YM6-57321-23700
6 vaccinations
4 coded responses
70 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 949 / CA
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-19
Dose 1 — Pfizer-BioNTech
-
2021-03-13
Dose 2 — Pfizer-BioNTech
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2021-03-14
Registered in v-safe
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2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
-
2021-04-24
Survey response — day 42, dose 2MedDRA: Office visit, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Hives that appeared after vaccination (shoulder blades) recurred. Doctor stated it was likely vaccine related. Situation seems to be slowly improving but has been persistent and recurred but with less skin irritation. · Healthcare visit (other): In-person appointment with dermatologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-12
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2021-08-19
Dose 3 — Pfizer-BioNTech
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2021-08-19
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-08-20
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tirednessAdult check-in
-
2021-08-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-08-22
- 2021-08-23
- 2021-08-24
- 2021-08-25
- 2021-08-26
- 2021-09-02
- 2021-09-09
- 2021-09-17
- 2021-09-23
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2021-09-30
Survey response — day 42, dose 3MedDRA: Unevaluable event, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Hives on shoulder blades. For all 3 vaccinations, hives on my shoulder blades have appeared at precisely the post 5 week mark. · Healthcare visit (other): Next routine visit; Rx prescribedMedDRA releases: 2024-11 · check-in free text available
-
2021-09-30
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-01
- 2021-11-18
- 2022-02-17
-
2022-05-13
Dose 4 — Pfizer-BioNTech
- 2022-05-13
-
2022-05-14
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2022-05-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fatigue or tiredness, DiarrheaAdult check-in
- 2022-05-18
- 2022-05-19
- 2022-05-20
- 2022-05-27
-
2022-06-03
Survey response — day 21, dose 4MedDRA: Cough — Feeling: GoodFree text: Dry coughMedDRA releases: 2024-11 · check-in free text available
- 2022-06-10
- 2022-06-17
- 2022-06-24
- 2022-08-12
- 2022-11-11
-
2022-12-14
Dose 5 — Pfizer-BioNTech
- 2022-12-14
- 2022-12-15
- 2022-12-16
- 2022-12-17
- 2022-12-18
- 2022-12-19
- 2022-12-20
- 2022-12-21
- 2022-12-28
- 2023-01-04
- 2023-01-11
- 2023-01-18
- 2023-01-25
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2023-03-15
Survey response — 3 months, dose 5MedDRA: Cough, Nasal congestion, Nasopharyngitis, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-05-06
Dose 6 — Pfizer-BioNTech
- 2023-05-06
- 2023-05-07
- 2023-05-08
- 2023-05-09
- 2023-05-10
- 2023-05-11
- 2023-05-12
- 2023-05-13
- 2023-05-20
- 2023-05-27
- 2023-06-03
- 2023-06-10
- 2023-06-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Pfizer-BioNTech | |
| 2 | 2021-03-13 | Pfizer-BioNTech | |
| 3 | 2021-08-19 | Pfizer-BioNTech | No |
| 4 | 2022-05-13 | Pfizer-BioNTech | No |
| 5 | 2022-12-14 | Pfizer-BioNTech | No |
| 6 | 2023-05-06 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-24 | Unsuccessful | |
| 2021-09-30 | Unsuccessful |
Free text
Release 7 — day 42, dose 2
Symptoms: Hives that appeared after vaccination (shoulder blades) recurred. Doctor stated it was likely vaccine related. Situation seems to be slowly improving but has been persistent and recurred but with less skin irritation.
Healthcare visit (other): In-person appointment with dermatologist
Release 9 — day 42, dose 3
Symptoms: Hives on shoulder blades. For all 3 vaccinations, hives on my shoulder blades have appeared at precisely the post 5 week mark.
Healthcare visit (other): Next routine visit; Rx prescribed
Release 11 — day 21, dose 4
Symptoms: Dry cough
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 | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release