XW8-16865-76739
2 vaccinations
4 coded responses
19 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 494 / MI
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Dose 1 — Pfizer-BioNTech
-
2021-03-13
Registered in v-safe
- 2021-03-13
- 2021-03-14
- 2021-03-15
-
2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Ankle operation, Pain — Feeling: Good · Muscle or body aches · Be unable to work, 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: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-16
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-17
Survey response — 7 day, dose 1MedDRA: Pain — Feeling: Good · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-24
-
2021-04-02
Dose 2 — Pfizer-BioNTech
-
2021-04-02
Health check-in — 0 day, dose 2Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
-
2021-04-02
Report sent to call center — 0 day, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
-
2021-04-09
Survey response — 7 day, dose 2MedDRA: Condition aggravated, Myalgia, Pre-existing disease — Feeling: Good · Muscle or body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-17
-
2021-04-23
Survey response — 21 day, dose 2MedDRA: Nasopharyngitis, Respiratory tract congestion, Sinus congestion — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-30
- 2021-05-07
- 2021-05-14
-
2021-06-11
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-06-11
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Pfizer-BioNTech | |
| 2 | 2021-04-02 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-16 | Successful 2021-06-11 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-04-02 | Successful 2021-06-11 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 5
Systemic reaction (other): My body pain is related to the surgery I had on my ankle over a year ago. Not related to the vaccine.
Systemic reaction (other): The aches and pain are not related to the vaccine shot.
Release 7
Systemic reaction (other): I recently found out that the muscle aches I've been having in my leg are from torn ligaments. Although the pain was agitated after the second shot I am back to where I was before the shot.
Symptoms: Sinus congestion, chest congestion. Almost like I had a cold but it only lasted for a day or two.
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 |
|---|---|---|---|---|
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Ankle operation | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release