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
-
2021-03-03
Dose 1 — Pfizer-BioNTech
-
2021-03-24
Dose 2 — Pfizer-BioNTech
-
2021-10-19
Dose 3 — Pfizer-BioNTech
-
2022-05-20
Dose 4 — Pfizer-BioNTech
-
2022-09-08
Registered in v-safe
-
2022-11-18
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-18
-
2022-11-18
Survey response — 6 months, dose 4, dependentMedDRA: Fall, Shoulder arthroplasty — Feeling: GoodFree text: Right shoulder replacement due to a fallMedDRA releases: 2024-11 · check-in free text available
-
2022-11-19
Health check-in — days 1–6 daily, dose 5, dependentFeeling: Fair · Site: Swelling · HeadacheAdult check-in
- 2022-11-20
- 2022-11-21
- 2022-11-23
- 2022-11-24
- 2022-11-25
- 2022-12-02
- 2022-12-11
- 2022-12-16
- 2022-12-23
- 2022-12-30
-
2023-02-17
Survey response — 3 months, dose 5, dependentMedDRA: Respiratory disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-02-17
Report sent to call center — 3 months, dose 5, dependentGet care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-02-20
- 2023-02-21
-
2023-02-21
Callback requested for10:30AM ET
-
2023-05-19
Survey response — 6 months, dose 5, dependentMedDRA: Atrial fibrillation, Cardioversion — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationMedDRA releases: 2024-11
-
2023-05-19
Report sent to call center — 6 months, dose 5, dependentGet care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2023-05-22
- 2023-05-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Pfizer-BioNTech | No |
| 2 | 2021-03-24 | Pfizer-BioNTech | No |
| 3 | 2021-10-19 | Pfizer-BioNTech | No |
| 4 | 2022-05-20 | Pfizer-BioNTech | No |
| 5 | 2022-11-18 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-02-17 | Unsuccessful | |
| 2023-05-19 | Unsuccessful |
Free text
Release 12 — 6 months, dose 4, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Cardioversion | · | · | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | Shoulder arthroplasty | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release