YMW-18935-60906
1 vaccination
6 coded responses
8 check-ins
6 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 640 / MO
- Registered
- 2021-09-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-27
Dose 1 — Pfizer-BioNTech
-
2021-09-30
Registered in v-safe
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2021-09-30
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Dysphonia — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Coughing and hoarseMedDRA releases: 2024-11 · check-in free text available
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2021-10-01
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Dysphonia — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Coughing and hoarse voiceMedDRA releases: 2024-11 · check-in free text available
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2021-10-02
Survey response — days 1–6 daily, dose 1MedDRA: Ageusia, Anosmia, Cough, Dysphonia — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Coughing, hoarse, lost smell and taste today.MedDRA releases: 2024-11 · check-in free text available
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2021-10-03
Survey response — days 1–6 daily, dose 1MedDRA: Ageusia, Anosmia, Arthralgia, Cough, Dysphonia, Pain in extremity — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Cough voice is hoarse no smell or taste, hip/leg painMedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Survey response — day 7, dose 1MedDRA: Ageusia, Anosmia, Cough, Dysphonia, Rhinorrhoea — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: No smell or taste coughing and hoarse, runny noseMedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-13
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2021-10-18
Survey response — day 21, dose 1MedDRA: Adverse reaction, Laboratory test abnormal, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I don't remember when I made my last check in here but my symptoms after vaccination did not subside I was tested on 10/4 and was positive got infusion and will not be able to get 2nd vaccine for 90 days. Can you pause this reminder? · Healthcare visit (other): Infusion outpatient @ (b)(6) hospitalMedDRA releases: 2024-11 · check-in free text available
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2021-10-18
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-20
- 2022-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-27 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-04 | Unsuccessful | |
| 2021-10-18 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Coughing and hoarse
Systemic reaction (other): Coughing and hoarse voice
Systemic reaction (other): Coughing, hoarse, lost smell and taste today.
Systemic reaction (other): Cough voice is hoarse no smell or taste, hip/leg pain
Release 9 — day 7, dose 1
Systemic reaction (other): No smell or taste coughing and hoarse, runny nose
Release 10 — day 21, dose 1
Symptoms: I don't remember when I made my last check in here but my symptoms after vaccination did not subside I was tested on 10/4 and was positive got infusion and will not be able to get 2nd vaccine for 90 days. Can you pause this reminder?
Healthcare visit (other): Infusion outpatient @ (b)(6) hospital
redacted (b)(6)
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 | · | · | ✓ |
| SD | Adverse reaction | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SRO | Ageusia | · | · | ✓ |
| SRO | Anosmia | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dysphonia | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release