YN6-19704-79946
2 vaccinations
6 coded responses
18 check-ins
6 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 857 / AZ
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Pfizer-BioNTech
- 2021-01-28
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-12
- 2021-02-19
-
2021-02-23
Dose 2 — Pfizer-BioNTech
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
-
2021-03-11
Survey response — day 14, dose 2MedDRA: Fatigue, Oral herpes — Feeling: FairFree text: Intermittent fatigue and a fairly large fever blister on my upper lip that started about 10-12 days after my second shot and now resolving, No cold symptoms or other illness to explain this. Have you had reports of this from others? ThaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
-
2021-03-23
Survey response — day 28, dose 2MedDRA: Cough, Fatigue, Lacrimation increased, Pre-existing disease, Rhinorrhoea, Wheezing — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Runny nose, watery eyes, dry cough with wheezing and mild fatigue all compatible with seasonal allergies that I tend to get this time of year. No fever, change in appetite, chest pain etc. Requested new Ventolin albuterol inhaler from my internistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-30
-
2021-04-07
Survey response — day 42, dose 2MedDRA: Cough, Medical counselling, Productive cough, Wheezing — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Mainly nighttime cough with mild wheezing, minimal clear sputum and no fever improved by albuterol al accompanied by seasonal allergy symptoms. now improving. · Healthcare visit (other): Email visit led to prescription for bronchodilator and improvement and ability to sleep again after 3 almost sleepless nightsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-25
- 2021-12-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Pfizer-BioNTech | |
| 2 | 2021-02-23 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-23 | Unsuccessful | |
| 2021-04-07 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): No
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): None
Systemic reaction (other): None
Release 5 — day 14, dose 2
Symptoms: Intermittent fatigue and a fairly large fever blister on my upper lip that started about 10-12 days after my second shot and now resolving, No cold symptoms or other illness to explain this. Have you had reports of this from others? Tha
Release 6 — day 28, dose 2
Symptoms: Runny nose, watery eyes, dry cough with wheezing and mild fatigue all compatible with seasonal allergies that I tend to get this time of year. No fever, change in appetite, chest pain etc. Requested new Ventolin albuterol inhaler from my internist cut off by CDC
Release 7 — day 42, dose 2
Symptoms: Mainly nighttime cough with mild wheezing, minimal clear sputum and no fever improved by albuterol al accompanied by seasonal allergy symptoms. now improving.
Healthcare visit (other): Email visit led to prescription for bronchodilator and improvement and ability to sleep again after 3 almost sleepless nights
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Lacrimation increased | ✓ | ✓ | ✓ |
| SD | Oral herpes | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Wheezing | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release