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YEV-29538-79427

5 vaccinations 23 coded responses 64 check-ins 20 free-text entries 2 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
917 / CA
Registered
2021-05-07
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-07
    Registered in v-safe
  2. 2021-05-07
    Dose 1 — Pfizer-BioNTech
  3. 2021-05-07
    Survey response — day 0, dose 1
    MedDRA: No adverse event, Unevaluable event — Feeling: Good
    Free text: So far ok
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-05-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling
    Free text: So far pretty good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-05-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Occipital neuralgia, Pain — Feeling: Good · Headache
    Free text: Slight ache at left base of skull. Occipital neuralgia i think.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-14
    Health check-in — day 7, dose 1
    Feeling: Good · Headache
    Adult check-in
  11. 2021-05-21
    Survey response — day 14, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Good
    Free text: Throat feels like it wants to get sore, but not all the way
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-28
    Dose 2 — Pfizer-BioNTech
  13. 2021-05-28
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-05-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-05-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-05-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-06-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-06-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Throat feels like it wants to get sore?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-06-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tiredness
    Free text: Throat is slightly sore
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-06-04
    Survey response — day 7, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches
    Free text: Neck area
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-06-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-20
    Survey response — day 21, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Back of neck midway between base of skull and shoulders is achy?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-02
    Survey response — day 35, dose 2
    MedDRA: Fatigue — Feeling: Good
    Free text: Tiredness at times
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-07-09
    Survey response — day 42, dose 2
    MedDRA: Throat irritation — Feeling: Good
    Free text: Slight scratchy throat. Not sore, but bothersome.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-08-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-26
    Survey response — 6 months, dose 2
    MedDRA: Benign prostatic hyperplasia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: BPH- prostate
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-11-26
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  29. 2021-11-30
  30. 2021-12-04
    Dose 3 — Pfizer-BioNTech
  31. 2021-12-04
    Survey response — day 0, dose 3
    MedDRA: Nasal congestion — Feeling: Good
    Free text: Stuffy nose
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-12-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  33. 2021-12-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  34. 2021-12-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-12-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Chills
    Adult check-in
  36. 2021-12-11
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-12-18
    Survey response — day 14, dose 3
    MedDRA: Mouth breathing, Nasal congestion — Feeling: Good
    Free text: Stuffy nose that occurs daily since the third shot or booster. There are moments of relief then the mouth breathing starts up again :( Did not happen with the first two doses???
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-12-26
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-01
    Survey response — day 28, dose 3
    MedDRA: Ear discomfort, Hypoacusis — Feeling: Good · Be unable to do your normal daily activities
    Free text: Right ear seemed to close. Hearing went way down. Seems like ear just got plugged up? Tamsulosin has been added to the list of my medications :(
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-01-09
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-16
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-03-06
    Survey response — 3 months, dose 3
    MedDRA: Throat irritation — Feeling: Good
    Free text: Slight scratchy throat
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-05-23
    Dose 4 — Pfizer-BioNTech
    Co-administered: Other:Tetanus
  44. 2022-05-23
    Survey response — day 0, dose 4
    MedDRA: No adverse event — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Not at this time
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-05-24
    Survey response — days 1–6 daily, dose 4
    MedDRA: Hyperhidrosis — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Sweats
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-05-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  47. 2022-05-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  48. 2022-05-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  49. 2022-05-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  50. 2022-05-30
    Health check-in — day 7, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  51. 2022-06-06
    Survey response — day 14, dose 4
    MedDRA: Back pain, Fatigue — Feeling: Good
    Free text: Lower back on both sides ache a bit and i feel a little tired without doing anything?
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-06-14
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-06-20
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-06-27
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-07-04
    Survey response — day 42, dose 4
    MedDRA: Cough, Nausea, Oropharyngeal pain, Throat irritation — Feeling: Good
    Free text: 7/2/22 throat started feeling scratchy like developing a sore throat with nauseousness and it was hard not to cough. Today 7/4/22 the symptoms are milder without the urge to cough. No nausea.
    MedDRA releases: 2024-11 · check-in free text available
  56. 2022-08-22
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-12-12
    Dose 5 — Pfizer-BioNTech
  58. 2022-12-12
    Health check-in — day 0, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  59. 2022-12-13
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  60. 2022-12-14
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  61. 2022-12-15
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  62. 2022-12-16
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  63. 2022-12-17
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  64. 2022-12-18
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  65. 2022-12-19
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  66. 2022-12-28
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  67. 2023-01-02
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  68. 2023-01-09
    Survey response — day 28, dose 5
    MedDRA: Pre-existing disease, Tinnitus — Feeling: Good · Be unable to do your normal daily activities
    MedDRA releases: 2024-11
  69. 2023-01-16
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  70. 2023-01-23
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  71. 2023-03-13
    Survey response — 3 months, dose 5
    MedDRA: Benign prostatic hyperplasia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    MedDRA releases: 2024-11
  72. 2023-03-13
    Report sent to call center — 3 months, dose 5
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  73. 2023-03-14
  74. 2023-03-14
  75. 2023-06-12
    Survey response — 6 months, dose 5
    MedDRA: Blood testosterone decreased, Fatigue — Feeling: Good · Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-05-07Pfizer-BioNTech
22021-05-28Pfizer-BioNTech
32021-12-04Pfizer-BioNTech No
42022-05-23Pfizer-BioNTech Other:Tetanus
52022-12-12Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-11-26 Unsuccessful
2023-03-13 Unsuccessful

