YHL-79982-78574
5 vaccinations
10 coded responses
56 check-ins
9 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 303 / GA
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Pfizer-BioNTech
- 2021-01-14
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-23
-
2021-01-28
Survey response — day 14, dose 1MedDRA: Rash, Rash pruritic — Feeling: GoodFree text: Itchy bumps on arm that received vaccine but below elbow, not around injection site in upper deltoid.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
-
2021-02-05
Dose 2 — Pfizer-BioNTech
- 2021-02-05
- 2021-02-06
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Fatigue or tirednessAdult check-in
- 2021-02-08
-
2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Abnormal dreams — Feeling: GoodFree text: Unusually vivid dreams continueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Abnormal dreams — Feeling: GoodFree text: Vivid dreams continue but am sleeping well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-08
-
2021-08-06
Survey response — 6 months, dose 2MedDRA: Hernia repair, Inguinal hernia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Inguinal hernia · Healthcare visit (other): Outpatient hernia repairMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-06
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-30
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-09-30
Survey response — day 0, dose 3MedDRA: Lower respiratory tract infection, SARS-CoV-2 test negative — Feeling: GoodFree text: Chest cold 4 weeks ago negative PCR test for COVID 4 days after first symptomsMedDRA releases: 2024-11 · check-in free text available
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-11-04
- 2021-11-11
-
2021-11-21
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-12-30
-
2022-03-31
Survey response — 6 months, dose 3MedDRA: Abdominal pain, Constipation — Feeling: Good · Be unable to work or attend schoolFree text: Constipation and abdominal painMedDRA releases: 2024-11 · check-in free text available
-
2022-04-04
Dose 4 — Pfizer-BioNTech
- 2022-04-06
- 2022-04-07
- 2022-04-08
- 2022-04-09
- 2022-04-10
- 2022-04-13
- 2022-04-18
-
2022-04-25
Survey response — day 21, dose 4MedDRA: Prostatic specific antigen increased — Feeling: GoodFree text: Rising PSA but still <10.0MedDRA releases: 2024-11 · check-in free text available
- 2022-05-02
- 2022-05-09
-
2022-05-16
Survey response — day 42, dose 4MedDRA: Prostatic specific antigen increased — Feeling: GoodFree text: Rising PSAMedDRA releases: 2024-11 · check-in free text available
- 2022-07-04
-
2022-09-15
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-01
- 2022-10-06
- 2022-10-13
-
2022-10-20
Survey response — day 35, dose 5MedDRA: Body temperature increased, Respiratory tract congestion — Feeling: FairFree text: Mild chest congestion, mild 99.4 temperature.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-27
- 2022-12-15
-
2023-03-16
Survey response — 6 months, dose 5MedDRA: COVID-19, Nasopharyngitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-03-16
Report sent to call center — 6 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-03-17
-
2023-03-17
Callback requested for12:00PM ET
-
2023-03-17
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Pfizer-BioNTech | |
| 2 | 2021-02-05 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-04 | Pfizer-BioNTech | No |
| 5 | 2022-09-15 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-06 | Successful 2021-11-21 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2023-03-16 | Successful 2023-03-17 |
Completed over the phone |
Free text
Release 2 — day 14, dose 1
Symptoms: Itchy bumps on arm that received vaccine but below elbow, not around injection site in upper deltoid.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Unusually vivid dreams continue
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Vivid dreams continue but am sleeping well.
Release 9 — 6 months, dose 2
Release 9 — day 0, dose 3
Systemic reaction (other): Chest cold 4 weeks ago negative PCR test for COVID 4 days after first symptoms
Release 11 — 6 months, dose 3
Symptoms: Constipation and abdominal pain
Release 11 — day 21, dose 4
Symptoms: Rising PSA but still <10.0
Release 11 — day 42, dose 4
Symptoms: Rising PSA
Release 12 — day 35, dose 5
Symptoms: Mild chest congestion, mild 99.4 temperature.
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 | Hernia repair | ✓ | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Constipation | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Inguinal hernia | ✓ | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Prostatic specific antigen increased | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
| SRO | Lower respiratory tract infection | · | · | ✓ |
| SRO | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release