5K3-50463-04559
4 vaccinations
3 coded responses
32 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 936 / CA
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Pfizer-BioNTech
-
2021-01-14
Registered in v-safe
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-19
- 2021-01-22
- 2021-01-27
-
2021-02-03
Dose 2 — Pfizer-BioNTech
- 2021-02-10
-
2021-02-17
Survey response — day 14, dose 2MedDRA: Biliary colic, Muscle spasms, Muscle strain, Office visit, Sciatica — Feeling: Good · 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 visitFree text: Symptoms: Muscle spasm in low back and acute muscle strain of abdomen and sciatic irritation + gall bladder attack, fatty food induced. · Healthcare visit (other): Follow up with doctors in person. HIDA scan of gall blafdder and MRI of thoracic-lumbar spineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-05-05
- 2021-08-04
- 2021-08-06
-
2021-08-06
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-08-30
Dose 3 — Pfizer-BioNTech
- 2021-09-28
- 2021-10-04
-
2021-10-11
Survey response — day 42, dose 3MedDRA: Discomfort — Feeling: FairFree text: Gall bladder discomfort from diet. But better later in day after low fat diet and flushing water through body plus heat applied to abdomen.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
- 2022-02-28
-
2022-04-14
Dose 4 — Pfizer-BioNTech
- 2022-04-17
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-28
- 2022-05-06
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-07-14
-
2022-10-13
Survey response — 6 months, dose 4MedDRA: Aortic aneurysm repair, Aortic aneurysm rupture, COVID-19, Fatigue, Nasopharyngitis, Pain, Surgery — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Had leak to aortic aneurysm repaired this week surgically. At home and recovering. Sore and tired but on the mend. Also had Covid on Aug 18-21, very mild cold type symptoms, no residual. Got Pfizer booster on Sept 14 and travelled on Sept 27 · Healthcare visit (other): SurgeryMedDRA releases: 2024-11 · check-in free text available
-
2022-10-13
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-10-14
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Pfizer-BioNTech | |
| 2 | 2021-02-03 | Pfizer-BioNTech | |
| 3 | 2021-08-30 | Pfizer-BioNTech | No |
| 4 | 2022-04-14 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 14, dose 2
Symptoms: Muscle spasm in low back and acute muscle strain of abdomen and sciatic irritation + gall bladder attack, fatty food induced.
Healthcare visit (other): Follow up with doctors in person. HIDA scan of gall blafdder and MRI of thoracic-lumbar spine
Release 10 — day 42, dose 3
Symptoms: Gall bladder discomfort from diet. But better later in day after low fat diet and flushing water through body plus heat applied to abdomen.
Release 12 — 6 months, dose 4
Symptoms: Had leak to aortic aneurysm repaired this week surgically. At home and recovering. Sore and tired but on the mend. Also had Covid on Aug 18-21, very mild cold type symptoms, no residual. Got Pfizer booster on Sept 14 and travelled on Sept 27
Healthcare visit (other): Surgery
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Surgery | · | · | ✓ |
| SD | Aortic aneurysm repair | · | · | ✓ |
| SD | Aortic aneurysm rupture | · | · | ✓ |
| SD | Biliary colic | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Muscle strain | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Sciatica | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release