Y98-71017-16085
2 vaccinations
5 coded responses
20 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 553 / MN
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Dose 1 — Pfizer-BioNTech
-
2021-04-06
Registered in v-safe
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2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: On 4/3 (the day after dose 1) my left arm that received the dose was sore at pain level 7. Level 10 would have been unbearable. I did swim about 0.5 mile during early morning 4/3. It may have aggravated the left arm. My arm was back to normal 4/4.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
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2021-04-09
Survey response — day 7, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NopeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
-
2021-04-21
Dose 2 — Pfizer-BioNTech
- 2021-04-21
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Hypoaesthesia, Lymphadenopathy, Office visit — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Swollen lymph nodes. Especially in my left armpit region. Ouch. I went to my Doctor today to get it looked at. Also. The fingers in my left hand remain partially numb. · Healthcare visit (other): Face to face visit with my Doctor at their office.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Muscle or body achesAdult check-in
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-07-21
- 2021-10-20
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2022-04-09
Call successfulDoes not wish to fill out VAERS report
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2022-04-21
Survey response — 12 months, dose 2MedDRA: Nasopharyngitis — Feeling: FairFree text: I have a coldMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Pfizer-BioNTech | |
| 2 | 2021-04-21 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-23 | Successful 2022-04-09 |
Does not wish to fill out VAERS report |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): No
Systemic reaction (other): On 4/3 (the day after dose 1) my left arm that received the dose was sore at pain level 7. Level 10 would have been unbearable. I did swim about 0.5 mile during early morning 4/3. It may have aggravated the left arm. My arm was back to normal 4/4.
Release 7 — day 7, dose 1
Systemic reaction (other): Nope
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph nodes. Especially in my left armpit region. Ouch. I went to my Doctor today to get it looked at. Also. The fingers in my left hand remain partially numb.
Healthcare visit (other): Face to face visit with my Doctor at their office.
Release 11 — 12 months, dose 2
Symptoms: I have a cold
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 | Nasopharyngitis | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release