XZ8-28672-47140
3 vaccinations
5 coded responses
16 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 195 / PA
- Registered
- 2021-04-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Dose 1 — Pfizer-BioNTech
-
2021-04-19
Registered in v-safe
-
2021-04-19
Dose 2 — Pfizer-BioNTech
-
2021-04-19
Health check-in — 0 day, dose 2Feeling: Poor · Site: Itching · Nausea, Abdominal pain, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-04-22
- 2021-04-23
-
2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Mouth ulceration — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-25
- 2021-04-26
-
2021-05-03
Survey response — 14 day, dose 2MedDRA: Contusion, Haemorrhage, Rash — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-10
- 2021-05-18
- 2021-05-24
-
2021-05-31
Survey response — 42 day, dose 2MedDRA: Mouth ulceration — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-07-19
Survey response — 3 month, dose 2MedDRA: Adverse reaction — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationMedDRA releases: 2024-11 · check-in answers available
-
2021-07-19
Report sent to call center — 3 month, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2021-07-26
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-10-19
Survey response — 6 month, dose 2MedDRA: Vertigo — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2021-10-19
Report sent to call center — 6 month, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-21
-
2021-12-03
Dose 3 — Pfizer-BioNTech
- 2022-12-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Pfizer-BioNTech | |
| 2 | 2021-04-19 | Pfizer-BioNTech | |
| 3 | 2021-12-03 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-19 | Successful 2021-07-26 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-10-19 | Unsuccessful |
Free text
Release 7
Systemic reaction (other): Ulcers in mouth. Ive had them occasionally throughout my life but never like this. Ive never had more than 2 or 3 in the past. Today I have 8 of them seems odd.
Release 8
Symptoms: Excessive bleeding and bruises. I bled an unbelievable amount on Friday evening from very minor things and also noticed big bruises on my legs for no apparent reason. I developed a bad skin rash under my Fitbit which Ive never had before.
Symptoms: I got a mouth full of ulcers again. 2nd time now after 2nd shot. I have had maybe one or two occasionally in the past (pre vaccine-whole life). Since vaccine I have had 8 to 10 at a time in mouth and throat, on two occasions.
Release 9
Symptoms: Unknown at the moment. Was checked for lung blood clot and heart attack. Both were negative. Need to get more tests.
Release 10
Symptoms: Vertigo
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 |
|---|---|---|---|---|
| SD | Adverse reaction | · | · | ✓ |
| SD | Contusion | ✓ | ✓ | ✓ |
| SD | Haemorrhage | ✓ | ✓ | ✓ |
| SD | Mouth ulceration | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Mouth ulceration | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release