4HU-24665-31240
3 vaccinations
5 coded responses
25 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 152 / PA
- Registered
- 2020-12-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-18
Dose 1 — Pfizer-BioNTech
-
2020-12-20
Registered in v-safe
- 2020-12-20
- 2020-12-21
- 2020-12-22
- 2020-12-27
- 2021-01-01
-
2021-01-05
Dose 2 — Pfizer-BioNTech
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-17
-
2021-07-06
Survey response — 6 months, dose 2MedDRA: Colonoscopy, Diarrhoea, Fatigue, Office visit, Weight decreased — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Explosive diarrhea and weight loss. Fatigue. Urgent colonoscopy- negative. Stool analysis negative for ova/parasites, c. dificile, etc. · Healthcare visit (other): Dr. Office and outpatient endoscopy care.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-06
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-12
-
2021-07-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-09-28
Dose 3 — Pfizer-BioNTech
-
2021-09-28
Survey response — day 0, dose 3MedDRA: Cough, Upper-airway cough syndrome — Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessFree text: Transient post-nasal drip and cough.MedDRA releases: 2024-11 · check-in free text available
- 2021-09-29
- 2021-09-30
- 2021-10-01
-
2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Mild soreness on palpation at injection site.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-14
-
2021-10-19
Survey response — day 21, dose 3MedDRA: Gait disturbance, Medical counselling, Nausea, Nystagmus, Vertigo, Vomiting — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: This morning. Acute vertigo with postural nausea and vomiting, nystagmus and gait instability. Lasted about three hours. Able to sleep finally for another four hours. I seem good right now. · Healthcare visit (other): Contacted my colleague physicians and my son(internist/hospitality) and discussed my situation.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-19
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-10-20
-
2021-10-21
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-10-26
- 2021-11-02
- 2021-11-09
- 2021-12-28
-
2022-03-29
Survey response — 6 months, dose 3MedDRA: Back pain, Cough, Myalgia, Nasal congestion, Oropharyngeal pain, Upper-airway cough syndrome — Feeling: FairFree text: Sore throat, nasal congestion, post-nasal drip, cough. occasional upper back-neck muscle aches.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-18 | Pfizer-BioNTech | |
| 2 | 2021-01-05 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 9 — 6 months, dose 2
Symptoms: Explosive diarrhea and weight loss. Fatigue. Urgent colonoscopy- negative. Stool analysis negative for ova/parasites, c. dificile, etc.
Healthcare visit (other): Dr. Office and outpatient endoscopy care.
Release 9 — day 0, dose 3
Systemic reaction (other): Transient post-nasal drip and cough.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Mild soreness on palpation at injection site.
Release 10 — day 21, dose 3
Symptoms: This morning. Acute vertigo with postural nausea and vomiting, nystagmus and gait instability. Lasted about three hours. Able to sleep finally for another four hours. I seem good right now.
Healthcare visit (other): Contacted my colleague physicians and my son(internist/hospitality) and discussed my situation.
Release 11 — 6 months, dose 3
Symptoms: Sore throat, nasal congestion, post-nasal drip, cough. occasional upper back-neck muscle aches.
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 | Medical counselling | · | · | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Colonoscopy | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Nystagmus | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SD | Weight decreased | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Upper-airway cough syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release