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6JW-79497-41139

5 vaccinations 6 coded responses 35 check-ins 6 free-text entries 3 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
481 / MI
Registered
2021-02-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-25
    Registered in v-safe
  2. 2021-02-25
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-25
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  5. 2021-02-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-19
    Survey response — day 21, dose 1
    MedDRA: Office visit, Tooth abscess — Feeling: Poor · Get care from a doctor or other healthcare professional
    Free text: Symptoms: On 3/18, had to have emergency dental work done on a molar, with an abscess. I will be receiving 2nd vaccine shot next week. · Healthcare visit (other): Dental office
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-19
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-03-23
    Dose 2 — Pfizer-BioNTech
  15. 2021-03-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Influenza like illness, Self-medication — Feeling: Good · Site: Pain · Be unable to do your normal daily activities
    Free text: 24 hours after 2nd vaccine dose, had mild, flu-like symptoms for about 18 hours. Treated with acetaminophen & ibuprofen.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain, Haematochezia, Pre-existing disease, Tooth infection — Feeling: Poor · Fever · Chills, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: The GI problems are most likely from a high dose Penicillin VK (600mg, oral, 4x/day, for 4 days). This was started 11 days ago for an infected nerve, on my # 3 tooth. If my lower abdominal cramps & bloody stool are still with me on 3/29, I will definitely get medical care.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Diarrhoea, Haematochezia, Mucous stools — Feeling: Fair · Fever · Diarrhea, Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Systemic reaction (other): Bloody, watery mucus in stool - leftover from yesterdays severe diarrhea · Healthcare visit (other): Picked up lab kit from PCP, for stool sample, to determine nature of severe diarrhea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-29
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-03-30
    Survey response — day 7, dose 2
    MedDRA: Abdominal pain, Diarrhoea, Flatulence — Feeling: Fair · Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Systemic reaction (other): Mild abdominal cramping, several hours after eating. Cramps go away after passing gas. · Healthcare visit (other): Waiting to have my first bowel movement since yesterday ~ 1:00pm. I need to get a stool sample to my PCPs Lab, in order to diagnose my severe diarrhea from Sun/Mon morn.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-30
    Report sent to call center — day 7, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-04-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-13
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-06-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-09-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-12-21
    Dose 3 — Pfizer-BioNTech
  31. 2021-12-30
  32. 2022-03-23
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  33. 2022-06-08
    Dose 4 — Pfizer-BioNTech
  34. 2022-06-29
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-07-06
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-07-13
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-07-20
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-09-08
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-10-10
    Dose 5 — Pfizer-BioNTech
    Co-administered: Flu
  40. 2022-10-18
    Survey response — day 7, dose 5
    MedDRA: Pain in extremity, Peripheral swelling — Feeling: Good · Site: Pain, Swelling
    Free text: I had the pain & swelling in my left arm, 6 to 24 hours, after I received the COVID BOOSTER & INFLUENZA SHOTS, in my left arm.
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-10-24
    Health check-in — day 14, dose 5
    Feeling: Fair
    Adult check-in
  42. 2022-11-01
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  43. 2022-11-07
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  44. 2022-11-14
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  45. 2022-11-21
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-25Pfizer-BioNTech
22021-03-23Pfizer-BioNTech
32021-12-21Pfizer-BioNTech No
42022-06-08Pfizer-BioNTech No
52022-10-10Pfizer-BioNTech Flu

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 21, dose 1

2021-03-19

Symptoms: On 3/18, had to have emergency dental work done on a molar, with an abscess. I will be receiving 2nd vaccine shot next week.
Healthcare visit (other): Dental office

Release 6 — days 1–6 daily, dose 2

2021-03-25

Systemic reaction (other): 24 hours after 2nd vaccine dose, had mild, flu-like symptoms for about 18 hours. Treated with acetaminophen & ibuprofen.

2021-03-28

Systemic reaction (other): The GI problems are most likely from a high dose Penicillin VK (600mg, oral, 4x/day, for 4 days). This was started 11 days ago for an infected nerve, on my # 3 tooth. If my lower abdominal cramps & bloody stool are still with me on 3/29, I will definitely get medical care.

2021-03-29

Systemic reaction (other): Bloody, watery mucus in stool - leftover from yesterdays severe diarrhea
Healthcare visit (other): Picked up lab kit from PCP, for stool sample, to determine nature of severe diarrhea

Release 6 — day 7, dose 2

2021-03-30

Systemic reaction (other): Mild abdominal cramping, several hours after eating. Cramps go away after passing gas.
Healthcare visit (other): Waiting to have my first bowel movement since yesterday ~ 1:00pm. I need to get a stool sample to my PCPs Lab, in order to diagnose my severe diarrhea from Sun/Mon morn.

Release 12 — day 7, dose 5

2022-10-18

Systemic reaction (other): I had the pain & swelling in my left arm, 6 to 24 hours, after I received the COVID BOOSTER & INFLUENZA SHOTS, in my left arm.

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
HCVODiarrhoea ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDTooth abscess ✓ ✓ ✓
SROAbdominal pain ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROFlatulence ✓ ✓ ✓
SROHaematochezia ✓ ✓ ✓
SROInfluenza like illness ✓ ✓ ✓
SROMucous stools ✓ ✓ ✓
SROPain in extremity · · ✓
SROPeripheral swelling · · ✓
SROPre-existing disease ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROTooth infection ✓ ✓ ✓

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

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