Y3W-22279-48168
3 vaccinations
4 coded responses
25 check-ins
4 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 232 / VA
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Pfizer-BioNTech
-
2021-01-27
Registered in v-safe
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
-
2021-02-16
Survey response — day 21, dose 1MedDRA: Conjunctivitis, Fatigue — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Had pink eye found out 4 days ago And tiredness at times · Healthcare visit (other): Pink eye as noted aboveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-17
Dose 2 — Pfizer-BioNTech
- 2021-02-21
- 2021-02-22
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-18
- 2021-03-25
- 2021-05-20
- 2021-08-03
-
2021-08-18
Survey response — 6 months, dose 2MedDRA: Hordeolum, Infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Had Sty in my eye and it got infected had to go to 2 doctors took medicine etc better nowMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-18
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-20
-
2021-09-10
Dose 3 — Pfizer-BioNTech
- 2021-10-01
- 2021-10-08
- 2021-10-17
- 2021-10-24
- 2021-12-11
-
2022-03-11
Survey response — 6 months, dose 3MedDRA: COVID-19, Malaise — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Got COVID Very ill for 2 plus weesMedDRA releases: 2024-11 · check-in free text available
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2022-03-11
Report sent to call center — 6 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 prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-14
Call successfulParticipant prefers to complete VAERS report online
-
2022-09-12
Survey response — 12 months, dose 3MedDRA: Asthenia, Chest pain, Emergency care, Office visit, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Went to emergency room 2 weeks ago with chest pains : no heart issues after 3 ekg and tests A few days later went heart doctor and had stress test : all good no heart ; I have lost a lot energy : in July I had COVID base my opinion but 3negatveTes · Healthcare visit (other): Dr visitcMedDRA releases: 2024-11 · check-in free text available
-
2022-09-12
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-09-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Pfizer-BioNTech | |
| 2 | 2021-02-17 | Pfizer-BioNTech | |
| 3 | 2021-09-10 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-16 | Successful | Participant prefers to complete VAERS report online |
| 2021-08-18 | Successful | Participant prefers to complete VAERS report online |
| 2022-03-11 | Successful 2022-03-14 |
Participant prefers to complete VAERS report online |
| 2022-09-12 | Unsuccessful |
Free text
Release 4 — day 21, dose 1
Symptoms: Had pink eye found out 4 days ago And tiredness at times
Healthcare visit (other): Pink eye as noted above
Release 9 — 6 months, dose 2
Symptoms: Had Sty in my eye and it got infected had to go to 2 doctors took medicine etc better now
Release 11 — 6 months, dose 3
Symptoms: Got COVID Very ill for 2 plus wees
Release 12 — 12 months, dose 3
Symptoms: Went to emergency room 2 weeks ago with chest pains : no heart issues after 3 ekg and tests A few days later went heart doctor and had stress test : all good no heart ; I have lost a lot energy : in July I had COVID base my opinion but 3negatveTes cut off by CDC
Healthcare visit (other): Dr visitc
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 | Conjunctivitis | ✓ | ✓ | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Conjunctivitis | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hordeolum | ✓ | · | ✓ |
| SD | Infection | ✓ | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release