YR3-97323-28141
2 vaccinations
5 coded responses
26 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 358 / AL
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Registered in v-safe
-
2021-03-30
Dose 1 — Pfizer-BioNTech
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-20
-
2021-04-27
Dose 2 — Pfizer-BioNTech
- 2021-04-27
-
2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-29
- 2021-04-30
-
2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Sensory disturbance — Feeling: GoodFree text: Some sensation on bicep near shot area. Exercised today for first time since shot. That may have caused itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
-
2021-05-03
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: GoodFree text: Still have mild sensation on upper arm near shot locationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-04
Survey response — day 7, dose 2MedDRA: Sensory disturbance — Feeling: GoodFree text: Still having sensation on shoulder and bicep in shot arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
- 2021-05-18
- 2021-05-25
-
2021-06-01
Survey response — day 35, dose 2MedDRA: Injection site discomfort — Feeling: GoodFree text: I have continued to have a sensation on my left bicep in the area near where I received both shots. I am guessing it might could be considered an injury by nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-08
- 2021-07-27
-
2021-10-26
Survey response — 6 months, dose 2MedDRA: Heart rate irregular, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: I have experienced some irregular heartbeats. Undergoing tests to see what the possible cause is · Healthcare visit (other): Having follow up testsMedDRA releases: 2024-11 · check-in free text available
-
2021-10-26
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-10-28
- 2022-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Pfizer-BioNTech | |
| 2 | 2021-04-27 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-26 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Some sensation on bicep near shot area. Exercised today for first time since shot. That may have caused it
Systemic reaction (other): Still have mild sensation on upper arm near shot location
Release 8 — day 7, dose 2
Systemic reaction (other): Still having sensation on shoulder and bicep in shot arm.
Release 8 — day 35, dose 2
Symptoms: I have continued to have a sensation on my left bicep in the area near where I received both shots. I am guessing it might could be considered an injury by now
Release 10 — 6 months, dose 2
Symptoms: I have experienced some irregular heartbeats. Undergoing tests to see what the possible cause is
Healthcare visit (other): Having follow up tests
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 | Unevaluable event | · | · | ✓ |
| SD | Heart rate irregular | · | · | ✓ |
| SD | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Sensory disturbance | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release