YSU-32367-87624
5 vaccinations
17 coded responses
39 check-ins
17 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 031 / NH
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-31
Dose 1 — Pfizer-BioNTech
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2021-04-01
Registered in v-safe
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2021-04-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
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2021-04-14
Survey response — day 14, dose 1MedDRA: Chills, Cough, Headache, Paranasal sinus discomfort, Pyrexia, SARS-CoV-2 test negative, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Sinus pressure, high fever, chills, headaches, minor cough. Diagnosed as sinusitis. Confirmed COVID-19 NEGATIVE.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
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)
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2021-04-21
Dose 2 — Pfizer-BioNTech
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2021-04-21
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
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2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen lymph node in neck on side of injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
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2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node on neck on side of injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node in neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
- 2021-04-28
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2021-05-05
Survey response — day 14, dose 2MedDRA: Gout, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Gout flare-upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Survey response — day 21, dose 2MedDRA: Gout, Headache, Pre-existing disease, Respiratory tract congestion — Feeling: FairFree text: Gout flare-up. Congestion and headaches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Survey response — day 28, dose 2MedDRA: Cough, Headache, Sinus congestion — Feeling: FairFree text: Sinus congestion. Minor cough. Headaches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
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2021-06-02
Survey response — day 42, dose 2MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: FairFree text: Sore throat, minor congestion, minor cough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-21
Survey response — 3 months, dose 2MedDRA: Chills, Cough, Dyspepsia, Headache, Nausea, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Fever, chills, headaches, cough, heartburn, nausea.MedDRA releases: 2024-11 · check-in free text available
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2021-07-21
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-24
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2021-10-20
Survey response — 6 months, dose 2MedDRA: Prostatitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Presumed prostatitis.MedDRA releases: 2024-11 · check-in free text available
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2021-10-20
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-21
Dose 3 — Pfizer-BioNTech
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2021-10-21
Survey response — day 0, dose 3MedDRA: Dyspnoea, Palpitations — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Brief shortness of breath and heart poundingMedDRA releases: 2024-11 · check-in free text available
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2021-10-22
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-10-23
Survey response — days 1–6 daily, dose 3MedDRA: Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tirednessFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
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2021-10-24
Survey response — days 1–6 daily, dose 3MedDRA: Hand-foot-and-mouth disease, Oropharyngeal pain — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore throat - likely Hand Foot and Mouth Disease contracted from toddler son in daycare.MedDRA releases: 2024-11 · check-in free text available
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2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Hand-foot-and-mouth disease, Oropharyngeal pain, Rash — Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Sore throat, skin rash - Hand Foot & Mouth DiseaseMedDRA releases: 2024-11 · check-in free text available
- 2021-10-25
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2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Hand-foot-and-mouth disease, Oropharyngeal pain, Stomatitis — Feeling: Poor · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Sore Throat/Mouth Sores (Hand Foot and Mouth Disease)MedDRA releases: 2024-11 · check-in free text available
- 2021-10-26
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2021-10-26
Call successfulDoes not wish to fill out VAERS report
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2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Oropharyngeal pain — Feeling: Poor · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Survey response — day 7, dose 3MedDRA: Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2022-01-20
- 2022-04-21
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2022-07-13
Dose 4 — Moderna
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2022-10-08
Dose 5 — ModernaCo-administered: Flu
- 2022-10-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Pfizer-BioNTech | |
| 2 | 2021-04-21 | Pfizer-BioNTech | |
| 3 | 2021-10-21 | Pfizer-BioNTech | No |
| 4 | 2022-07-13 | Moderna | No |
| 5 | 2022-10-08 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-14 | Successful | Does not wish to fill out VAERS report |
| 2021-07-21 | Successful | Does not wish to fill out VAERS report |
| 2021-10-20 | Successful 2021-10-26 |
Does not wish to fill out VAERS report |
Free text
Release 7 — day 14, dose 1
Symptoms: Sinus pressure, high fever, chills, headaches, minor cough. Diagnosed as sinusitis. Confirmed COVID-19 NEGATIVE.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph node in neck on side of injection.
Systemic reaction (other): Swollen lymph node on neck on side of injection.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph node in neck
Release 8 — day 14, dose 2
Symptoms: Gout flare-up
Release 8 — day 21, dose 2
Symptoms: Gout flare-up. Congestion and headaches.
Release 8 — day 28, dose 2
Symptoms: Sinus congestion. Minor cough. Headaches.
Release 8 — day 42, dose 2
Symptoms: Sore throat, minor congestion, minor cough.
Release 9 — 3 months, dose 2
Symptoms: Fever, chills, headaches, cough, heartburn, nausea.
Release 10 — 6 months, dose 2
Symptoms: Presumed prostatitis.
Release 10 — day 0, dose 3
Systemic reaction (other): Brief shortness of breath and heart pounding
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sore throat
Systemic reaction (other): Sore throat - likely Hand Foot and Mouth Disease contracted from toddler son in daycare.
Systemic reaction (other): Sore throat, skin rash - Hand Foot & Mouth Disease
Systemic reaction (other): Sore Throat/Mouth Sores (Hand Foot and Mouth Disease)
Systemic reaction (other): Sore throat
Release 10 — day 7, dose 3
Systemic reaction (other): Sore throat
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 | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dyspepsia | · | · | ✓ |
| SD | Gout | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Prostatitis | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Hand-foot-and-mouth disease | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Palpitations | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Stomatitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release