4UG-20573-64499
2 vaccinations
4 coded responses
14 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 735 / OK
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-22
Dose 1 — Pfizer-BioNTech
-
2021-03-15
Dose 2 — Pfizer-BioNTech
-
2021-03-17
Registered in v-safe
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
-
2021-03-22
Survey response — day 7, dose 2MedDRA: Abdominal pain, Diarrhoea, Vaccination site pain — Feeling: Good · Fatigue or tirednessFree text: I had moderate to severe abdominal pain and diarrhea the day after my 2nd shot. After my 1st shot, the only side effect I had had was mild soreness at the vaccination site for one day after the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
-
2021-04-26
Survey response — day 42, dose 2MedDRA: Feeling hot — Feeling: GoodFree text: Aver mild feverish feeling on April 24. It lasted about one hour.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-14
-
2021-09-13
Survey response — 6 months, dose 2MedDRA: Body temperature increased, Bronchitis, Influenza, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: July 25 began flu symptoms. No temp above 98.7. Covid-19 test at CVS pharmacy-NEGATIVE. Symptoms end Aug. 14. Mild bronchitis symptoms began Aug. 16-23. COVID-19 test Aug. 18-Negative.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-15
Survey response — 12 months, dose 2MedDRA: Body temperature increased, Fatigue, Oropharyngeal pain — 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: Elevated temperature, tiredness, and sore throat.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-15
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)
-
2022-03-17
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-22 | Pfizer-BioNTech | |
| 2 | 2021-03-15 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 6 — day 7, dose 2
Systemic reaction (other): I had moderate to severe abdominal pain and diarrhea the day after my 2nd shot. After my 1st shot, the only side effect I had had was mild soreness at the vaccination site for one day after the shot.
Release 8 — day 42, dose 2
Symptoms: Aver mild feverish feeling on April 24. It lasted about one hour.
Release 9 — 6 months, dose 2
Symptoms: July 25 began flu symptoms. No temp above 98.7. Covid-19 test at CVS pharmacy-NEGATIVE. Symptoms end Aug. 14. Mild bronchitis symptoms began Aug. 16-23. COVID-19 test Aug. 18-Negative.
Release 11 — 12 months, dose 2
Symptoms: Elevated temperature, tiredness, and sore throat.
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 | Body temperature increased | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Vaccination site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release