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YTA-20739-29266

2 vaccinations 2 coded responses 5 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
941 / CA
Registered
2021-04-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-21
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-11
    Dose 2 — Pfizer-BioNTech
  3. 2021-04-12
    Registered in v-safe
  4. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Free text: Triggered an ulcerative colitis flare up
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-12
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Autoimmune disorder, Pre-existing disease — Feeling: Fair · Fever
    Free text: Triggered my autoimmune disease
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-07-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-21Pfizer-BioNTech
22021-04-11Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-04-12 priority 2/3

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): Triggered an ulcerative colitis flare up

2021-04-13

Systemic reaction (other): Triggered my autoimmune disease

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
SROAutoimmune disorder ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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