6WD-23876-63941
2 vaccinations
4 coded responses
22 check-ins
4 free-text entries
5 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 074 / NJ
- Registered
- 2020-12-19
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-18
Dose 1 — Pfizer-BioNTech
-
2020-12-19
Registered in v-safe
- 2020-12-19
-
2020-12-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fever · Chills, Muscle or body aches · Be unable to workAdult check-in
- 2020-12-20
- 2020-12-21
- 2020-12-22
- 2020-12-23
- 2020-12-24
- 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, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to workAdult check-in
- 2021-01-09
-
2021-01-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-01-10
-
2021-01-11
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Increased upper airway secretion — Feeling: Good · Site: Pain · Fever · ChillsFree text: I had some nasal pharyngeal secretions and some cough last evening and at night which has cleared todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-24
- 2021-01-29
- 2021-02-05
-
2021-02-12
Survey response — day 35, dose 2MedDRA: Anaphylactic reaction, Emergency care, Self-medication, Urticaria — Feeling: Good · Be unable to workFree text: On February 5 in the morning I have sudden generalized anaphylactic reaction with generalized urtericarash for which I had to go to the emergency room and was given IV steroids and Benadryl. I have taper down my steroids but I am still taking BenadrMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
-
2021-04-10
Survey response — 3 months, dose 2MedDRA: Pre-existing disease — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · HospitalizationFree text: Non-ST MI on February 18 which led to five Coronary Stents and an angioplasty.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Report sent to call center — 3 months, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-31
-
2021-06-08
Call successfulCompleted over the phone
-
2021-07-11
Survey response — 6 months, dose 2MedDRA: Blood creatinine increased, Condition aggravated, Eosinophilia, Erythrodermic psoriasis, Hypertension, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have had Erythrodermic psoriasis Which seems to be improving a little bit. I had eosinophilia which is starting to get betterAnd my creatinine is starting to improve, my hypertension is starting to be coming under controlMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-11
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-19
-
2021-07-19
Callback requested for07:00PM ET
-
2021-07-19
Call successfulReported to VAERS during previous contact from GDIT
- 2022-01-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-18 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech |
Call center
5 call center cases
2 successful · 3 priority 2/3 (triaged and no follow up)
VAERS report filed, before or during a call: 2
Free text
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): I had some nasal pharyngeal secretions and some cough last evening and at night which has cleared today
Release 4 — day 35, dose 2
Symptoms: On February 5 in the morning I have sudden generalized anaphylactic reaction with generalized urtericarash for which I had to go to the emergency room and was given IV steroids and Benadryl. I have taper down my steroids but I am still taking Benadr cut off by CDC
Release 7 — 3 months, dose 2
Symptoms: Non-ST MI on February 18 which led to five Coronary Stents and an angioplasty.
Release 9 — 6 months, dose 2
Symptoms: I have had Erythrodermic psoriasis Which seems to be improving a little bit. I had eosinophilia which is starting to get betterAnd my creatinine is starting to improve, my hypertension is starting to be coming under control
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 |
|---|---|---|---|---|
| SD | Anaphylactic reaction | ✓ | ✓ | ✓ |
| SD | Blood creatinine increased | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Eosinophilia | ✓ | ✓ | ✓ |
| SD | Erythrodermic psoriasis | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ○ |
| SD | Urticaria | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Increased upper airway secretion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release