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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

  1. 2021-01-10
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-13
    Registered in v-safe
  3. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-01-27
    Dose 2 — Pfizer-BioNTech
  10. 2021-01-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite, Immediate post-injection reaction, Malaise, Pain, Pyrexia — Feeling: Good · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activities
    Free 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
  11. 2021-02-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: Not at this time.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-02-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-02-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-28
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-08-18
    Dose 3 — Pfizer-BioNTech
  22. 2021-09-29
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  23. 2021-11-17
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-02-16
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  25. 2022-03-03
    Dose 4 — Moderna
    Co-administered: Pneumonia
  26. 2022-06-02
    Survey response — 3 months, dose 4
    MedDRA: Ankle fracture, Cast application, Office visit — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  27. 2022-09-02
    Survey response — 6 months, dose 4
    MedDRA: Oropharyngeal pain, Paranasal sinus hypersecretion — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Sore throat and sinus draining
    MedDRA releases: 2024-11 · check-in free text available
  28. 2023-03-04
    Survey response — 12 months, dose 4
    MedDRA: Cardiac monitoring abnormal, Cardiac pacemaker insertion, Office visit, Sinus arrest — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization
    MedDRA releases: 2024-11
  29. 2023-03-04
    Report sent to call center — 12 months, dose 4
    Get care from a doctor or other healthcare professional
    Hospitalization · 1 call case(s)
  30. 2023-03-06
    Call successful
    Completed over the phone

Vaccinations

DoseDateManufacturerCo-administered
12021-01-10Pfizer-BioNTech
22021-01-27Pfizer-BioNTech
32021-08-18Pfizer-BioNTech No
42022-03-03Moderna Pneumonia

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-01-31

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.

2021-02-01

Systemic reaction (other): Not at this time.

Release 11 — 3 months, dose 4

2022-06-02

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

2022-09-02

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

FieldPreferred term2021-092023-042024-11
SDAnkle fracture · · ✓
SDCardiac monitoring abnormal · · ✓
SDCardiac pacemaker insertion · · ✓
SDCast application · · ✓
SDOffice visit · · ✓
SDOropharyngeal pain · · ✓
SDParanasal sinus hypersecretion · · ✓
SDSinus arrest · · ✓
SRODecreased appetite ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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