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4HT-26102-22369

2 vaccinations 2 coded responses 7 check-ins 2 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
292 / SC
Registered
2021-01-25
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2021-01-18
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-25
    Registered in v-safe
  3. 2021-01-25
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-01
    Survey response — day 14, dose 1
    MedDRA: Abdominal pain, Diverticulitis, Pre-existing disease — Feeling: Good · Be unable to work, Be unable to do your normal daily activities
    Free text: Diverticulitis flare up caused intense abdominal pain, lower left quadrant, for 2.5 days. No fever. Prior bouts began 2002. Normal stool. Pre-existing, recurrenf ailment not believed to be related to vaccine. Over weekend.JBS
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-08
    Dose 2 — Pfizer-BioNTech
  6. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-03-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-08-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  10. 2022-02-10
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Hospitalisation, Pneumonia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization
    Free text: Admitted to hospital with bilateral pneumonia on 1/31/21. Stayed 12 days untl 1/11/2022. Negative for Covid upon admission. But pulmonary specialist said I had Covid at post hospitalization exam on or about February 1st.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-02-10
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  12. 2022-02-14
  13. 2022-02-17
  14. 2022-02-17
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-01-18Pfizer-BioNTech
22021-02-08Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-01

Symptoms: Diverticulitis flare up caused intense abdominal pain, lower left quadrant, for 2.5 days. No fever. Prior bouts began 2002. Normal stool. Pre-existing, recurrenf ailment not believed to be related to vaccine. Over weekend.JBS

Release 11 — 12 months, dose 2

2022-02-10

Symptoms: Admitted to hospital with bilateral pneumonia on 1/31/21. Stayed 12 days untl 1/11/2022. Negative for Covid upon admission. But pulmonary specialist said I had Covid at post hospitalization exam on or about February 1st.

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
SDAbdominal pain ✓ ✓ ✓
SDCOVID-19 · · ✓
SDDiverticulitis ✓ ✓ ✓
SDHospitalisation · · ✓
SDPneumonia · · ✓
SDPre-existing disease ✓ ✓ ✓
SDSARS-CoV-2 test negative · · ✓

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