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YRH-36715-76438

5 vaccinations 3 coded responses 15 check-ins 1 free-text entry 2 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
453 / OH
Registered
2022-09-08
Relationship
Other
Guardian
CF5-22391-68229
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-03
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-24
    Dose 2 — Pfizer-BioNTech
  3. 2021-10-19
    Dose 3 — Pfizer-BioNTech
  4. 2022-05-20
    Dose 4 — Pfizer-BioNTech
  5. 2022-09-08
    Registered in v-safe
  6. 2022-11-18
    Dose 5 — Pfizer-BioNTech
    Co-administered: Flu
  7. 2022-11-18
    Health check-in — day 0, dose 5, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-11-18
    Survey response — 6 months, dose 4, dependent
    MedDRA: Fall, Shoulder arthroplasty — Feeling: Good
    Free text: Right shoulder replacement due to a fall
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-11-19
    Health check-in — days 1–6 daily, dose 5, dependent
    Feeling: Fair · Site: Swelling · Headache
    Adult check-in
  10. 2022-11-20
    Health check-in — days 1–6 daily, dose 5, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-11-21
    Health check-in — days 1–6 daily, dose 5, dependent
    Feeling: Good · None
    Adult check-in
  12. 2022-11-23
    Health check-in — days 1–6 daily, dose 5, dependent
    Feeling: Good · None
    Adult check-in
  13. 2022-11-24
    Health check-in — days 1–6 daily, dose 5, dependent
    Feeling: Good · None
    Adult check-in
  14. 2022-11-25
    Health check-in — day 7, dose 5, dependent
    Feeling: Good · None
    Adult check-in
  15. 2022-12-02
    Health check-in — day 14, dose 5, dependent
    Feeling: Good
    Adult check-in
  16. 2022-12-11
    Health check-in — day 21, dose 5, dependent
    Feeling: Good
    Adult check-in
  17. 2022-12-16
    Health check-in — day 28, dose 5, dependent
    Feeling: Good
    Adult check-in
  18. 2022-12-23
    Health check-in — day 35, dose 5, dependent
    Feeling: Good
    Adult check-in
  19. 2022-12-30
    Health check-in — day 42, dose 5, dependent
    Feeling: Good
    Adult check-in
  20. 2023-02-17
    Survey response — 3 months, dose 5, dependent
    MedDRA: Respiratory disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    MedDRA releases: 2024-11
  21. 2023-02-17
    Report sent to call center — 3 months, dose 5, dependent
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  22. 2023-02-20
  23. 2023-02-21
  24. 2023-02-21
  25. 2023-05-19
    Survey response — 6 months, dose 5, dependent
    MedDRA: Atrial fibrillation, Cardioversion — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization
    MedDRA releases: 2024-11
  26. 2023-05-19
    Report sent to call center — 6 months, dose 5, dependent
    Get care from a doctor or other healthcare professional
    Hospitalization · 1 call case(s)
  27. 2023-05-22
  28. 2023-05-22

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Pfizer-BioNTech No
22021-03-24Pfizer-BioNTech No
32021-10-19Pfizer-BioNTech No
42022-05-20Pfizer-BioNTech No
52022-11-18Pfizer-BioNTech Flu

Call center

ReportedOutcomeVAERS-related outcome
2023-02-17 Unsuccessful
2023-05-19 Unsuccessful

Free text

Release 12 — 6 months, dose 4, dependent

2022-11-18

Symptoms: Right shoulder replacement due to a fall

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

FieldPreferred term2021-092023-042024-11
HCVOCardioversion · · ✓
SDAtrial fibrillation · · ✓
SDFall · · ✓
SDRespiratory disorder · · ✓
SDShoulder arthroplasty · · ✓

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