Y2P-24282-99616
4 vaccinations
13 coded responses
43 check-ins
12 free-text entries
6 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 294 / SC
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-05
Dose 1 — Pfizer-BioNTech
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2021-03-07
Registered in v-safe
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2021-03-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
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2021-03-22
Dose 2 — Pfizer-BioNTech
- 2021-03-22
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2021-03-23
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-27
- 2021-03-28
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2021-03-29
Survey response — day 7, dose 2MedDRA: Food poisoning — Feeling: Poor · Fever · Chills, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Mild to moderate case of food poisoningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-27
- 2021-05-03
- 2021-06-21
- 2021-09-22
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2021-09-27
Dose 3 — Pfizer-BioNTech
- 2021-09-28
- 2021-09-29
- 2021-09-30
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2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Back pain — Feeling: Fair · HeadacheFree text: Back painMedDRA releases: 2024-11 · check-in free text available
- 2021-10-02
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2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Back pain — Feeling: GoodFree text: Back painMedDRA releases: 2024-11 · check-in free text available
- 2021-10-04
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2021-10-11
Survey response — day 14, dose 3MedDRA: Headache — Feeling: FairFree text: HeadachMedDRA releases: 2024-11 · check-in free text available
- 2021-10-18
- 2021-10-25
- 2021-11-04
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2021-11-09
Survey response — day 42, dose 3MedDRA: Back pain, Headache, Neck pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Backache neckache headache · Healthcare visit (other): chiropractorMedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-12
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2021-12-27
Survey response — 3 months, dose 3MedDRA: Procedural complication — Feeling: Fair · 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 visitFree text: Had a colonoscopy with complicationsMedDRA releases: 2024-11 · check-in free text available
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2021-12-27
Report sent to call center — 3 months, 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)
- 2021-12-28
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2022-03-28
Survey response — 6 months, dose 3MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
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2022-05-13
Dose 4 — Pfizer-BioNTech
- 2022-05-19
- 2022-05-20
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2022-05-27
Survey response — day 14, dose 4MedDRA: Hernia, Office visit — Feeling: GoodFree text: Went to dr and must have hernia repair surgeryMedDRA releases: 2024-11 · check-in free text available
- 2022-06-03
- 2022-06-10
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2022-06-17
Survey response — day 35, dose 4MedDRA: Hernia repair, Malaise, Surgery, Unevaluable event — Feeling: Fair · 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 visit, Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Had hernia repair surgery with cathaterization. Feeling like crap. · Healthcare visit (other): surgery with comicationsMedDRA releases: 2024-11 · check-in free text available
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2022-06-17
Report sent to call center — day 35, dose 4Be 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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-06-21
- 2022-06-21
- 2022-06-21
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2022-06-24
Survey response — day 42, dose 4MedDRA: Hernia repair — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Had hernia surgery. Nothing to do with vaccine.MedDRA releases: 2024-11 · check-in free text available
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2022-06-24
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-06-27
- 2022-06-27
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2022-06-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-06-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-06-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-06-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-08-12
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2022-11-11
Survey response — 6 months, dose 4MedDRA: Arthralgia, Chills, Laryngitis, Malaise, Pharyngitis, SARS-CoV-2 test negative, Tinnitus — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Pharyngitis, acute laryngitis, chills, no fever, ringing in ears, general malaise. Hospital tested for covid, inter alia and negative. Joints sore. Had flu shot a few momths ago.MedDRA releases: 2024-11 · check-in free text available
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2022-11-11
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2022-11-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-05-14
Survey response — 12 months, dose 4MedDRA: Adverse reaction, Cough, Office visit, Productive cough, Rhinorrhoea, Sinus congestion — Feeling: Fair · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-05-14
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2023-05-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Pfizer-BioNTech | |
| 2 | 2021-03-22 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-05-13 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-09 | Successful 2022-06-27 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2021-12-27 | Successful 2022-06-27 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-06-17 | Successful 2022-06-27 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-06-24 | Successful 2022-06-27 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-11-11 | Successful 2022-11-15 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2023-05-14 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Release 6 — day 7, dose 2
Systemic reaction (other): Mild to moderate case of food poisoning
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Back pain
Systemic reaction (other): Back pain
Release 10 — day 14, dose 3
Symptoms: Headach
Release 10 — day 42, dose 3
Release 10 — 3 months, dose 3
Symptoms: Had a colonoscopy with complications
Release 11 — 6 months, dose 3
Symptoms: Runny nose
Release 11 — day 14, dose 4
Symptoms: Went to dr and must have hernia repair surgery
Release 12 — day 35, dose 4
Symptoms: Had hernia repair surgery with cathaterization. Feeling like crap.
Healthcare visit (other): surgery with comications
Release 12 — day 42, dose 4
Symptoms: Had hernia surgery. Nothing to do with vaccine.
Release 12 — 6 months, dose 4
Symptoms: Pharyngitis, acute laryngitis, chills, no fever, ringing in ears, general malaise. Hospital tested for covid, inter alia and negative. Joints sore. Had flu shot a few momths ago.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that 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 | Surgery | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Adverse reaction | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hernia | · | · | ✓ |
| SD | Hernia repair | · | · | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pharyngitis | · | · | ✓ |
| SD | Procedural complication | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Food poisoning | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release