YQQ-16206-81135

6 vaccinations 16 coded responses 51 check-ins 13 free-text entries 6 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 190 / PA
Registered: 2021-04-07

Relationship: Self
Race: N/A
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-07
Registered in v-safe
2021-04-07
Dose 1 — Pfizer-BioNTech
2021-04-07
Survey response — day 0, dose 1
MedDRA: Cough, Oropharyngeal pain — Feeling: Good

Free text: Persistent cough since Fall 2019 (under active investigation), slightly sore throat (may relate to snoring or change in asthma medications)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Oropharyngeal pain, Pre-existing disease — Feeling: Good

Free text: Continued coughing, particularly at bedtime and occasionally overnight (chronic problem, scheduled for bronchoscopy tomorrow). Minor sore throat reported yesterday has lessened.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Pain, Rash — Feeling: Fair · Muscle or body aches

Free text: Very sore from yesterday's bronchoscopy (calves, neck, chest [on coughing], diaphragm); yesterday's elbow rash matches bandaid applied following blood draw on Monday (fading today without triamcinolone acetonide applied day before yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain, Bronchoscopy, Musculoskeletal chest pain, Neck pain, Pain in extremity — Feeling: Fair · Muscle or body aches

Free text: Calves, ribcage, neck and abdominal soreness likely relate to my bronchoscopy on Friday 4/9/2021.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Productive cough, Pseudomonas infection — Feeling: Fair · Muscle or body aches

Free text: Positive cultures for Pseudomonas aeruginosa reported following from bronchial washings obtained during bronchoscopy on Friday 4/9/2021. Productive cough returning and increasing in frequency. Scheduled for antibiotic choice virtual visit tomorrow, then new doctor appointment to reassess thoracic aortic aneurysm first spotted on chest CT on 3/24/2021.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Diarrhea

Adult check-in
2021-04-14
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Diarrhea

Adult check-in
2021-04-21
Survey response — day 14, dose 1
MedDRA: Medical counselling, Productive cough — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I started IV-at-home infusion of antibiotic vs. Pseudomonas aeruginosa late last week. Coughing is both less frequent and less often productive now. However there was a few tsp bleed around the midline around noon that required redressing & checking. · Healthcare visit (other): Nurse from IV homecare firm had to visit to redress and check.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Dose 2 — Pfizer-BioNTech
2021-04-29
Survey response — day 0, dose 2
MedDRA: Bronchoscopy, Pseudomonas infection — Feeling: Fair · Site: Pain

Free text: I'm about 14 days into a 21-day course of cefepime to treat a Pseudomonas aeruginosa lung infection following a bronchoscopy on 4/9/2021 that yielded the sample cultured and evaluated for microbes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-06
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-20
Dose 3 — Pfizer-BioNTech
2021-10-28
Survey response — 6 months, dose 2
MedDRA: Office visit, Peripheral swelling, Productive cough — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Three-day right foot swelling and coughing up slop for a different few days. The foot was checked out by a podiatrist, including X-rays (just baby it for two weeks). I'll get my lungs checked out by my primary in a week. · Healthcare visit (other): In person

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-29
Call successful
Not applicable - Accidental Reporting
2021-10-29
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-31
Survey response — day 7, dose 3
MedDRA: Productive cough, Sputum discoloured — Feeling: Good · Muscle or body aches

Free text: Occasionally coughing up slop (yellow or white)

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-11
Survey response — day 21, dose 3
MedDRA: Nasopharyngitis, Rhinitis allergic — Feeling: Good

Free text: Allergic rhinitis or a cold

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-01
Survey response — day 42, dose 3
MedDRA: Arthralgia, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Left knee pain · Healthcare visit (other): In-person evaluation, X-ray, corticosteroid injection and rehab script

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-02
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-05
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-01-21
Survey response — 3 months, dose 3
MedDRA: Neck pain, Road traffic accident, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sore neck following having my car being rear-ended in a collision today. · Healthcare visit (other): Scheduled physical therapy appointment

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-24
Call 1 — Left Voicemail
2022-01-25
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-18
Dose 4 — Pfizer-BioNTech
2022-04-20
Survey response — 6 months, dose 3
MedDRA: Headache — Feeling: Fair

Free text: Headache, perhaps a migraine

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Dose 5 — Pfizer-BioNTech
2022-10-06
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Joint pains

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Joint pains

Adult check-in
2022-10-10
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache, Joint pains

Adult check-in
2022-10-13
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-18
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-25
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-03
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-11
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-17
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-04
Survey response — 3 months, dose 5
MedDRA: Office visit, Vision blurred — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-01-04
Report sent to call center — 3 months, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-05
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in
2023-05-10
Dose 6 — Moderna
2023-05-11
Survey response — days 1–6 daily, dose 6
MedDRA: Lung disorder, Office visit, Pre-existing disease, Pseudomonas infection — Feeling: Fair · Site: Pain · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-05-11
Report sent to call center — days 1–6 daily, dose 6
Get care from a doctor or other healthcare professional

