YRE-20686-38664
4 vaccinations
4 coded responses
33 check-ins
4 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 482 / MI
- Registered
- 2021-02-22
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-21
Dose 1 — Pfizer-BioNTech
-
2021-02-22
Registered in v-safe
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
-
2021-03-07
Survey response — day 14, dose 1MedDRA: Foot fracture — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Broke my foot (fractured 5th metatarsal bone of left foot).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-14
Dose 2 — Pfizer-BioNTech
-
2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-03-17
- 2021-03-20
- 2021-03-21
- 2021-03-29
- 2021-04-05
- 2021-04-11
- 2021-04-20
- 2021-04-25
-
2021-06-15
Survey response — 3 months, dose 2MedDRA: Arthralgia, Back pain, Bacterial infection, Headache, Hypersomnia, Pyrexia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: fever (101° +); lethargy/ excessive sleeping (18 hrs daily); back/ hip painHealth conditions -(physicians diagnoses): bacterial infection of blood; -(self assessment) sciatic nerve possible cause of back/hip painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-15
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-21
- 2021-09-13
-
2021-12-01
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2022-03-14
Survey response — 12 months, dose 2MedDRA: Surgery — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Had a surgeryMedDRA releases: 2024-11 · check-in free text available
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2022-03-14
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-03-15
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-27
Dose 4 — Pfizer-BioNTech
-
2022-04-28
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-29
- 2022-05-01
-
2022-05-02
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue — Feeling: Fair · Fatigue or tirednessFree text: I feel mildly tired and/or fatigued every day, vaccine or not, so if that's why you're checking with me daily you can stop.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-06-08
- 2022-07-27
- 2022-10-26
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-21 | Pfizer-BioNTech | |
| 2 | 2021-03-14 | Pfizer-BioNTech | |
| 3 | 2021-12-01 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-27 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-07 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-06-15 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-03-14 | Successful 2022-03-15 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 5 — day 14, dose 1
Symptoms: Broke my foot (fractured 5th metatarsal bone of left foot).
Release 9 — 3 months, dose 2
Symptoms: Symptoms: fever (101° +); lethargy/ excessive sleeping (18 hrs daily); back/ hip painHealth conditions -(physicians diagnoses): bacterial infection of blood; -(self assessment) sciatic nerve possible cause of back/hip pain
Release 11 — 12 months, dose 2
Symptoms: Had a surgery
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I feel mildly tired and/or fatigued every day, vaccine or not, so if that's why you're checking with me daily you can stop.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Bacterial infection | ✓ | ✓ | ✓ |
| SD | Foot fracture | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypersomnia | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Surgery | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release