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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

  1. 2021-03-29
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-19
    Dose 2 — Pfizer-BioNTech
  3. 2021-12-12
    Dose 3 — Pfizer-BioNTech
  4. 2022-03-09
    Registered in v-safe
  5. 2022-03-14
    Survey response — 3 months, dose 3
    MedDRA: 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, Hospitalization
    Free 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 nightmare
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-03-14
    Report sent to call center — 3 months, dose 3
    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 · Hospitalization · 1 call case(s)
  7. 2022-03-16
  8. 2022-12-12
    Survey response — 12 months, dose 3
    MedDRA: 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, Hospitalization
    Free 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 congest
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-12-12
    Report sent to call center — 12 months, dose 3
    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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  10. 2022-12-13
    Call successful
    Participant prefers to complete VAERS report online
  11. 2022-12-13
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-03-29Pfizer-BioNTech No
22021-04-19Pfizer-BioNTech No
32021-12-12Pfizer-BioNTech No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 11 — 3 months, dose 3

2022-03-14

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

2022-12-12

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

FieldPreferred term2021-092023-042024-11
SDAbdominal distension · · ✓
SDAsthma · · ✓
SDDyspnoea · · ✓
SDExercise tolerance decreased · · ✓
SDFunctional gastrointestinal disorder · · ✓
SDGastritis · · ✓
SDGastrointestinal disorder · · ✓
SDIrritable bowel syndrome · · ✓
SDOffice visit · · ✓
SDPulmonary congestion · · ✓
SDPyrexia · · ✓
SDRespiratory disorder · · ✓
SDWeight decreased · · ✓

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