XUV-18484-98659
4 vaccinations
6 coded responses
55 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 662 / KS
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Pfizer-BioNTech
-
2021-02-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
-
2021-03-18
Dose 2 — Pfizer-BioNTech
- 2021-03-18
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-20
-
2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-22
-
2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-03-24
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-06-18
-
2021-09-16
Survey response — 6 month, dose 2MedDRA: Arthralgia, Muscle strain, Osteoarthritis, Physiotherapy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2021-09-16
Report sent to call center — 6 month, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-18
-
2021-09-30
Dose 3 — Pfizer-BioNTech
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-15
- 2021-10-21
- 2021-10-28
-
2021-11-04
Survey response — 35 day, dose 3MedDRA: Cough, Discharge, Nasal congestion, Nasopharyngitis — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
-
2021-11-11
Survey response — 42 day, dose 3MedDRA: Cough, Nasopharyngitis — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2021-12-30
-
2022-03-31
Survey response — 6 month, dose 3MedDRA: Cough, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative, Sinus congestion — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2022-04-18
Dose 4 — Pfizer-BioNTech
- 2022-04-18
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-22
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-07-18
-
2022-10-17
Survey response — 6 month, dose 4MedDRA: Office visit, Periarthritis — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11 · check-in answers available
-
2022-10-17
Report sent to call center — 6 month, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-18
- 2022-10-18
-
2022-10-18
Call successfulParticipant prefers to complete VAERS report online
-
2023-04-18
Survey response — 12 month, dose 4MedDRA: Arthritis — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Pfizer-BioNTech | |
| 2 | 2021-03-18 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
| 4 | 2022-04-18 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-16 | Unsuccessful | |
| 2022-10-17 | Successful 2022-10-18 |
Participant prefers to complete VAERS report online |
Free text
Release 9
Symptoms: Joint pain - osteoarthritis - in left shoulder. Pulled muscle in left hip. No reason to think these are related to COVID vaccine. Symptoms occurred 2+ months after second shot.
Healthcare visit (other): Physical Therapy
Release 10
Symptoms: Have a common cold. Nasal stuffiness, draining, and a cough.
Symptoms: 7-day head cold & cough
Release 11
Symptoms: Head cold. Sinus congestion. Cough. Runny nose 10 to 12 days in early March. Tested negative for COVID.
Release 12
Symptoms: "Frozen" left shoulder joint
Healthcare visit (other): Dr's office visit
Free-text releases are not linked to a specific 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 | Office visit | · | · | ✓ |
| HCVO | Physiotherapy | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Discharge | · | · | ✓ |
| SD | Muscle strain | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Osteoarthritis | · | · | ✓ |
| SD | Periarthritis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release