YTC-14205-07540
4 vaccinations
10 coded responses
41 check-ins
9 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 986 / WA
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Pfizer-BioNTech
-
2021-03-11
Survey response — day 0, dose 1MedDRA: Adverse reaction — Feeling: GoodFree text: 90 minutes after innoculationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: HalleluhahMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
- 2021-04-01
-
2021-04-04
Dose 2 — Pfizer-BioNTech
-
2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: No issues beyond mild injection soreness for 1 dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-11
- 2021-04-20
- 2021-04-25
- 2021-05-04
- 2021-05-09
- 2021-05-16
- 2021-07-04
-
2021-10-04
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-10-05
- 2021-10-05
-
2021-10-06
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: An alcoholic wifeMedDRA releases: 2024-11 · check-in free text available
-
2021-10-07
Survey response — days 1–6 daily, dose 3MedDRA: Stress — Feeling: GoodFree text: Old stress from work challenges and homebound alcoholic wifeMedDRA releases: 2024-11 · check-in free text available
- 2021-10-09
- 2021-10-19
- 2021-10-26
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2022-01-04
- 2022-04-04
-
2022-04-09
Dose 4 — Pfizer-BioNTech
- 2022-04-15
-
2022-04-16
Survey response — day 7, dose 4MedDRA: No adverse event — Feeling: GoodFree text: Nope. Mentally clear.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-23
- 2022-04-30
-
2022-05-07
Survey response — day 28, dose 4MedDRA: Bronchitis — Feeling: FairFree text: BronchitisMedDRA releases: 2024-11 · check-in free text available
-
2022-05-14
Survey response — day 35, dose 4MedDRA: Bronchitis, Nasopharyngitis — Feeling: FairFree text: Cold and bronchitis symptoms.MedDRA releases: 2024-11 · check-in free text available
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2022-05-21
Survey response — day 42, dose 4MedDRA: Cough, Migraine, Nausea, Paranasal sinus hypersecretion, Pyrexia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Constant sinus drip and cough, some fever. Started Paxlovid regimen:?excellent on day 1 all symptoms suppressed; day 2 was side effect hell (nausea, migraine) had to quit. OK after 36 hours off.MedDRA releases: 2024-11 · check-in free text available
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2022-05-21
Report sent to call center — day 42, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-23
- 2022-05-26
- 2022-07-09
- 2022-10-08
-
2023-04-09
Survey response — 12 months, dose 4MedDRA: Bronchitis, Condition aggravated, Pre-existing disease — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Pfizer-BioNTech | |
| 2 | 2021-04-04 | Pfizer-BioNTech | |
| 3 | 2021-10-04 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-09 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-21 | Unsuccessful |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): 90 minutes after innoculation
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Halleluhah
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): No issues beyond mild injection soreness for 1 day
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): An alcoholic wife
Systemic reaction (other): Old stress from work challenges and homebound alcoholic wife
Release 11 — day 7, dose 4
Systemic reaction (other): Nope. Mentally clear.
Release 11 — day 28, dose 4
Symptoms: Bronchitis
Release 11 — day 35, dose 4
Symptoms: Cold and bronchitis symptoms.
Release 11 — day 42, dose 4
Symptoms: Constant sinus drip and cough, some fever. Started Paxlovid regimen:?excellent on day 1 all symptoms suppressed; day 2 was side effect hell (nausea, migraine) had to quit. OK after 36 hours off.
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 | Bronchitis | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Stress | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release