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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

  1. 2021-02-22
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-15
    Dose 2 — Pfizer-BioNTech
  3. 2021-03-17
    Registered in v-safe
  4. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain
    Adult check-in
  5. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Diarrhea
    Adult check-in
  6. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-03-22
    Survey response — day 7, dose 2
    MedDRA: Abdominal pain, Diarrhoea, Vaccination site pain — Feeling: Good · Fatigue or tiredness
    Free 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
  10. 2021-03-29
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-26
    Survey response — day 42, dose 2
    MedDRA: Feeling hot — Feeling: Good
    Free 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
  15. 2021-06-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-09-13
    Survey response — 6 months, dose 2
    MedDRA: Body temperature increased, Bronchitis, Influenza, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  17. 2022-03-15
    Survey response — 12 months, dose 2
    MedDRA: 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 visit
    Free text: Elevated temperature, tiredness, and sore throat.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-03-15
    Report sent to call center — 12 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  19. 2022-03-17
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-02-22Pfizer-BioNTech
22021-03-15Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — day 7, dose 2

2021-03-22

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

2021-04-26

Symptoms: Aver mild feverish feeling on April 24. It lasted about one hour.

Release 9 — 6 months, dose 2

2021-09-13

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

2022-03-15

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

FieldPreferred term2021-092023-042024-11
SDBody temperature increased · · ✓
SDBronchitis · · ✓
SDFatigue · · ✓
SDFeeling hot ✓ ✓ ✓
SDInfluenza · · ✓
SDOropharyngeal pain · · ✓
SDSARS-CoV-2 test negative · · ✓
SROAbdominal pain ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROVaccination site pain ✓ ✓ ✓

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