YDL-22010-46047
4 vaccinations
16 coded responses
36 check-ins
15 free-text entries
7 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 441 / OH
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-22
Dose 1 — Pfizer-BioNTech
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2021-02-05
Registered in v-safe
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2021-02-05
Survey response — day 14, dose 1MedDRA: Back pain — Feeling: GoodFree text: Back issue Pain mid back when I lean forwardMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
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2021-02-17
Dose 2 — Pfizer-BioNTech
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2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Back hurtsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
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2021-03-24
Survey response — day 35, dose 2MedDRA: Abdominal pain upper, Chills, Diarrhoea, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: Intestinal issues: stomach ache, chills, diarrhea vomiting & slight temperature. Return to normal within 24 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
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2021-05-19
Survey response — 3 months, dose 2MedDRA: Dyspnoea, Dyspnoea exertional, Fatigue, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Shortness of breath up stairs, long walks & general fatigue in afternoon · Healthcare visit (other): Annual office check upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-18
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2021-09-02
Dose 3 — Pfizer-BioNTech
- 2021-10-01
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2021-10-07
Survey response — day 35, dose 3MedDRA: Catarrh, Cough — Feeling: GoodFree text: Cough resulting from mucus buildup from nasal area. Might be acid reflux or unknown allergy. Throat clears rather quickly and I'm not running a fever or any other symptoms that I can tell.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-14
- 2021-12-02
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2022-03-03
Survey response — 6 months, dose 3MedDRA: Joint swelling, Office visit, Peripheral swelling, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Stamina & some swelling of legs & ankles · Healthcare visit (other): Office visitMedDRA releases: 2024-11 · check-in free text available
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2022-03-03
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2022-03-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-03-04
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-09-02
Survey response — 12 months, dose 3MedDRA: Blood pressure abnormal — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Blood Pressure RegulationMedDRA releases: 2024-11 · check-in free text available
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2022-09-02
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
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2022-09-06
Call successfulNot applicable - Accidental Reporting
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2022-09-16
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-16
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-25
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2022-09-30
Survey response — day 14, dose 4MedDRA: Dysstasia, Fatigue, Joint stiffness — Feeling: FairFree text: Get tired more quickly when preforming physical tasks More difficulty rising from a sitting position to a standing position. Little more joint sorenessMedDRA releases: 2024-11 · check-in free text available
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2022-10-07
Survey response — day 21, dose 4MedDRA: Muscle strain — Feeling: Poor · 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: Think I pulled my muscle in my back lumbar regionMedDRA releases: 2024-11 · check-in free text available
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2022-10-07
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 · 1 call case(s)
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2022-10-11
Call successfulParticipant prefers to complete VAERS report online
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2022-10-14
Survey response — day 28, dose 4MedDRA: Back pain — 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 consultationFree text: Lower left lumbar back painMedDRA releases: 2024-11 · check-in free text available
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2022-10-14
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 · 1 call case(s)
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2022-10-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-21
- 2022-10-28
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2022-12-16
Survey response — 3 months, dose 4MedDRA: Dry eye, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Eyes get very dry · Healthcare visit (other): Office examMedDRA releases: 2024-11 · check-in free text available
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2022-12-16
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
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2022-12-19
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-03-17
Survey response — 6 months, dose 4MedDRA: Asthenia, Fatigue, Gastrointestinal disorder, Hospitalisation, Influenza, Joint injury — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationMedDRA releases: 2024-11
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2023-03-17
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
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2023-03-21
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Pfizer-BioNTech | |
| 2 | 2021-02-17 | Pfizer-BioNTech | |
| 3 | 2021-09-02 | Pfizer-BioNTech | No |
| 4 | 2022-09-16 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-19 | Successful 2022-03-04 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-03-03 | Successful 2022-03-04 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-09-02 | Successful 2022-09-06 |
Not applicable - Accidental Reporting |
| 2022-10-07 | Successful 2022-10-11 |
Participant prefers to complete VAERS report online |
| 2022-10-14 | Successful 2022-10-18 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-12-16 | Successful 2022-12-19 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2023-03-17 | Successful 2023-03-21 |
Completed over the phone |
Free text
Release 3 — day 14, dose 1
Symptoms: Back issue Pain mid back when I lean forward
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Back pain
Systemic reaction (other): Back pain
Systemic reaction (other): Back pain
Systemic reaction (other): Back pain
Systemic reaction (other): Back hurts
Release 6 — day 35, dose 2
Symptoms: Intestinal issues: stomach ache, chills, diarrhea vomiting & slight temperature. Return to normal within 24 hours.
Release 8 — 3 months, dose 2
Symptoms: Shortness of breath up stairs, long walks & general fatigue in afternoon
Healthcare visit (other): Annual office check up
Release 10 — day 35, dose 3
Symptoms: Cough resulting from mucus buildup from nasal area. Might be acid reflux or unknown allergy. Throat clears rather quickly and I'm not running a fever or any other symptoms that I can tell.
Release 11 — 6 months, dose 3
Symptoms: Stamina & some swelling of legs & ankles
Healthcare visit (other): Office visit
Release 12 — 12 months, dose 3
Symptoms: Blood Pressure Regulation
Release 12 — day 14, dose 4
Symptoms: Get tired more quickly when preforming physical tasks More difficulty rising from a sitting position to a standing position. Little more joint soreness
Release 12 — day 21, dose 4
Symptoms: Think I pulled my muscle in my back lumbar region
Release 12 — day 28, dose 4
Symptoms: Lower left lumbar back pain
Release 12 — 3 months, dose 4
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Blood pressure abnormal | · | · | ✓ |
| SD | Catarrh | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dry eye | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Dyspnoea exertional | ✓ | ✓ | ✓ |
| SD | Dysstasia | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Joint injury | · | · | ✓ |
| SD | Joint stiffness | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Muscle strain | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release