6VF-34858-70063
3 vaccinations
5 coded responses
34 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 021 / MA
- Registered
- 2020-12-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-18
Registered in v-safe
-
2020-12-18
Dose 1 — Pfizer-BioNTech
- 2020-12-18
- 2020-12-19
-
2020-12-20
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia — Feeling: Good · Site: PainFree text: Yesterday I had a bad taste in my mouth.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-21
- 2020-12-22
- 2020-12-27
- 2021-01-01
-
2021-01-08
Dose 2 — Pfizer-BioNTech
-
2021-01-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-01-09
-
2021-01-10
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Emergency care, Pain, Pyrexia — Feeling: Fair · Site: Pain · Abdominal pain · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I took Advil a few times to help with my fever and body aches Friday night and Saturday. Advil is a known irritant to my stomach, so the Advil caused me to have a gastritis flare (which I have had before- I do not believe related to my vaccine). I sought out care at the ER for this.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-10
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-04-09
- 2021-07-09
-
2021-10-21
Dose 3 — Pfizer-BioNTech
-
2021-10-23
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal pain upper, Back pain, Gastritis, Pain, Pre-existing disease, Vaccine positive rechallenge — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: About 36 hours after receiving my third dose, I experienced an awful flare of gastritis for about 12 hours. I had terrible stomach pain that radiates up my back. The last time I experienced a gastritis flare was after I received my second dose.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Gastrooesophageal reflux disease — Feeling: Fair · Fatigue or tirednessFree text: Acid refluxMedDRA releases: 2024-11 · check-in free text available
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-11-04
- 2021-11-11
-
2021-11-19
Survey response — day 28, dose 3MedDRA: Abdominal pain upper, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Worsening epigastric pain since receiving booster dose. · Healthcare visit (other): I will have upper GI endoscopy in JanuaryMedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-22
Call successfulCompleted over the phone
-
2021-11-22
Call successfulCompleted over the phone
- 2021-11-27
- 2021-12-02
- 2022-01-20
- 2022-10-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-18 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech | |
| 3 | 2021-10-21 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 2
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday I had a bad taste in my mouth.
Release 1 — days 1–6 daily, dose 2
Healthcare visit (other): I took Advil a few times to help with my fever and body aches Friday night and Saturday. Advil is a known irritant to my stomach, so the Advil caused me to have a gastritis flare (which I have had before- I do not believe related to my vaccine). I sought out care at the ER for this.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): About 36 hours after receiving my third dose, I experienced an awful flare of gastritis for about 12 hours. I had terrible stomach pain that radiates up my back. The last time I experienced a gastritis flare was after I received my second dose.
Systemic reaction (other): Acid reflux
Release 10 — day 28, dose 3
Symptoms: Worsening epigastric pain since receiving booster dose.
Healthcare visit (other): I will have upper GI endoscopy in January
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 | Condition aggravated | ✓ | ✓ | ✓ |
| HCVO | Emergency care | ✓ | ✓ | ✓ |
| HCVO | Medical observation | ○ | ○ | ○ |
| HCVO | Pain | ✓ | ✓ | ✓ |
| HCVO | Pyrexia | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SRO | Abdominal pain upper | · | · | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Gastritis | · | · | ✓ |
| SRO | Gastrooesophageal reflux disease | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Taste disorder | ○ | ○ | ○ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release