1 call case(s)
2023-05-12
Call 1 — Left Voicemail
2023-05-13
Survey response — days 1–6 daily, dose 6
MedDRA: Pneumonia, Pseudomonas infection — Feeling: Good · Site: Pain

MedDRA releases: 2024-11
2023-05-16
Health check-in — days 1–6 daily, dose 6
Feeling: Fair · None

Adult check-in
2023-05-17
Health check-in — day 7, dose 6
Feeling: Good · None

Adult check-in
2023-05-25
Health check-in — day 14, dose 6
Feeling: Good

Adult check-in
2023-06-03
Health check-in — day 21, dose 6
Feeling: Good

Adult check-in
2023-06-07
Health check-in — day 28, dose 6
Feeling: Good

Adult check-in
2023-06-14
Health check-in — day 35, dose 6
Feeling: Good

Adult check-in
2023-06-21
Health check-in — day 42, dose 6
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Pfizer-BioNTech
2	2021-04-29	Pfizer-BioNTech
3	2021-10-20	Pfizer-BioNTech	No
4	2022-04-18	Pfizer-BioNTech	No
5	2022-10-04	Pfizer-BioNTech	No
6	2023-05-10	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-21	Successful 2021-10-29	Not applicable - Accidental Reporting
2021-10-28	Successful 2021-10-29	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-01	Successful 2021-12-02	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-21	Successful 2022-01-25	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2023-01-04	Successful 2022-01-05	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-11	Unsuccessful

Free text

Release 7 — day 0, dose 1

2021-04-07

Systemic reaction (other): Persistent cough since Fall 2019 (under active investigation), slightly sore throat (may relate to snoring or change in asthma medications)

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): Continued coughing, particularly at bedtime and occasionally overnight (chronic problem, scheduled for bronchoscopy tomorrow). Minor sore throat reported yesterday has lessened.

2021-04-10

Systemic reaction (other): Very sore from yesterday's bronchoscopy (calves, neck, chest [on coughing], diaphragm); yesterday's elbow rash matches bandaid applied following blood draw on Monday (fading today without triamcinolone acetonide applied day before yesterday.

2021-04-11

Systemic reaction (other): Calves, ribcage, neck and abdominal soreness likely relate to my bronchoscopy on Friday 4/9/2021.

2021-04-12

Systemic reaction (other): Positive cultures for Pseudomonas aeruginosa reported following from bronchial washings obtained during bronchoscopy on Friday 4/9/2021. Productive cough returning and increasing in frequency. Scheduled for antibiotic choice virtual visit tomorrow, then new doctor appointment to reassess thoracic aortic aneurysm first spotted on chest CT on 3/24/2021.

Release 7 — day 14, dose 1

2021-04-21

Symptoms: I started IV-at-home infusion of antibiotic vs. Pseudomonas aeruginosa late last week. Coughing is both less frequent and less often productive now. However there was a few tsp bleed around the midline around noon that required redressing & checking. cut off by CDC

Healthcare visit (other): Nurse from IV homecare firm had to visit to redress and check.

Release 8 — day 0, dose 2

2021-04-29

Systemic reaction (other): I'm about 14 days into a 21-day course of cefepime to treat a Pseudomonas aeruginosa lung infection following a bronchoscopy on 4/9/2021 that yielded the sample cultured and evaluated for microbes.

Release 10 — 6 months, dose 2

2021-10-28

Symptoms: Three-day right foot swelling and coughing up slop for a different few days. The foot was checked out by a podiatrist, including X-rays (just baby it for two weeks). I'll get my lungs checked out by my primary in a week.

Healthcare visit (other): In person

Release 10 — day 7, dose 3

2021-10-31

Systemic reaction (other): Occasionally coughing up slop (yellow or white)

Release 10 — day 21, dose 3

2021-11-11

Symptoms: Allergic rhinitis or a cold

Release 10 — day 42, dose 3

2021-12-01

Symptoms: Left knee pain

Healthcare visit (other): In-person evaluation, X-ray, corticosteroid injection and rehab script

Release 11 — 3 months, dose 3

2022-01-21

Symptoms: Sore neck following having my car being rear-ended in a collision today.

Healthcare visit (other): Scheduled physical therapy appointment

Release 11 — 6 months, dose 3

2022-04-20

Symptoms: Headache, perhaps a migraine

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	✓	✓	✓
HCVO	Office visit	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Headache	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Neck pain	·	·	✓
SD	Office visit	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Productive cough	✓	✓	✓
SD	Rhinitis allergic	·	·	✓
SD	Road traffic accident	·	·	✓
SD	Vision blurred	·	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Bronchoscopy	○	✓	○
SRO	Cough	✓	✓	✓
SRO	Lung disorder	·	·	✓
SRO	Musculoskeletal chest pain	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pneumonia	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	Pseudomonas infection	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Sputum discoloured	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release