4Q5-25786-12963
3 vaccinations
2 coded responses
2 check-ins
2 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 26-30
- ZIP prefix
- 017 / MA
- Registered
- 2022-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-29
Dose 1 — Pfizer-BioNTech
-
2021-04-19
Dose 2 — Pfizer-BioNTech
-
2021-12-12
Dose 3 — Pfizer-BioNTech
-
2022-03-09
Registered in v-safe
-
2022-03-14
Survey response — 3 months, dose 3MedDRA: Dyspnoea, Exercise tolerance decreased, Gastritis, Weight decreased — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Ever since the booster phizer vaccine I've been having severe shortness of breath. My stomach is inflammed in sections 5,6,7 of upper stomach in the gastric section. I can't exercise, I lost 20lbs since then as well. It has been a 3-4 month nightmareMedDRA releases: 2024-11 · check-in free text available
-
2022-03-14
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-03-16
-
2022-12-12
Survey response — 12 months, dose 3MedDRA: Abdominal distension, Asthma, Functional gastrointestinal disorder, Gastrointestinal disorder, Irritable bowel syndrome, Office visit, Pulmonary congestion, Pyrexia, Respiratory disorder — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Very bad IBS symptoms since the booster vaccine. Affecting my breathing, digestion, bloating, GI functions, random reactions and random related asthma events. There were times I had to stop work to see doctors or had fever break outs and lung congestMedDRA releases: 2024-11 · check-in free text available
-
2022-12-12
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-12-13
Call successfulParticipant prefers to complete VAERS report online
-
2022-12-13
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Pfizer-BioNTech | No |
| 2 | 2021-04-19 | Pfizer-BioNTech | No |
| 3 | 2021-12-12 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 11 — 3 months, dose 3
Symptoms: Ever since the booster phizer vaccine I've been having severe shortness of breath. My stomach is inflammed in sections 5,6,7 of upper stomach in the gastric section. I can't exercise, I lost 20lbs since then as well. It has been a 3-4 month nightmare cut off by CDC
Release 12 — 12 months, dose 3
Symptoms: Very bad IBS symptoms since the booster vaccine. Affecting my breathing, digestion, bloating, GI functions, random reactions and random related asthma events. There were times I had to stop work to see doctors or had fever break outs and lung congest cut off by CDC
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 | Abdominal distension | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Exercise tolerance decreased | · | · | ✓ |
| SD | Functional gastrointestinal disorder | · | · | ✓ |
| SD | Gastritis | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Irritable bowel syndrome | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pulmonary congestion | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | Weight decreased | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release