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Y9W-13575-17188

2 vaccinations 6 coded responses 15 check-ins 6 free-text entries 2 call cases
Sex
Male
Age at first dose
46-50
ZIP prefix
122 / NY
Registered
2021-01-27
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-27
    Registered in v-safe
  2. 2021-01-27
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-27
    Health check-in — day 0, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  4. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-01-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Insomnia — Feeling: Good
    Free text: The first night after receiving the shot, I could not sleep at all. That only lasted one night.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-03
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-10
    Survey response — day 14, dose 1
    MedDRA: Pneumonia — Feeling: Poor · Be unable to work
    Free text: Walking pneumonia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-17
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-02-24
    Dose 2 — Pfizer-BioNTech
  13. 2021-02-24
    Health check-in — day 0, dose 2
    Feeling: Fair · None
    Adult check-in
  14. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  15. 2021-02-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pneumonia — Feeling: Fair · Fatigue or tiredness
    Free text: Still recovering from pneumonia since 5 February
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Fatigue or tiredness
    Free text: Still recovering from pneumonia.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-08-25
    Survey response — 6 months, dose 2
    MedDRA: Abdominal pain lower, Chest discomfort, Chest pain, Dizziness, Dyspnoea, Headache, Hypoaesthesia — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Trouble breathing, pressure and pain on left side of chest and lower abdomen, dizziness, occasional numbness of feet and forearms, headaches.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-08-25
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-08-31
  20. 2022-02-24
    Survey response — 12 months, dose 2
    MedDRA: Arthralgia, Chest pain, Dizziness, Dyspnoea, Headache, Muscle spasms, Odynophagia, Pain in extremity, Paraesthesia, Sensory disturbance, Throat irritation — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Shortness of breath, headaches, chest pains, light headedness, burning in throat, painful swallowing, cramps in legs, bubbling sensation in left shoulder, pain in left wrist and hand, tingling in left foot.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-02-24
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  22. 2022-02-25
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-01-27Pfizer-BioNTech
22021-02-24Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-08-25 Successful Participant prefers to complete VAERS report online
2022-02-24 Successful
2022-02-25
Participant prefers to complete VAERS report online

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): The first night after receiving the shot, I could not sleep at all. That only lasted one night.

Release 3 — day 14, dose 1

2021-02-10

Symptoms: Walking pneumonia

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Still recovering from pneumonia since 5 February

2021-02-27

Systemic reaction (other): Still recovering from pneumonia.

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: Trouble breathing, pressure and pain on left side of chest and lower abdomen, dizziness, occasional numbness of feet and forearms, headaches.

Release 11 — 12 months, dose 2

2022-02-24

Symptoms: Shortness of breath, headaches, chest pains, light headedness, burning in throat, painful swallowing, cramps in legs, bubbling sensation in left shoulder, pain in left wrist and hand, tingling in left foot.

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

FieldPreferred term2021-092023-042024-11
SDAbdominal pain lower ✓ · ✓
SDArthralgia · · ✓
SDChest discomfort ✓ · ✓
SDChest pain ✓ · ✓
SDDizziness ✓ · ✓
SDDyspnoea ✓ · ✓
SDHeadache ✓ · ✓
SDHypoaesthesia ✓ · ✓
SDMuscle spasms · · ✓
SDOdynophagia · · ✓
SDPain in extremity · · ✓
SDParaesthesia · · ✓
SDPneumonia ✓ ✓ ✓
SDSensory disturbance · · ✓
SDThroat irritation · · ✓
SROInsomnia ✓ ✓ ✓
SROPneumonia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release