69U-53236-35144
4 vaccinations
4 coded responses
51 check-ins
4 free-text entries
2 call cases
- Sex
- —
- Age at first dose
- 66+
- ZIP prefix
- 390 / MS
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Pfizer-BioNTech
- 2021-01-28
- 2021-01-29
-
2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper, Unevaluable event, Vomiting — Feeling: Fair · Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): This seated Sat morning 5AM and continued though Sunday morning 6AM. Vomiting stopped stove pain in stomach Vomiting Avery 45 minutes. · Healthcare visit (other): Cold and vomiting meds provided to be.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness postural, Influenza — Feeling: Fair · Headache, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activitiesFree text: Flue part is gone. Still get dizzy when I get up to move around. Doctors not sure if I had a reaction to vaccine or just got a bad flueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-04
-
2021-02-20
Survey response — day 21, dose 1MedDRA: Hospitalisation — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Was in ICU HOSpital for 4 days an 3 in reqular room after first vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
-
2021-03-04
Dose 2 — Pfizer-BioNTech
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-09
- 2021-04-15
- 2021-06-03
- 2021-06-03
- 2021-09-02
-
2021-09-27
Dose 3 — Pfizer-BioNTech
- 2021-09-27
- 2021-09-28
- 2021-09-29
- 2021-09-30
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-12
- 2021-10-18
- 2021-10-25
-
2021-11-02
Survey response — day 35, dose 3MedDRA: Reaction to previous exposure to any vaccine, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Listed yesterday! But 1 times today!!!!! This is his wife, (b)(6) I am fine, have been!!! Ur tomorrow??!!!!! Will keep and eye n on him!! Best belu I eve it!!! He's my husband!!!!! Plus las year was sick before & after 2nd shot · Healthcare visit (other): Will tomorrow, for sureMedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Report sent to call center — day 35, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-04
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-08
- 2021-12-27
- 2022-03-30
-
2022-05-15
Dose 4 — Pfizer-BioNTech
- 2022-05-15
- 2022-05-16
- 2022-05-18
- 2022-05-20
- 2022-05-22
- 2022-05-30
- 2022-06-05
- 2022-06-12
- 2022-06-19
- 2022-06-26
- 2022-08-15
- 2022-11-13
- 2023-05-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Pfizer-BioNTech | |
| 2 | 2021-03-04 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-05-15 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): This seated Sat morning 5AM and continued though Sunday morning 6AM. Vomiting stopped stove pain in stomach Vomiting Avery 45 minutes.
Healthcare visit (other): Cold and vomiting meds provided to be.
Systemic reaction (other): Flue part is gone. Still get dizzy when I get up to move around. Doctors not sure if I had a reaction to vaccine or just got a bad flue
Release 4 — day 21, dose 1
Symptoms: Was in ICU HOSpital for 4 days an 3 in reqular room after first vaccination.
Release 10 — day 35, dose 3
Symptoms: Listed yesterday! But 1 times today!!!!! This is his wife, (b)(6) I am fine, have been!!! Ur tomorrow??!!!!! Will keep and eye n on him!! Best belu I eve it!!! He's my husband!!!!! Plus las year was sick before & after 2nd shot
Healthcare visit (other): Will tomorrow, for sure
redacted (b)(6)
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Dizziness postural | ✓ | ✓ | ✓ |
| SRO | Influenza | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release