09-15
  15. 2021-09-15
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  16. 2022-03-11
    Survey response — 12 months, dose 2
    MedDRA: Back pain, Inflammation, Musculoskeletal chest pain, Office visit — Feeling: Fair · 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
    Free text: Symptoms: I have a pain and inflammation under my rib and Middle back. · Healthcare visit (other): Primary Dr. And others
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-03-11
    Report sent to call center — 12 months, dose 2
    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 · 1 call case(s)
  18. 2022-03-11
    Call successful
    Completed over the phone
  19. 2022-03-14
  20. 2022-03-14

Vaccinations

DoseDateManufacturerCo-administered
12021-02-15Pfizer-BioNTech
22021-03-09Pfizer-BioNTech

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 4 — day 7, dose 1

2021-02-23

Systemic reaction (other): Feeling pain on lower part of my chaste. specially when I am sitting on the chair, feeling like swollen.

Release 6 — day 14, dose 2

2021-03-27

Symptoms: I feel pain and information / pressure under my ribs and pain in my middle back. I do have a tackling throats and cough sometimes. I dont have a cold symptoms like runy nose. My lungs Are clear. These Pain and pressures are worse when I sit.
Healthcare visit (other): Visit Dr. Too. I am taking 24 hours allergy medication.

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: Pain and inflammation under ribs and middle back. Rash in my body and inflammation around ankle and foot.
Healthcare visit (other): Dr. Visits and CT scan

Release 11 — 12 months, dose 2

2022-03-11

Symptoms: I have a pain and inflammation under my rib and Middle back.
Healthcare visit (other): Primary Dr. And others

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
HCVOOffice visit ✓ ✓ ✓
SDAbdominal pain upper ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDCostochondritis · · ✓
SDCough ✓ ✓ ✓
SDDiscomfort ✓ ✓ ✓
SDInflammation · · ✓
SDMusculoskeletal chest pain · · ✓
SDThroat irritation ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROSwelling ✓ ✓ ✓

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