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
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Pfizer-BioNTech
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia — Feeling: GoodFree 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
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
-
2021-02-10
Survey response — day 14, dose 1MedDRA: Pneumonia — Feeling: Poor · Be unable to workFree text: Walking pneumoniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
-
2021-02-24
Dose 2 — Pfizer-BioNTech
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Pneumonia — Feeling: Fair · Fatigue or tirednessFree text: Still recovering from pneumonia since 5 FebruaryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Fatigue or tirednessFree text: Still recovering from pneumonia.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-25
Survey response — 6 months, dose 2MedDRA: 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 visitFree 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
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2021-08-25
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-31
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2022-02-24
Survey response — 12 months, dose 2MedDRA: 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 consultationFree 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
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2022-02-24
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-02-25
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Pfizer-BioNTech | |
| 2 | 2021-02-24 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-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
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
Symptoms: Walking pneumonia
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Still recovering from pneumonia since 5 February
Systemic reaction (other): Still recovering from pneumonia.
Release 9 — 6 months, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal pain lower | ✓ | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Chest discomfort | ✓ | · | ✓ |
| SD | Chest pain | ✓ | · | ✓ |
| SD | Dizziness | ✓ | · | ✓ |
| SD | Dyspnoea | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Hypoaesthesia | ✓ | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Odynophagia | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Pneumonia | ✓ | ✓ | ✓ |
| SD | Sensory disturbance | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pneumonia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release