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YF7-27209-01930

4 vaccinations 8 coded responses 12 check-ins 7 free-text entries 2 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
809 / CO
Registered
2022-06-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-01
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-22
    Dose 2 — Pfizer-BioNTech
  3. 2021-10-20
    Dose 3 — Pfizer-BioNTech
  4. 2022-06-07
    Dose 4 — Pfizer-BioNTech
  5. 2022-06-11
    Registered in v-safe
  6. 2022-06-11
    Survey response — days 1–6 daily, dose 4
    MedDRA: Diarrhoea, Flank pain — Feeling: Fair · Joint pains, Muscle or body aches
    Free text: Diarrhea on 3rd day after, along with sore all of my right side
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-06-12
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  8. 2022-06-13
    Survey response — days 1–6 daily, dose 4
    MedDRA: Pre-existing disease — Feeling: Good · Diarrhea
    Free text: Had this vaccine within 3 weeks of having mild covid.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-06-14
    Survey response — day 7, dose 4
    MedDRA: Paraesthesia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Tingling at my extremities, fingers, toes
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-06-21
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  11. 2022-06-29
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  12. 2022-07-05
    Survey response — day 28, dose 4
    MedDRA: Abdominal discomfort — Feeling: Fair
    Free text: Stomach uoset
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-07-12
    Survey response — day 35, dose 4
    MedDRA: Hospitalisation, Vertigo — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Virtago, currently hospitalized until it resolves
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-07-19
    Survey response — day 42, dose 4
    MedDRA: Hospitalisation, Vertigo — Feeling: Poor · 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, Hospitalization
    Free text: Serious vertigo. Hospitalized 3.5 days
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-07-19
    Report sent to call center — day 42, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  16. 2022-07-20
  17. 2022-07-25
  18. 2022-09-06
    Survey response — 3 months, dose 4
    MedDRA: Balance disorder, Malaise, SARS-CoV-2 test positive, Vertigo — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Severe vertigo and balance issues, starting 7/11/22, consequent to 2nd COVID booster less than one month after positive COVID-19 test and symptoms. Balance still not back to normal
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-12-07
    Health check-in — 6 months, dose 4
    Feeling: Fair
    Adult check-in
  20. 2023-06-07
    Survey response — 12 months, dose 4
    MedDRA: Balance disorder, Brain fog, Muscular weakness, Neuropathy peripheral, Office visit, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professional
    MedDRA releases: 2024-11
  21. 2023-06-07
    Call case (no matching report) — Successful
    Participant prefers to complete VAERS report online
  22. 2023-06-08
  23. 2023-06-08
  24. 2023-06-08
    Call successful
    Participant prefers to complete VAERS report online
  25. 2023-06-08
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-02-01Pfizer-BioNTech No
22021-02-22Pfizer-BioNTech No
32021-10-20Pfizer-BioNTech No
42022-06-07Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2022-07-19 Successful
2023-06-08
Participant prefers to complete VAERS report online
2023-06-07 Successful
2023-06-08
Participant prefers to complete VAERS report online

Free text

Release 12 — days 1–6 daily, dose 4

2022-06-11

Systemic reaction (other): Diarrhea on 3rd day after, along with sore all of my right side

2022-06-13

Systemic reaction (other): Had this vaccine within 3 weeks of having mild covid.

Release 12 — day 7, dose 4

2022-06-14

Systemic reaction (other): Tingling at my extremities, fingers, toes

Release 12 — day 28, dose 4

2022-07-05

Symptoms: Stomach uoset

Release 12 — day 35, dose 4

2022-07-12

Symptoms: Virtago, currently hospitalized until it resolves

Release 12 — day 42, dose 4

2022-07-19

Symptoms: Serious vertigo. Hospitalized 3.5 days

Release 12 — 3 months, dose 4

2022-09-06

Symptoms: Severe vertigo and balance issues, starting 7/11/22, consequent to 2nd COVID booster less than one month after positive COVID-19 test and symptoms. Balance still not back to normal

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
HCVOOffice visit · · ✓
HCVOPhysiotherapy · · ✓
SDAbdominal discomfort · · ✓
SDBalance disorder · · ✓
SDBrain fog · · ✓
SDHospitalisation · · ✓
SDMalaise · · ✓
SDMuscular weakness · · ✓
SDNeuropathy peripheral · · ✓
SDSARS-CoV-2 test positive · · ✓
SDVertigo · · ✓
SRODiarrhoea · · ✓
SROFlank pain · · ✓
SROParaesthesia · · ✓
SROPre-existing disease · · ✓

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