4TK-26328-91425
2 vaccinations
5 coded responses
22 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 726 / AR
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Dose 1 — Pfizer-BioNTech
-
2021-02-26
Registered in v-safe
- 2021-02-26
-
2021-02-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Fatigue or tirednessAdult check-in
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
-
2021-03-17
Dose 2 — Pfizer-BioNTech
- 2021-03-17
- 2021-03-18
- 2021-03-19
-
2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea — Feeling: Good · Fatigue or tirednessFree text: Loose stools but not diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea — Feeling: Good · Fatigue or tirednessFree text: Loose stools but not diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
-
2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-03-24
-
2021-03-31
Survey response — day 14, dose 2MedDRA: Diarrhoea, Fatigue — Feeling: GoodFree text: Two days of moderate to severe diarrhea and moderate fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
-
2021-06-16
Survey response — 3 months, dose 2MedDRA: Condition aggravated, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have seasonal allergies likely to the hay. I havent experienced them at this level before. I tested and was negative for Covid.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-16
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-24
- 2021-09-15
-
2022-03-17
Survey response — 12 months, dose 2MedDRA: Cardiac monitoring abnormal, Heart rate irregular, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: A month after booster I had a very erratic heartbeat. I went to a cardiologist who gave me a halter monitor, detected the events and sent me for a scan then a nuclear stress test. It has resolved on its ownMedDRA releases: 2024-11 · check-in free text available
-
2022-03-17
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-21
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Pfizer-BioNTech | |
| 2 | 2021-03-17 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Loose stools but not diarrhea
Systemic reaction (other): Loose stools but not diarrhea
Release 6 — day 14, dose 2
Symptoms: Two days of moderate to severe diarrhea and moderate fatigue.
Release 9 — 3 months, dose 2
Symptoms: I have seasonal allergies likely to the hay. I havent experienced them at this level before. I tested and was negative for Covid.
Release 11 — 12 months, dose 2
Symptoms: A month after booster I had a very erratic heartbeat. I went to a cardiologist who gave me a halter monitor, detected the events and sent me for a scan then a nuclear stress test. It has resolved on its own
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 | Cardiac monitoring abnormal | · | · | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Heart rate irregular | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release