4CW-16753-36932
3 vaccinations
6 coded responses
16 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 980 / WA
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-13
Dose 1 — Pfizer-BioNTech
-
2021-03-15
Registered in v-safe
- 2021-03-15
- 2021-03-16
- 2021-03-17
-
2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: FairFree text: Out of breath.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper, Cough, Insomnia — Feeling: FairFree text: Coughing, stomach ache. Didn't sleep til 5am this morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-20
Survey response — day 7, dose 1MedDRA: Dyspnoea, Insomnia — Feeling: FairFree text: Having problems sleeping. Hard to breath.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
-
2021-04-03
Survey response — day 21, dose 1MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Harder time breathing. I am still ambulatory, but using the inhaler a LOT more.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Survey response — day 28, dose 1MedDRA: Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Received, prednisone, azithromycin and working on getting oxygen thru my doc.As a result, second Covid shot will be two weeks AFTER the last of the meds above are done. Roughly, 2nd week of May.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-17
Survey response — day 35, dose 1MedDRA: Office visit — Feeling: GoodFree text: Dr. gave me oxygen and it was WONDERFUL! My insurance covered it. It is a God Send!!I NEED MY SECOND Pfieser Covid 19 in two weeks from now. Help!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
-
2021-05-03
Dose 2 — Pfizer-BioNTech
- 2021-06-12
- 2021-06-12
- 2021-06-14
-
2021-09-08
Dose 3 — Pfizer-BioNTech
- 2021-12-08
-
2022-02-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Pfizer-BioNTech | |
| 2 | 2021-05-03 | Pfizer-BioNTech | |
| 3 | 2021-09-08 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Out of breath.
Systemic reaction (other): Coughing, stomach ache. Didn't sleep til 5am this morning.
Release 6 — day 7, dose 1
Systemic reaction (other): Having problems sleeping. Hard to breath.
Release 6 — day 21, dose 1
Symptoms: Harder time breathing. I am still ambulatory, but using the inhaler a LOT more.
Release 7 — day 28, dose 1
Symptoms: Received, prednisone, azithromycin and working on getting oxygen thru my doc.As a result, second Covid shot will be two weeks AFTER the last of the meds above are done. Roughly, 2nd week of May.
Release 7 — day 35, dose 1
Symptoms: Dr. gave me oxygen and it was WONDERFUL! My insurance covered it. It is a God Send!!I NEED MY SECOND Pfieser Covid 19 in two weeks from now. Help!
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 | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release