YS5-30444-00465
5 vaccinations
5 coded responses
51 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 925 / CA
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Registered in v-safe
-
2021-02-09
Dose 1 — Pfizer-BioNTech
- 2021-02-09
-
2021-02-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · HeadacheAdult check-in
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
-
2021-03-18
Dose 2 — Pfizer-BioNTech
-
2021-03-18
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Good · HeadacheFree text: mild lightheadednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-20
- 2021-03-21
- 2021-03-22
-
2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-03-24
- 2021-03-25
-
2021-04-01
Survey response — day 14, dose 2MedDRA: Impaired healing, Tinnitus — Feeling: GoodFree text: Ringing in ears more pronounced than normal. Right ear sometimes partially muffled.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-15
-
2021-04-22
Survey response — day 35, dose 2MedDRA: Cough, Headache, Respiratory tract congestion — Feeling: FairFree text: Headache and some chest congestion and coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-29
Survey response — day 42, dose 2MedDRA: Chest discomfort, Chest pain, Cough, Headache, Pre-existing disease, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Late last week medium almost constant heahache. Starting to be better. Chest congestion and normal cough(have emphysema). Temp is normal. Pressure and some chest pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-17
- 2021-09-16
-
2021-09-25
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-09-30
- 2021-10-01
- 2021-10-02
- 2021-10-09
- 2021-10-16
- 2021-10-23
- 2021-10-30
- 2021-11-06
- 2021-12-25
- 2022-03-26
-
2022-04-07
Dose 4 — Pfizer-BioNTech
- 2022-04-14
- 2022-04-21
- 2022-04-28
- 2022-05-05
-
2022-05-12
Survey response — day 35, dose 4MedDRA: Respiratory tract congestion, Sinus congestion, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Some chest and sinus congestion. · Healthcare visit (other): Already had scheduled primary care appointment. Coincedental.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-12
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professional1 call case(s)
-
2022-05-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-19
- 2022-07-07
-
2022-09-10
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-25
- 2022-10-01
- 2022-10-08
- 2022-10-15
- 2022-10-22
- 2022-12-10
- 2023-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Pfizer-BioNTech | |
| 2 | 2021-03-18 | Pfizer-BioNTech | |
| 3 | 2021-09-25 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-07 | Pfizer-BioNTech | No |
| 5 | 2022-09-10 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-12 | Successful 2022-05-13 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 5 — day 0, dose 2
Systemic reaction (other): mild lightheadedness
Release 6 — day 14, dose 2
Symptoms: Ringing in ears more pronounced than normal. Right ear sometimes partially muffled.
Release 7 — day 35, dose 2
Symptoms: Headache and some chest congestion and cough
Release 8 — day 42, dose 2
Symptoms: Late last week medium almost constant heahache. Starting to be better. Chest congestion and normal cough(have emphysema). Temp is normal. Pressure and some chest pain.
Release 11 — day 35, dose 4
Symptoms: Some chest and sinus congestion.
Healthcare visit (other): Already had scheduled primary care appointment. Coincedental.
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 | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Impaired healing | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release