XVS-20860-81133
4 vaccinations
9 coded responses
47 check-ins
8 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 070 / NJ
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-08
Registered in v-safe
-
2021-04-08
Dose 1 — Pfizer-BioNTech
-
2021-04-08
Survey response — 0 day, dose 1MedDRA: Headache, Pain, Pre-existing disease — Feeling: Good · Headache, Muscle or body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-22
-
2021-04-29
Dose 2 — Pfizer-BioNTech
- 2021-04-29
-
2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
-
2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-06
-
2021-05-13
Survey response — 14 day, dose 2MedDRA: Oropharyngeal pain — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-07-29
-
2021-10-28
Survey response — 6 month, dose 2MedDRA: Nasal congestion, Nasopharyngitis, Office visit, Oropharyngeal pain, Productive cough, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11 · check-in answers available
-
2021-10-28
Report sent to call center — 6 month, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-01
Dose 3 — Pfizer-BioNTech
- 2021-11-02
- 2021-11-02
- 2021-11-03
-
2021-11-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-01-31
-
2022-05-02
Survey response — 6 month, dose 3MedDRA: Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
-
2022-10-26
Dose 4 — Pfizer-BioNTechCo-administered: HPV
-
2022-11-01
Survey response — 12 month, dose 3MedDRA: Back pain, COVID-19, Gout — Feeling: Good · 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 visitMedDRA releases: 2024-11 · check-in answers available
-
2022-11-01
Report sent to call center — 12 month, dose 3Be 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)
- 2022-11-02
-
2022-11-02
Call successfulNot applicable - Accidental Reporting
-
2022-11-09
Survey response — 14 day, dose 4MedDRA: Nasal congestion, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
- 2022-11-16
- 2022-11-23
- 2022-11-30
- 2022-12-09
-
2023-01-25
Survey response — 3 month, dose 4MedDRA: Nasopharyngitis — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Pfizer-BioNTech | |
| 2 | 2021-04-29 | Pfizer-BioNTech | |
| 3 | 2021-11-01 | Pfizer-BioNTech | No |
| 4 | 2022-10-26 | Pfizer-BioNTech | HPV |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-28 | Successful 2021-11-03 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-11-01 | Successful 2022-11-02 |
Not applicable - Accidental Reporting |
Free text
Release 7
Systemic reaction (other): The headache and aches predate the vaccine and are unlikely to be because of it.
Release 8
Systemic reaction (other): The tiredness may be a sleep issue and not connected to the vaccine.
Systemic reaction (other): sore throat, which may or may not be related.
Symptoms: I've had a slightly worse sore throat than last week, but it may be unrelated to the vaccine.
Release 10
Symptoms: Cold symptoms: sore throat, stuffy/runny nose, phlegmy cough. I had a COVID test and it came back negative, so I think it was just a cold.
Healthcare visit (other): general practitioner checkup
Release 11
Symptoms: Stuffy/runny nose, slight sore throat. I think it's a common cold.
Release 12
Symptoms: COVID, gout, sore upper back
Symptoms: sore throat, runny/stuffy nose. I took a COVID test though and it came negative. I think it's just a cold.
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 | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Gout | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release