EDS-32795-15943
2 vaccinations
4 coded responses
14 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 105 / NY
- Registered
- 2021-11-19
- Relationship
- Adult relative or friend
- Guardian
- YCR-33409-48382
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-10-23
Dose 1 — Pfizer-BioNTech
-
2021-11-17
Dose 2 — Pfizer-BioNTech
-
2021-11-19
Registered in v-safe
-
2021-11-19
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-20
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-21
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
-
2021-11-22
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-23
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-24
Health check-in — day 7, dose 2, dependentFeeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-02
- 2021-12-08
-
2021-12-15
Survey response — day 28, dose 2, dependentMedDRA: Alopecia — Feeling: FairFree text: Hair falling out in clumpsMedDRA releases: 2024-11 · check-in free text available
-
2021-12-22
Survey response — day 35, dose 2, dependentMedDRA: Alopecia — Feeling: FairFree text: Hair lossMedDRA releases: 2024-11 · check-in free text available
-
2021-12-29
Survey response — day 42, dose 2, dependentMedDRA: Alopecia, Fatigue — Feeling: FairFree text: Hair still falling out, extremely tired,MedDRA releases: 2024-11 · check-in free text available
- 2022-02-17
-
2022-05-18
Survey response — 6 months, dose 2, dependentMedDRA: Herpes zoster — 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 · Outpatient clinic or urgent care clinic visitFree text: ShinglesMedDRA releases: 2024-11 · check-in free text available
-
2022-05-18
Report sent to call center — 6 months, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-19
- 2022-11-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-23 | Pfizer-BioNTech | No |
| 2 | 2021-11-17 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-18 | Unsuccessful |
Free text
Release 10 — day 28, dose 2, dependent
Symptoms: Hair falling out in clumps
Release 10 — day 35, dose 2, dependent
Symptoms: Hair loss
Release 10 — day 42, dose 2, dependent
Symptoms: Hair still falling out, extremely tired,
Release 11 — 6 months, dose 2, dependent
Symptoms: Shingles
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 | Alopecia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Herpes zoster | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release