XYT-27297-75013
5 vaccinations
13 coded responses
50 check-ins
13 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 236 / VA
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-22
Dose 1 — Pfizer-BioNTech
-
2020-12-23
Registered in v-safe
-
2020-12-23
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: PainMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2020-12-27
-
2020-12-29
Survey response — 7 day, dose 1MedDRA: No adverse event — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-05
-
2021-01-12
Dose 2 — Pfizer-BioNTech
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
-
2021-01-18
Survey response — days 1–6 daily, dose 2MedDRA: Muscle spasms, Spinal stenosis — Feeling: Good · Muscle or body aches, Diarrhea · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-18
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
-
2021-01-19
Survey response — 7 day, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Muscle or body aches, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-16
-
2021-02-23
Survey response — 42 day, dose 2MedDRA: Eye pruritus, Lacrimation increased, Vision blurred — Feeling: Good · 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
-
2021-02-23
Report sent to call center — 42 day, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-13
-
2021-06-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2021-07-13
Survey response — 6 month, dose 2MedDRA: Hospitalisation, Thrombosis — 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 · Emergency room or emergency department visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-07-13
Report sent to call center — 6 month, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-21
- 2021-07-22
-
2021-09-30
Dose 3 — Pfizer-BioNTech
- 2021-09-30
-
2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Pain — Feeling: Fair · Muscle or body achesMedDRA releases: 2024-11 · check-in answers available
- 2021-10-02
- 2021-10-03
-
2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Knee arthroplasty, Pain, Pre-existing disease, Unevaluable event — Feeling: Good · Joint pains · Be unable to work or attend school, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11 · check-in answers available
-
2021-10-04
Report sent to call center — days 1–6 daily, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
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2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: Headache — Feeling: Fair · Joint pains, Muscle or body achesMedDRA releases: 2024-11 · check-in answers available
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-14
- 2021-10-23
- 2021-10-28
- 2021-11-04
- 2021-11-11
- 2022-01-01
-
2022-03-30
Dose 4 — Pfizer-BioNTech
- 2022-03-31
- 2022-05-15
-
2022-06-29
Survey response — 3 month, dose 4MedDRA: Productive cough, Respiratory tract congestion, Self-medication, Sputum discoloured, Wheezing — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2022-06-29
Report sent to call center — 3 month, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-30
- 2022-06-30
- 2022-06-30
- 2022-06-30
- 2022-09-28
-
2022-10-19
Dose 5 — Pfizer-BioNTech
-
2022-10-19
Survey response — 0 day, dose 5MedDRA: Arthralgia, Office visit — Feeling: Good · Joint pains · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11 · check-in answers available
-
2022-10-19
Report sent to call center — 0 day, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-20
- 2022-10-20
- 2022-10-20
- 2022-10-20
- 2022-10-20
- 2022-10-22
- 2022-10-23
- 2022-10-24
-
2022-10-25
Survey response — days 1–6 daily, dose 5MedDRA: Unevaluable event — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2022-10-28
Survey response — 7 day, dose 5MedDRA: No adverse event — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2022-11-02
- 2022-11-18
- 2022-11-26
- 2022-11-30
- 2023-01-18
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Pfizer-BioNTech | |
| 2 | 2021-01-12 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
| 4 | 2022-03-30 | Pfizer-BioNTech | No |
| 5 | 2022-10-19 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-18 | priority 2/3 | |
| 2021-02-23 | Successful 2021-06-03 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2021-07-13 | Unsuccessful | |
| 2021-10-04 | Unsuccessful | |
| 2022-06-29 | Unsuccessful | |
| 2022-10-19 | Unsuccessful |
Free text
Release 1
Systemic reaction (other): NO
Systemic reaction (other): No
Release 2
Systemic reaction (other): I have spinal stenosis I was Diagnosed with that about a month ago so Im having a lot of spasms down The back of my thighs but I dont think this has anything to do with the shot
Systemic reaction (other): I may feel this way because of my Spinal stenosis
Release 4
Symptoms: My eye was itching and running water, I went to the eye doctor, he put me on meds. But not working to well so I made an appointment with a specialist tomorrow because my vision is not very clear even with my glasses on
Release 9
Symptoms: Just today I am being admitted in the hospital for a blood clot
Systemic reaction (other): I need a hip replacement so that maybe why Im feeling achy
Release 10
Systemic reaction (other): I have had a complete knee replacement plus I have arthritis and they say I also need a hip replacement so a lot of my aches and pains may very well be from all of that and not the shot
Healthcare visit (other): Appointment
Systemic reaction (other): I got the booster shot on September 30 the next day I did have a headache the next day ( October 1st ) and again on Oct 3rd but mild
Release 12
Symptoms: I wheeze lot little congestion take Mucinex so I'm bringing up mucus it'd a little green
Systemic reaction (other): The joint pain is probably from old age ??
Healthcare visit (other): Doctor's office
Systemic reaction (other): I have gotten this text for four days in a row, am I sopose to get that many in a row?
Systemic reaction (other): No
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 | Unevaluable event | · | · | ✓ |
| SD | Eye pruritus | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Lacrimation increased | ✓ | ✓ | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sputum discoloured | · | · | ✓ |
| SD | Thrombosis | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Knee arthroplasty | · | · | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Spinal stenosis | · | · | ✓ |
| SRO | Unevaluable event | ○ | ○ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release