YMY-18083-76389
4 vaccinations
2 coded responses
8 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 836 / ID
- Registered
- 2022-04-14
- Relationship
- Other
- Guardian
- Z24-17586-34013
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Pfizer-BioNTech
-
2021-02-16
Dose 2 — Pfizer-BioNTech
-
2021-09-29
Dose 3 — Pfizer-BioNTech
-
2022-04-12
Dose 4 — Pfizer-BioNTech
-
2022-04-14
Registered in v-safe
- 2022-04-19
- 2022-04-26
- 2022-05-03
-
2022-05-11
Survey response — day 28, dose 4, dependentMedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Virus. (?)MedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
- 2022-07-12
- 2022-10-13
-
2023-04-12
Survey response — 12 months, dose 4, dependentMedDRA: Cerebrovascular accident — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Pfizer-BioNTech | No |
| 2 | 2021-02-16 | Pfizer-BioNTech | No |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
| 4 | 2022-04-12 | Pfizer-BioNTech | No |
Free text
Release 11 — day 28, dose 4, dependent
Symptoms: Virus. (?)
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 | Cerebrovascular accident | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release