YMJ-11234-91962
5 vaccinations
6 coded responses
37 check-ins
6 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 853 / AZ
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Pfizer-BioNTech
-
2021-02-05
Registered in v-safe
-
2021-02-05
Dose 2 — Pfizer-BioNTech
- 2021-02-05
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Fatigue or tirednessFree text: I was sleepy tired but i got up at 4 a.m. to go & get my shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
-
2021-02-19
Survey response — day 14, dose 2MedDRA: Cough, Oropharyngeal pain — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: A sore throat & occasional cough. Started antibiotics yesterday. I doubt it is related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-19
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-07
- 2021-08-06
-
2021-08-06
Call successfulNot applicable - Accidental Reporting
-
2021-10-06
Dose 3 — Pfizer-BioNTech
-
2022-02-05
Survey response — 12 months, dose 2MedDRA: Cough, Nasopharyngitis, Pre-existing disease, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: GoodFree text: I tested positive for covid prior to surgery. Fortunately, I had very mild symptoms; like a head cold with a runny nose. My cough was not unlike my asthma, light and sporadic.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-20
Dose 4 — Moderna
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-06-24
-
2022-07-01
Survey response — day 42, dose 4MedDRA: Drainage, Mass, Medical counselling, Post procedural haemorrhage — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I had surgery to drain a pseudo tumor and am on a wound vac. Bleeding was a problem after they removed it *** this is not covid shot related but you asked *** you need to clarify your questions and state that they are ovid shot related. · Healthcare visit (other): Home health care nurse.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-01
Report sent to call center — day 42, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-07-05
- 2022-07-05
-
2022-07-05
Callback requested for02:00PM ET
-
2022-07-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-08-19
-
2022-09-27
Dose 5 — Moderna
- 2022-09-27
-
2022-09-28
Survey response — days 1–6 daily, dose 5MedDRA: Pruritus — Feeling: GoodFree text: Had flu shot the day before and it it itches.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-29
- 2022-09-30
-
2022-10-01
Health check-in — days 1–6 daily, dose 5Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2022-10-03
Health check-in — days 1–6 daily, dose 5Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
-
2022-12-27
Survey response — 3 months, dose 5MedDRA: COVID-19, Headache, Quarantine — Feeling: Good · Be unable to do your normal daily activitiesFree text: I contracted covid. I was prescribed paxlovid. Unable to do things do to isolation. I had a constante covid headache for about a month.MedDRA releases: 2024-11 · check-in free text available
- 2023-03-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Pfizer-BioNTech | |
| 2 | 2021-02-05 | Pfizer-BioNTech | |
| 3 | 2021-10-06 | Pfizer-BioNTech | No |
| 4 | 2022-05-20 | Moderna | No |
| 5 | 2022-09-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-19 | Successful 2021-08-06 |
Not applicable - Accidental Reporting |
| 2022-07-01 | Successful 2022-07-05 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I was sleepy tired but i got up at 4 a.m. to go & get my shot.
Release 4 — day 14, dose 2
Symptoms: A sore throat & occasional cough. Started antibiotics yesterday. I doubt it is related to the vaccine.
Release 11 — 12 months, dose 2
Symptoms: I tested positive for covid prior to surgery. Fortunately, I had very mild symptoms; like a head cold with a runny nose. My cough was not unlike my asthma, light and sporadic.
Release 12 — day 42, dose 4
Symptoms: I had surgery to drain a pseudo tumor and am on a wound vac. Bleeding was a problem after they removed it *** this is not covid shot related but you asked *** you need to clarify your questions and state that they are ovid shot related.
Healthcare visit (other): Home health care nurse.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Had flu shot the day before and it it itches.
Release 12 — 3 months, dose 5
Symptoms: I contracted covid. I was prescribed paxlovid. Unable to do things do to isolation. I had a constante covid headache for about a month.
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 | Medical counselling | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Drainage | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Mass | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Post procedural haemorrhage | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release