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Y7U-81078-08806

2 vaccinations 6 coded responses 16 check-ins 6 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
982 / WA
Registered
2021-02-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-04
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-25
    Registered in v-safe
  3. 2021-02-25
    Dose 2 — Pfizer-BioNTech
  4. 2021-02-25
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lethargy — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Lethargic
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lethargy — Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Free text: Not as lethargic as yesterday. Obviously getting better. But I did cancel my golf game.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-25
    Survey response — day 28, dose 2
    MedDRA: Abdominal pain upper — Feeling: Fair
    Free text: Two weeks after getting my second shot, I flew from (b)(6) to (b)(6). Arriving in (b)(6)last night, I had terrible stomach cramps. Much better today. Most likely something I ate?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-01
    Survey response — day 35, dose 2
    MedDRA: Abdominal pain upper, Diarrhoea, Sleep disorder — Feeling: Good
    Free text: Stomach cramps this morning. Possibly something I ate? I've and kept awake at night with stomach cramps about three times a week since my second shot. Often coupled with diarrhea, but not always.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-09
    Survey response — day 42, dose 2
    MedDRA: Malaise, Vomiting — Feeling: Good · Be unable to do your normal daily activities
    Free text: Tuesday night vomiting, relaxed next day. Felt fine Thursday and Today.Since my last vaccination, I have been sick one day every week. Always goes away within 24 hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-08-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-02-25
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Emergency care, Malaise, Sinus disorder — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Symptoms: Covid-19 on February 7th, had monocromo antibody on the 8th and was finally symptom-free onFrb 28, 2022. Main symptoms were sinus issues. · Healthcare visit (other): Went to emergency department to get a monoclonal antibody IV second day of covid symptoms.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-02-25
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  21. 2022-03-03
  22. 2022-03-08
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-02-04Pfizer-BioNTech
22021-02-25Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2022-02-25 Successful
2022-03-08
Participant prefers to complete VAERS report online

Free text

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): Lethargic

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Not as lethargic as yesterday. Obviously getting better. But I did cancel my golf game.

Release 6 — day 28, dose 2

2021-03-25

Symptoms: Two weeks after getting my second shot, I flew from (b)(6) to (b)(6). Arriving in (b)(6)last night, I had terrible stomach cramps. Much better today. Most likely something I ate?
redacted (b)(6)

Release 6 — day 35, dose 2

2021-04-01

Symptoms: Stomach cramps this morning. Possibly something I ate? I've and kept awake at night with stomach cramps about three times a week since my second shot. Often coupled with diarrhea, but not always.

Release 7 — day 42, dose 2

2021-04-09

Symptoms: Tuesday night vomiting, relaxed next day. Felt fine Thursday and Today.Since my last vaccination, I have been sick one day every week. Always goes away within 24 hours.

Release 11 — 12 months, dose 2

2022-02-25

Symptoms: Covid-19 on February 7th, had monocromo antibody on the 8th and was finally symptom-free onFrb 28, 2022. Main symptoms were sinus issues.
Healthcare visit (other): Went to emergency department to get a monoclonal antibody IV second day of covid symptoms.

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

FieldPreferred term2021-092023-042024-11
HCVOEmergency care · · ✓
HCVOMalaise · · ✓
SDAbdominal pain upper ✓ ✓ ✓
SDCOVID-19 · · ✓
SDDiarrhoea ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDSinus disorder · · ✓
SDSleep disorder ✓ ✓ ✓
SDVomiting ✓ ✓ ✓
SROLethargy ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release