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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

  1. 2021-04-08
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-30
    Dose 2 — Pfizer-BioNTech
  3. 2021-05-11
    Registered in v-safe
  4. 2021-05-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-05-15
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  6. 2021-05-21
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  7. 2021-06-01
    Survey response — day 28, dose 2
    MedDRA: Fatigue — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Exhaustion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-06-06
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  9. 2021-06-13
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-07-30
    Survey response — 3 months, dose 2
    MedDRA: 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 professional
    Free 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 doctor
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  11. 2021-07-30
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-11-02
    Survey response — 6 months, dose 2
    MedDRA: Gastrointestinal disorder — Feeling: Poor · Be unable to do your normal daily activities
    Free text: My belly is full of bile. My doctor thinks it may be from my gallbladder. In the process of getting tests
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-05-01
    Survey response — 12 months, dose 2
    MedDRA: Dyspepsia, Eructation, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free 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 tests
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-05-01
    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
    1 call case(s)
  15. 2022-05-03
    Call successful
    Completed over the phone

Vaccinations

DoseDateManufacturerCo-administered
12021-04-08Pfizer-BioNTech
22021-04-30Pfizer-BioNTech

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 8 — day 28, dose 2

2021-06-01

Symptoms: Exhaustion

Release 9 — 3 months, dose 2

2021-07-30

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

2021-11-02

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

2022-05-01

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ · ✓
SDAbdominal discomfort ✓ · ✓
SDChest pain ✓ · ✓
SDDyspepsia · · ✓
SDEructation · · ✓
SDFatigue ✓ ✓ ✓
SDGastrointestinal disorder · · ✓
SDOffice visit · · ✓
SDSyncope ✓ · ✓

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