2JY-72989-82886
4 vaccinations
5 coded responses
23 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 967 / HI
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-10
Dose 1 — Pfizer-BioNTech
-
2021-01-13
Registered in v-safe
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-24
-
2021-01-27
Dose 2 — Pfizer-BioNTech
-
2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Immediate post-injection reaction, Malaise, Pain, Pyrexia — Feeling: Good · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activitiesFree text: The day after my 2nd vaccination I had a slight fever and felt sore all over and didnt feel good and didnt feel like eating Thursday. I felt a lot better Friday and got my appetite back.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: Not at this time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-25
- 2021-03-03
- 2021-03-10
- 2021-04-29
- 2021-07-28
-
2021-08-18
Dose 3 — Pfizer-BioNTech
- 2021-09-29
- 2021-11-17
- 2022-02-16
-
2022-03-03
Dose 4 — ModernaCo-administered: Pneumonia
-
2022-06-02
Survey response — 3 months, dose 4MedDRA: Ankle fracture, Cast application, Office visit — Feeling: Good · Be unable to do your normal daily activitiesFree text: I discovered when I thought I sprained my ankle I just discovered it was a fracture and I been walking around on it and my doctor just prescribed A boot to walk in a week ago.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-02
Survey response — 6 months, dose 4MedDRA: Oropharyngeal pain, Paranasal sinus hypersecretion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sore throat and sinus drainingMedDRA releases: 2024-11 · check-in free text available
-
2023-03-04
Survey response — 12 months, dose 4MedDRA: Cardiac monitoring abnormal, Cardiac pacemaker insertion, Office visit, Sinus arrest — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationMedDRA releases: 2024-11
-
2023-03-04
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
-
2023-03-06
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-10 | Pfizer-BioNTech | |
| 2 | 2021-01-27 | Pfizer-BioNTech | |
| 3 | 2021-08-18 | Pfizer-BioNTech | No |
| 4 | 2022-03-03 | Moderna | Pneumonia |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): The day after my 2nd vaccination I had a slight fever and felt sore all over and didnt feel good and didnt feel like eating Thursday. I felt a lot better Friday and got my appetite back.
Systemic reaction (other): Not at this time.
Release 11 — 3 months, dose 4
Symptoms: I discovered when I thought I sprained my ankle I just discovered it was a fracture and I been walking around on it and my doctor just prescribed A boot to walk in a week ago.
Release 12 — 6 months, dose 4
Symptoms: Sore throat and sinus draining
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 |
|---|---|---|---|---|
| SD | Ankle fracture | · | · | ✓ |
| SD | Cardiac monitoring abnormal | · | · | ✓ |
| SD | Cardiac pacemaker insertion | · | · | ✓ |
| SD | Cast application | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Sinus arrest | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release