Y5R-95411-77333
2 vaccinations
7 coded responses
12 check-ins
7 free-text entries
2 call cases
- Sex
- —
- Age at first dose
- 41-45
- ZIP prefix
- 030 / NH
- Registered
- 2021-05-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Dose 1 — Pfizer-BioNTech
-
2021-05-04
Dose 2 — Pfizer-BioNTech
-
2021-05-05
Registered in v-safe
-
2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Fatigue and some respiratory symptoms are a chronic condition I'm prescribed an inhaler for, so unlikely to be related to the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Pre-existing disease, Respiratory symptom — Feeling: Fair · Fatigue or tirednessFree text: Fatigue and respiratory symptoms unlikely to be related to vaccine, but to a chronic condition I'm prescribed an inhaler forMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-11
-
2021-05-18
Survey response — day 14, dose 2MedDRA: Hypoaesthesia, Sensitisation, Toothache — Feeling: FairFree text: Numbness in left foot, mild dental pain and sensitivity in lower left jawMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-25
Survey response — day 21, dose 2MedDRA: Hyperaesthesia teeth, Toothache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Dental sensitivity and pain, probably an aftereffect of dental workMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-01
Survey response — day 28, dose 2MedDRA: Hyperaesthesia teeth, Toothache — Feeling: FairFree text: Dental sensitivity and pain, probably related to previous dental work.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-08
Survey response — day 35, dose 2MedDRA: Pre-existing disease, Toothache — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Dental pain unrelated to vaccination, chronic respiratory condition unrelated to vaccination or COVID-19MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-08
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-15
Survey response — day 42, dose 2MedDRA: Office visit, Oral pain, Respiratory disorder — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Dental pain and non-COVID respiratory problems unlikely to be related to the vaccine. · Healthcare visit (other): Dentist appointmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-15
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-22
- 2021-06-30
- 2021-08-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Pfizer-BioNTech | |
| 2 | 2021-05-04 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-08 | Unsuccessful | |
| 2021-06-15 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Fatigue and some respiratory symptoms are a chronic condition I'm prescribed an inhaler for, so unlikely to be related to the vaccine
Systemic reaction (other): Fatigue and respiratory symptoms unlikely to be related to vaccine, but to a chronic condition I'm prescribed an inhaler for
Release 8 — day 14, dose 2
Symptoms: Numbness in left foot, mild dental pain and sensitivity in lower left jaw
Release 8 — day 21, dose 2
Symptoms: Dental sensitivity and pain, probably an aftereffect of dental work
Release 8 — day 28, dose 2
Symptoms: Dental sensitivity and pain, probably related to previous dental work.
Release 8 — day 35, dose 2
Symptoms: Dental pain unrelated to vaccination, chronic respiratory condition unrelated to vaccination or COVID-19
Release 9 — day 42, dose 2
Symptoms: Dental pain and non-COVID respiratory problems unlikely to be related to the vaccine.
Healthcare visit (other): Dentist 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 | Office visit | ✓ | ✓ | ✓ |
| SD | Hyperaesthesia teeth | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Oral pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory disorder | ✓ | ✓ | ✓ |
| SD | Sensitisation | ✓ | ✓ | ✓ |
| SD | Toothache | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Respiratory symptom | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release