Y2T-12208-18546
5 vaccinations
4 coded responses
39 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 955 / CA
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Dose 1 — Pfizer-BioNTech
-
2021-03-11
Registered in v-safe
-
2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-14
-
2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Throat irritation, Throat tightness — Feeling: Fair · Fatigue or tirednessFree text: I have noticed that my throat feels a little raspy, tighter than usual. Its been like that for a while but I wasnt fully aware. I had all the aches and pains distracting me. Feels like when youre coming down with a sore throat but not there yet. Kinda feels like covered with mucus. Feels a little tight.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
-
2021-04-07
Dose 2 — Pfizer-BioNTech
- 2021-04-07
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-07-07
- 2021-10-06
-
2021-10-22
Dose 3 — Pfizer-BioNTech
- 2022-04-11
-
2022-04-14
Dose 4 — Pfizer-BioNTech
- 2022-04-21
- 2022-04-29
-
2022-05-05
Survey response — day 21, dose 4MedDRA: Balance disorder, Emergency care, Vertigo — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Benign vertigo. First I started losing my balance. Then 2 days ago when I lay down on the floor to do some stretching exercises the vertigo hit me full blast. I spent the day in the ER where they diagnosed me with vertigo.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-05
Report sent to call center — day 21, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-05-06
Call successfulDoes not wish to fill out VAERS report
- 2022-05-12
-
2022-05-19
Survey response — day 35, dose 4MedDRA: Pre-existing disease, Vertigo — Feeling: Poor · Be unable to do your normal daily activitiesFree text: The vertigo has flared back up. I've got to hang on to something when I get up because everything is spinning.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-26
- 2022-07-16
-
2022-09-28
Dose 5 — Pfizer-BioNTech
- 2022-10-06
- 2022-10-15
- 2022-10-19
-
2022-10-26
Survey response — day 28, dose 5MedDRA: Eye pain, Headache, Pain, Phantom limb syndrome, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I'm having headaches behind my eyes. After watching TV or working on my computer, my eyes behind and lower forehead hurt when I move my eyes sideways or up and down. I get a real dull ache behind my eyes and forehead after that. · Healthcare visit (other): I'm making another appointment.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-26
Report sent to call center — day 28, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-10-27
Call successfulParticipant prefers to complete VAERS report online
- 2022-11-03
- 2022-11-09
- 2022-12-28
- 2023-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Pfizer-BioNTech | |
| 2 | 2021-04-07 | Pfizer-BioNTech | |
| 3 | 2021-10-22 | Pfizer-BioNTech | No |
| 4 | 2022-04-14 | Pfizer-BioNTech | No |
| 5 | 2022-09-28 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-05 | Successful 2022-05-06 |
Does not wish to fill out VAERS report |
| 2022-10-26 | Successful 2022-10-27 |
Participant prefers to complete VAERS report online |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I have noticed that my throat feels a little raspy, tighter than usual. Its been like that for a while but I wasnt fully aware. I had all the aches and pains distracting me. Feels like when youre coming down with a sore throat but not there yet. Kinda feels like covered with mucus. Feels a little tight.
Release 11 — day 21, dose 4
Symptoms: Benign vertigo. First I started losing my balance. Then 2 days ago when I lay down on the floor to do some stretching exercises the vertigo hit me full blast. I spent the day in the ER where they diagnosed me with vertigo.
Release 11 — day 35, dose 4
Symptoms: The vertigo has flared back up. I've got to hang on to something when I get up because everything is spinning.
Release 12 — day 28, dose 5
Symptoms: I'm having headaches behind my eyes. After watching TV or working on my computer, my eyes behind and lower forehead hurt when I move my eyes sideways or up and down. I get a real dull ache behind my eyes and forehead after that.
Healthcare visit (other): I'm making another appointment.
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 | Unevaluable event | · | · | ✓ |
| SD | Balance disorder | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Eye pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Phantom limb syndrome | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Throat tightness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release