YJR-20774-52635
5 vaccinations
6 coded responses
41 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 148 / NY
- Registered
- 2021-10-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Pfizer-BioNTech
-
2021-03-29
Dose 2 — Pfizer-BioNTech
-
2021-10-09
Dose 3 — Pfizer-BioNTech
-
2021-10-10
Registered in v-safe
-
2021-10-10
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Just mild soreness on armMedDRA releases: 2024-11 · check-in free text available
- 2021-10-11
- 2021-10-12
- 2021-10-13
- 2021-10-14
- 2021-10-15
- 2021-10-16
- 2021-10-23
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-21
- 2022-01-08
-
2022-04-09
Survey response — 6 months, dose 3MedDRA: Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 antibody test negative — Feeling: GoodFree text: I did have about 5 days of cold symptoms and slightly sore throat. No fever. Negative on a home COVID antibody test. It was a few days after being (well masked) indoors with others much more than usual while buying a car.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-27
Dose 4 — Pfizer-BioNTech
- 2022-05-28
- 2022-05-29
- 2022-05-30
- 2022-05-31
- 2022-06-01
- 2022-06-02
- 2022-06-03
- 2022-06-10
-
2022-06-17
Survey response — day 21, dose 4MedDRA: Vaccination site pain — Feeling: GoodFree text: Very Minor: over the last few weeks I've been wondering if some mild ache on my upper right arm is related to the vaccination in that area. Not painful and does not interfere with doing anything. But maybe related. I could possibly earlier said thisMedDRA releases: 2024-11 · check-in free text available
- 2022-06-24
- 2022-07-01
-
2022-07-08
Survey response — day 42, dose 4MedDRA: Hypoaesthesia — Feeling: GoodFree text: A little bit of numbness in the outside fingers of both hands.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-26
-
2022-10-18
Dose 5 — Pfizer-BioNTech
- 2022-10-18
-
2022-10-19
Survey response — days 1–6 daily, dose 5MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Arm pain kind of medium, more than for other shots, but not interfering with activity.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-20
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-25
- 2022-11-01
- 2022-11-08
-
2022-11-15
Survey response — day 28, dose 5MedDRA: Ocular discomfort, Office visit — Feeling: GoodFree text: Pressure in my right eye (ready for cataract surgery) increased from 14-16 to 21 and my opthamologist decided to switch my nightly eye drops from latanoprost to lumigen. Probably a coincidence but imaginable side effects is what this survey is for.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-22
- 2022-11-29
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Pfizer-BioNTech | No |
| 2 | 2021-03-29 | Pfizer-BioNTech | No |
| 3 | 2021-10-09 | Pfizer-BioNTech | No |
| 4 | 2022-05-27 | Pfizer-BioNTech | No |
| 5 | 2022-10-18 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Just mild soreness on arm
Release 11 — 6 months, dose 3
Symptoms: I did have about 5 days of cold symptoms and slightly sore throat. No fever. Negative on a home COVID antibody test. It was a few days after being (well masked) indoors with others much more than usual while buying a car.
Release 12 — day 21, dose 4
Symptoms: Very Minor: over the last few weeks I've been wondering if some mild ache on my upper right arm is related to the vaccination in that area. Not painful and does not interfere with doing anything. But maybe related. I could possibly earlier said this cut off by CDC
Release 12 — day 42, dose 4
Symptoms: A little bit of numbness in the outside fingers of both hands.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Arm pain kind of medium, more than for other shots, but not interfering with activity.
Release 12 — day 28, dose 5
Symptoms: Pressure in my right eye (ready for cataract surgery) increased from 14-16 to 21 and my opthamologist decided to switch my nightly eye drops from latanoprost to lumigen. Probably a coincidence but imaginable side effects is what this survey is for. cut off by CDC
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 | Hypoaesthesia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Ocular discomfort | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 antibody test negative | · | · | ✓ |
| SD | Vaccination site pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release