Y3H-29089-60371
2 vaccinations
4 coded responses
19 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 283 / NC
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 1 — Pfizer-BioNTech
- 2021-03-10
-
2021-03-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-12
- 2021-03-14
- 2021-03-17
- 2021-03-24
- 2021-04-03
-
2021-04-07
Dose 2 — Pfizer-BioNTech
- 2021-04-07
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-09
- 2021-04-11
-
2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain, Constipation — Feeling: Poor · Muscle or body aches, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activitiesFree text: Constipation and abdominal cramps Started last evening (11th), has progressively gotten worseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-23
- 2021-04-28
- 2021-05-05
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2021-07-12
Survey response — 3 months, dose 2MedDRA: Headache — Feeling: GoodFree text: Started getting sharp, short headaches about two days after second shot, come and go about 5-6 times a week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-07
Survey response — 6 months, dose 2MedDRA: Hypoaesthesia, Skin ulcer — Feeling: Good · Be unable to do your normal daily activitiesFree text: Legion getting worse on left arm and lost feeling in left index fingerMedDRA releases: 2024-11 · check-in free text available
-
2022-04-09
Survey response — 12 months, dose 2MedDRA: Eye infection, Furuncle, Hypoaesthesia, Skin exfoliation — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Strange boil formed on left arm shots given in. Index finger went numb on left hand, eye infection in left eye, fingers pealing on left handMedDRA releases: 2024-11 · check-in free text available
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2022-04-09
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Pfizer-BioNTech | |
| 2 | 2021-04-07 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-09 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Constipation and abdominal cramps Started last evening (11th), has progressively gotten worse
Release 9 — 3 months, dose 2
Symptoms: Started getting sharp, short headaches about two days after second shot, come and go about 5-6 times a week.
Release 10 — 6 months, dose 2
Symptoms: Legion getting worse on left arm and lost feeling in left index finger
Release 11 — 12 months, dose 2
Symptoms: Strange boil formed on left arm shots given in. Index finger went numb on left hand, eye infection in left eye, fingers pealing on left hand
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 | Eye infection | · | · | ✓ |
| SD | Furuncle | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Skin exfoliation | · | · | ✓ |
| SD | Skin ulcer | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Constipation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release