YKL-25273-57611
5 vaccinations
7 coded responses
47 check-ins
7 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 021 / MA
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Registered in v-safe
-
2021-02-09
Dose 1 — Pfizer-BioNTech
- 2021-02-09
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body aches, Abdominal painAdult check-in
-
2021-02-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, Abdominal painAdult check-in
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
-
2021-03-02
Dose 2 — Pfizer-BioNTech
- 2021-03-03
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
-
2021-04-06
Survey response — day 35, dose 2MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Extreme diarrhea that lasted 6hrs and took 24hrs to return to normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-06-01
- 2021-09-02
-
2021-09-27
Dose 3 — Pfizer-BioNTech
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-11
- 2021-10-19
- 2021-10-25
- 2021-11-02
- 2021-11-08
- 2021-12-27
-
2022-03-28
Survey response — 6 months, dose 3MedDRA: Dysphagia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have an intermittent problem in getting my food swollowed when i'm dealing with an empty stomach. I'm not sure this is Covid related and haven't checked this out with my doctor yet. At this stage, I'm trying different approaches to taking my foodMedDRA releases: 2024-11 · check-in free text available
-
2022-04-04
Dose 4 — Pfizer-BioNTech
-
2022-04-15
Survey response — day 7, dose 4MedDRA: Gastrooesophageal reflux disease, Oesophagitis — Feeling: Fair · VomitingFree text: Gastric Reflux, EsophagitisMedDRA releases: 2024-11 · check-in free text available
- 2022-04-18
-
2022-04-25
Survey response — day 21, dose 4MedDRA: Dysphagia — Feeling: FairFree text: When I start a meal, I find that my stomach will take the first two or three bites of food but then when I swallow the next bite there is resistance to my completing the swallow. If I then wait five minutes, I feel the clearance wave in my stomach,MedDRA releases: 2024-11 · check-in free text available
- 2022-05-03
- 2022-05-09
- 2022-05-17
- 2022-07-04
-
2022-09-27
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-03
-
2022-10-21
Survey response — day 21, dose 5MedDRA: Dysphagia, Gastrooesophageal reflux disease, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Gastric Reflux requiring a Gastroscopy, which was done on 5Oct2022. Symptoms of GRD started as gentle swallowing problems in late May 2022 but grew worse after the dual Pfizer Bi-V shot in left arm and Fluad for after 65 people in right arm. · Healthcare visit (other): GastroscopyMedDRA releases: 2024-11 · check-in free text available
-
2022-10-21
Report sent to call center — day 21, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-24
-
2022-10-24
Call successfulDoes not wish to fill out VAERS report
- 2022-10-25
-
2022-11-01
Survey response — day 35, dose 5MedDRA: Dysphagia, Office visit — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Couldn't finish eating my dinner tonight because of continuing swallowing problems. I'm midway through troubleshooting my problem with my gastroenterologistMedDRA releases: 2024-11 · check-in free text available
- 2022-11-08
-
2022-12-27
Survey response — 3 months, dose 5MedDRA: Gastrooesophageal reflux disease, Skin cancer, Skin neoplasm excision — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Gastric Reflux disease diagnosed Facial skin cancer excisedMedDRA releases: 2024-11 · check-in free text available
-
2022-12-27
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
-
2022-12-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-03-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Pfizer-BioNTech | |
| 2 | 2021-03-02 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-04-04 | Pfizer-BioNTech | No |
| 5 | 2022-09-27 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-21 | Successful 2022-10-24 |
Does not wish to fill out VAERS report |
| 2022-12-27 | Successful 2022-12-29 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 7 — day 35, dose 2
Symptoms: Extreme diarrhea that lasted 6hrs and took 24hrs to return to normal.
Release 11 — 6 months, dose 3
Symptoms: I have an intermittent problem in getting my food swollowed when i'm dealing with an empty stomach. I'm not sure this is Covid related and haven't checked this out with my doctor yet. At this stage, I'm trying different approaches to taking my food cut off by CDC
Release 11 — day 7, dose 4
Systemic reaction (other): Gastric Reflux, Esophagitis
Release 11 — day 21, dose 4
Symptoms: When I start a meal, I find that my stomach will take the first two or three bites of food but then when I swallow the next bite there is resistance to my completing the swallow. If I then wait five minutes, I feel the clearance wave in my stomach, cut off by CDC
Release 12 — day 21, dose 5
Symptoms: Gastric Reflux requiring a Gastroscopy, which was done on 5Oct2022. Symptoms of GRD started as gentle swallowing problems in late May 2022 but grew worse after the dual Pfizer Bi-V shot in left arm and Fluad for after 65 people in right arm.
Healthcare visit (other): Gastroscopy
Release 12 — day 35, dose 5
Symptoms: Couldn't finish eating my dinner tonight because of continuing swallowing problems. I'm midway through troubleshooting my problem with my gastroenterologist
Release 12 — 3 months, dose 5
Symptoms: Gastric Reflux disease diagnosed Facial skin cancer excised
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 | Unevaluable event | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dysphagia | · | · | ✓ |
| SD | Gastrooesophageal reflux disease | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Skin cancer | · | · | ✓ |
| SD | Skin neoplasm excision | · | · | ✓ |
| SRO | Gastrooesophageal reflux disease | · | · | ✓ |
| SRO | Oesophagitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release