XYF-14884-66210
4 vaccinations
6 coded responses
52 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 606 / IL
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Registered dependents
F48-12684-42214
Child or adolescent in my care · Female · 2022-06-25
Timeline
-
2021-04-03
Registered in v-safe
-
2021-04-03
Dose 1 — Pfizer-BioNTech
-
2021-04-03
Survey response — 0 day, dose 1MedDRA: Injection site pain, Reaction to previous exposure to any vaccine — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, NauseaAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
-
2021-04-17
Survey response — 14 day, dose 1MedDRA: Arthralgia, Asthenia, Pain, Pre-existing disease — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-24
Dose 2 — Pfizer-BioNTech
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-22
-
2021-05-29
Survey response — 35 day, dose 2MedDRA: Diarrhoea, Dizziness, Food poisoning, Hyperhidrosis — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-06-05
-
2021-07-24
Survey response — 3 month, dose 2MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-07-24
Report sent to call center — 3 month, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-03
Call successfulDoes not wish to fill out VAERS report
- 2021-10-23
-
2021-12-09
Dose 3 — Pfizer-BioNTech
-
2021-12-09
Health check-in — 0 day, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-10
-
2021-12-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Nausea, DiarrheaAdult check-in
- 2021-12-12
- 2021-12-13
- 2021-12-14
- 2021-12-15
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-01-20
- 2022-03-10
- 2022-06-09
-
2022-09-09
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-09
- 2022-09-10
-
2022-09-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-12
- 2022-09-14
- 2022-09-16
- 2022-09-23
-
2022-09-30
Survey response — 21 day, dose 4MedDRA: Fatigue, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative, Viral infection — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2022-10-07
- 2022-10-14
- 2022-10-21
-
2022-12-09
Survey response — 3 month, dose 4MedDRA: Diarrhoea, Dizziness, Hyperhidrosis, Pyrexia, Reaction to previous exposure to any vaccine, Tinnitus — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-03 | Pfizer-BioNTech | |
| 2 | 2021-04-24 | Pfizer-BioNTech | |
| 3 | 2021-12-09 | Pfizer-BioNTech | No |
| 4 | 2022-09-09 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-24 | Successful 2021-08-03 |
Does not wish to fill out VAERS report |
Free text
Release 6
Systemic reaction (other): Soreness at injection site, much like from a standard inactivated influenza vaccine
Release 7
Symptoms: Wrist weakness/soreness, which I've experienced occasionally for the past 15 years but has been much more frequent and noticeable this week. Generally doing OK but have used a wrist brace one or two days out of the past week.
Release 8
Symptoms: Likely food poisoning or something similar from old fruitsevere diarrhea, sweating, dizziness. Time from onset to resolution was about an hour.
Release 9
Symptoms: Non-alcoholic fatty liver disease
Release 12
Symptoms: Likely just a bug my daughter brought home from daycarecongestion, fatigue, sore throat, but no positive COVID-19 antigen test and no fever.
Symptoms: On Dec. 7, experienced symptoms identical to those from my first primary-series dose and from my second booster (first bivalent): Diarrhea, during which I felt feverish, sweaty and light-headed with ringing in my ears. Resolved quickly.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Food poisoning | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release