Free text

Release 8 — day 0, dose 1

2021-05-07

Systemic reaction (other): So far ok

Release 8 — days 1–6 daily, dose 1

2021-05-09

Systemic reaction (other): So far pretty good

2021-05-10

Systemic reaction (other): No

2021-05-12

Systemic reaction (other): Slight ache at left base of skull. Occipital neuralgia i think.

Release 8 — day 14, dose 1

2021-05-21

Symptoms: Throat feels like it wants to get sore, but not all the way

Release 8 — days 1–6 daily, dose 2

2021-06-02

Systemic reaction (other): Throat feels like it wants to get sore?

2021-06-03

Systemic reaction (other): Throat is slightly sore

Release 8 — day 7, dose 2

2021-06-04

Systemic reaction (other): Neck area

Release 9 — day 21, dose 2

2021-06-20

Symptoms: Back of neck midway between base of skull and shoulders is achy?

Release 9 — day 35, dose 2

2021-07-02

Symptoms: Tiredness at times

Release 9 — day 42, dose 2

2021-07-09

Symptoms: Slight scratchy throat. Not sore, but bothersome.

Release 10 — 6 months, dose 2

2021-11-26

Symptoms: BPH- prostate

Release 10 — day 0, dose 3

2021-12-04

Systemic reaction (other): Stuffy nose

Release 10 — day 14, dose 3

2021-12-18

Symptoms: Stuffy nose that occurs daily since the third shot or booster. There are moments of relief then the mouth breathing starts up again :( Did not happen with the first two doses???

Release 10 — day 28, dose 3

2022-01-01

Symptoms: Right ear seemed to close. Hearing went way down. Seems like ear just got plugged up? Tamsulosin has been added to the list of my medications :(

Release 11 — 3 months, dose 3

2022-03-06

Symptoms: Slight scratchy throat

Release 11 — day 0, dose 4

2022-05-23

Systemic reaction (other): Not at this time

Release 11 — days 1–6 daily, dose 4

2022-05-24

Systemic reaction (other): Sweats

Release 11 — day 14, dose 4

2022-06-06

Symptoms: Lower back on both sides ache a bit and i feel a little tired without doing anything?

Release 12 — day 42, dose 4

2022-07-04

Symptoms: 7/2/22 throat started feeling scratchy like developing a sore throat with nauseousness and it was hard not to cough. Today 7/4/22 the symptoms are milder without the urge to cough. No nausea.

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
SDBack pain · · ✓
SDBenign prostatic hyperplasia · · ✓
SDBlood testosterone decreased · · ✓
SDCough · · ✓
SDEar discomfort · · ✓
SDFatigue ✓ ✓ ✓
SDHypoacusis · · ✓
SDMouth breathing · · ✓
SDNasal congestion · · ✓
SDNausea · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPre-existing disease · · ✓
SDThroat irritation ✓ ✓ ✓
SDTinnitus · · ✓
SDUnevaluable event ✓ ✓ ✓
SROHyperhidrosis · · ✓
SRONasal congestion · · ✓
SRONo adverse event ✓ ✓ ✓
SROOccipital neuralgia ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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