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
-
2021-02-01
Dose 1 — Pfizer-BioNTech
-
2021-02-22
Dose 2 — Pfizer-BioNTech
-
2021-10-20
Dose 3 — Pfizer-BioNTech
-
2022-06-07
Dose 4 — Pfizer-BioNTech
-
2022-06-11
Registered in v-safe
-
2022-06-11
Survey response — days 1–6 daily, dose 4MedDRA: Diarrhoea, Flank pain — Feeling: Fair · Joint pains, Muscle or body achesFree text: Diarrhea on 3rd day after, along with sore all of my right sideMedDRA releases: 2024-11 · check-in free text available
- 2022-06-12
-
2022-06-13
Survey response — days 1–6 daily, dose 4MedDRA: Pre-existing disease — Feeling: Good · DiarrheaFree text: Had this vaccine within 3 weeks of having mild covid.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-14
Survey response — day 7, dose 4MedDRA: Paraesthesia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Tingling at my extremities, fingers, toesMedDRA releases: 2024-11 · check-in free text available
- 2022-06-21
- 2022-06-29
-
2022-07-05
Survey response — day 28, dose 4MedDRA: Abdominal discomfort — Feeling: FairFree text: Stomach uosetMedDRA releases: 2024-11 · check-in free text available
-
2022-07-12
Survey response — day 35, dose 4MedDRA: Hospitalisation, Vertigo — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Virtago, currently hospitalized until it resolvesMedDRA releases: 2024-11 · check-in free text available
-
2022-07-19
Survey response — day 42, dose 4MedDRA: 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, HospitalizationFree text: Serious vertigo. Hospitalized 3.5 daysMedDRA releases: 2024-11 · check-in free text available
-
2022-07-19
Report sent to call center — day 42, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-07-20
- 2022-07-25
-
2022-09-06
Survey response — 3 months, dose 4MedDRA: Balance disorder, Malaise, SARS-CoV-2 test positive, Vertigo — Feeling: Fair · Be unable to do your normal daily activitiesFree 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 normalMedDRA releases: 2024-11 · check-in free text available
- 2022-12-07
-
2023-06-07
Survey response — 12 months, dose 4MedDRA: Balance disorder, Brain fog, Muscular weakness, Neuropathy peripheral, Office visit, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-06-07
Call case (no matching report) — SuccessfulParticipant prefers to complete VAERS report online
- 2023-06-08
- 2023-06-08
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2023-06-08
Call successfulParticipant prefers to complete VAERS report online
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2023-06-08
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Pfizer-BioNTech | No |
| 2 | 2021-02-22 | Pfizer-BioNTech | No |
| 3 | 2021-10-20 | Pfizer-BioNTech | No |
| 4 | 2022-06-07 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-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
Systemic reaction (other): Diarrhea on 3rd day after, along with sore all of my right side
Systemic reaction (other): Had this vaccine within 3 weeks of having mild covid.
Release 12 — day 7, dose 4
Systemic reaction (other): Tingling at my extremities, fingers, toes
Release 12 — day 28, dose 4
Symptoms: Stomach uoset
Release 12 — day 35, dose 4
Symptoms: Virtago, currently hospitalized until it resolves
Release 12 — day 42, dose 4
Symptoms: Serious vertigo. Hospitalized 3.5 days
Release 12 — 3 months, dose 4
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| HCVO | Physiotherapy | · | · | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Balance disorder | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Neuropathy peripheral | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Flank pain | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release