Y7X-24561-53061
5 vaccinations
5 coded responses
33 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 875 / NM
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Dose 1 — Pfizer-BioNTech
-
2021-01-28
Registered in v-safe
- 2021-01-28
- 2021-01-30
- 2021-02-01
- 2021-02-05
-
2021-02-17
Dose 2 — Pfizer-BioNTech
- 2021-02-17
-
2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Fever · Headache, Muscle or body achesFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-23
-
2021-02-24
Survey response — day 7, dose 2MedDRA: No adverse event — Feeling: Good · HeadacheFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-19
- 2021-08-18
-
2021-08-31
Dose 3 — Pfizer-BioNTech
- 2021-09-29
- 2021-10-05
- 2021-10-12
- 2021-11-30
- 2022-03-01
-
2022-04-01
Dose 4 — Pfizer-BioNTech
- 2022-04-14
- 2022-04-15
-
2022-04-22
Survey response — day 21, dose 4MedDRA: Renal stone removal, Surgery — Feeling: Good · 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 visit, Emergency room or emergency department visitFree text: Symptoms: Had a kidney stone removed from right kidney! · Healthcare visit (other): Outpatient surgery!MedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
Report sent to call center — day 21, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-04-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-04-29
Survey response — day 28, dose 4MedDRA: SARS-CoV-2 test positive — Feeling: Fair · 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 visit, Emergency room or emergency department visitFree text: Tested positive for Covid. Started Pfizer Paxlovid and finished last evening! Tested negative this a.m.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Report sent to call center — day 28, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-05-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-05-06
Survey response — day 35, dose 4MedDRA: Asthenia, Body temperature increased, Cough, Nasal congestion, SARS-CoV-2 test positive, Self-medication — Feeling: Poor · Be unable to do your normal daily activitiesFree text: This late afternoon I tested positive again for Covid after having taken Pfizer Pax Lovid and completing the total treatment last week! Mild fever(under 100) & mild cough with a stuffy noise! Low energy level! Started taking Musinex 1200 this p.m.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-13
- 2022-07-01
-
2022-09-07
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-11
- 2022-10-12
- 2022-10-19
- 2022-12-07
- 2023-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Pfizer-BioNTech | |
| 2 | 2021-02-17 | Pfizer-BioNTech | |
| 3 | 2021-08-31 | Pfizer-BioNTech | No |
| 4 | 2022-04-01 | Pfizer-BioNTech | No |
| 5 | 2022-09-07 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-22 | Successful 2022-04-25 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-04-29 | Successful 2022-05-03 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): No
Release 4 — day 7, dose 2
Systemic reaction (other): No
Release 11 — day 21, dose 4
Symptoms: Had a kidney stone removed from right kidney!
Healthcare visit (other): Outpatient surgery!
Release 11 — day 28, dose 4
Symptoms: Tested positive for Covid. Started Pfizer Paxlovid and finished last evening! Tested negative this a.m.
Release 11 — day 35, dose 4
Symptoms: This late afternoon I tested positive again for Covid after having taken Pfizer Pax Lovid and completing the total treatment last week! Mild fever(under 100) & mild cough with a stuffy noise! Low energy level! Started taking Musinex 1200 this p.m.
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 | Surgery | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Renal stone removal | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release