TNJ-65541-32263
4 vaccinations
4 coded responses
26 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 810 / CO
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Pfizer-BioNTech
-
2020-12-31
Registered in v-safe
-
2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Site: Pain · Muscle or body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-02
- 2021-01-04
-
2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Asthma, Cough — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-08
Survey response — 7 day, dose 1MedDRA: Asthma, Cough, Dyspnoea, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-08
Report sent to call center — 7 day, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-15
-
2021-01-20
Dose 2 — Pfizer-BioNTech
- 2021-02-03
- 2021-02-10
-
2021-02-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-04-21
- 2021-07-21
-
2021-10-13
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2022-01-20
- 2022-04-20
-
2022-10-14
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2022-10-15
Survey response — 12 month, dose 3MedDRA: Arrhythmia, COVID-19, Extrasystoles, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2022-10-15
Report sent to call center — 12 month, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-10-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-19
- 2022-10-20
- 2022-10-23
- 2022-10-29
- 2022-11-05
- 2022-11-21
- 2022-11-26
- 2023-01-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Pfizer-BioNTech | |
| 2 | 2021-01-20 | Pfizer-BioNTech | |
| 3 | 2021-10-13 | Pfizer-BioNTech | Flu |
| 4 | 2022-10-14 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-08 | Successful 2021-02-12 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-10-15 | Successful 2022-10-17 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 1
Systemic reaction (other): Was skiing at 11,000 ft today. Have exercise induced asthma. Had an asthma attack, but I think that is not related to the vaccine at all. (As I get them with physical exertion)
Systemic reaction (other): Cough, non productive, likely asthma
Systemic reaction (other): Cough, sob with exercise, likely asthma flare up and unrelated to vaccine
Release 12
Symptoms: Cardiac arrhythmia (pretty severe) 15,000 plus ectopic beats/day Had Covid (arrhythmia developed shortly after/during Covid recovery)
Healthcare visit (other): Cardiology follow up: Holter monitor, echocardiogram, stress test (treadmill)
Free-text releases are not linked to a specific 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 | · | · | ✓ |
| SD | Arrhythmia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Extrasystoles | · | · | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release