YKZ-17592-28818
4 vaccinations
4 coded responses
44 check-ins
4 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 537 / WI
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Registered in v-safe
-
2021-02-01
Dose 1 — Pfizer-BioNTech
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
-
2021-02-22
Dose 2 — Pfizer-BioNTech
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-05-24
-
2021-08-23
Survey response — 6 months, dose 2MedDRA: Carpal tunnel syndrome, Hypoaesthesia, Pain, Paraesthesia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: carpal tunnel syndrome with painful parathesias and numbness on the left.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-23
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-30
-
2021-09-26
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-09-30
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-10
- 2021-10-17
- 2021-10-24
- 2021-10-31
- 2021-11-07
- 2021-12-26
-
2022-03-27
Survey response — 6 months, dose 3MedDRA: Carpal tunnel syndrome, Primary amyloidosis — Feeling: GoodFree text: Amyloidosis - AL with left Carpal syndromeMedDRA releases: 2024-11 · check-in free text available
-
2022-04-04
Dose 4 — Pfizer-BioNTech
- 2022-04-14
- 2022-04-18
- 2022-04-25
- 2022-05-02
- 2022-05-09
-
2022-05-16
Survey response — day 42, dose 4MedDRA: Haematuria, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Gross hematuria from bladder veins caused by benign prostatic re-growth.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-16
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-05-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-07-04
Survey response — 3 months, dose 4MedDRA: Bronchitis, COVID-19, Conjunctivitis, Rhinitis, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Rhinitis, conjunctivitis,bronchitis without fever or smell disturbance. 5/22-26. Covid-19 antigen + then negative. SXs recurred 5/3 and Covid + again. Took Paxlovid 5/25-5/30. I had Covid with "rebound" like Dr. Fauci.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-04
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-07-05
Call successfulCompleted over the phone
- 2022-10-06
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Pfizer-BioNTech | |
| 2 | 2021-02-22 | Pfizer-BioNTech | |
| 3 | 2021-09-26 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-04 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-23 | Successful | Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-05-16 | Successful 2022-05-17 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-07-04 | Successful 2022-07-05 |
Completed over the phone |
Free text
Release 9 — 6 months, dose 2
Symptoms: carpal tunnel syndrome with painful parathesias and numbness on the left.
Release 11 — 6 months, dose 3
Symptoms: Amyloidosis - AL with left Carpal syndrome
Release 11 — day 42, dose 4
Symptoms: Gross hematuria from bladder veins caused by benign prostatic re-growth.
Release 12 — 3 months, dose 4
Symptoms: Rhinitis, conjunctivitis,bronchitis without fever or smell disturbance. 5/22-26. Covid-19 antigen + then negative. SXs recurred 5/3 and Covid + again. Took Paxlovid 5/25-5/30. I had Covid with "rebound" like Dr. Fauci.
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 | Bronchitis | · | · | ✓ |
| SD | Carpal tunnel syndrome | ✓ | · | ✓ |
| SD | Conjunctivitis | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Haematuria | · | · | ✓ |
| SD | Hypoaesthesia | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Paraesthesia | ✓ | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Primary amyloidosis | · | · | ✓ |
| SD | Rhinitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release