42M-14572-69178
2 vaccinations
4 coded responses
9 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 115 / NY
- Registered
- 2021-05-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-08
Dose 1 — Pfizer-BioNTech
-
2021-04-30
Dose 2 — Pfizer-BioNTech
-
2021-05-11
Registered in v-safe
- 2021-05-11
- 2021-05-15
- 2021-05-21
-
2021-06-01
Survey response — day 28, dose 2MedDRA: Fatigue — Feeling: Poor · Be unable to do your normal daily activitiesFree text: ExhaustionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-06
- 2021-06-13
-
2021-07-30
Survey response — 3 months, dose 2MedDRA: Abdominal discomfort, Chest pain, Office visit, Syncope — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I fainted in June I have a burning feeling from my chest to my abdomen. Been getting a lot of medical testing. · Healthcare visit (other): Cardiologist, neurologist, gastroenterologist, primary doctorMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-30
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-11-02
Survey response — 6 months, dose 2MedDRA: Gastrointestinal disorder — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My belly is full of bile. My doctor thinks it may be from my gallbladder. In the process of getting testsMedDRA releases: 2024-11 · check-in free text available
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2022-05-01
Survey response — 12 months, dose 2MedDRA: Dyspepsia, Eructation, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Burning stomach and belching. Went for a lot of tests and the doctors can't figure out what is wrong with me. This has been going on since June 2021. · Healthcare visit (other): Gastroenterologist. Had numerous testsMedDRA releases: 2024-11 · check-in free text available
-
2022-05-01
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-05-03
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Pfizer-BioNTech | |
| 2 | 2021-04-30 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 8 — day 28, dose 2
Symptoms: Exhaustion
Release 9 — 3 months, dose 2
Symptoms: I fainted in June I have a burning feeling from my chest to my abdomen. Been getting a lot of medical testing.
Healthcare visit (other): Cardiologist, neurologist, gastroenterologist, primary doctor
Release 10 — 6 months, dose 2
Symptoms: My belly is full of bile. My doctor thinks it may be from my gallbladder. In the process of getting tests
Release 11 — 12 months, dose 2
Symptoms: Burning stomach and belching. Went for a lot of tests and the doctors can't figure out what is wrong with me. This has been going on since June 2021.
Healthcare visit (other): Gastroenterologist. Had numerous tests
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 | Abdominal discomfort | ✓ | · | ✓ |
| SD | Chest pain | ✓ | · | ✓ |
| SD | Dyspepsia | · | · | ✓ |
| SD | Eructation | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Syncope | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release