YU5-16183-66076
3 vaccinations
6 coded responses
12 check-ins
6 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 916 / CA
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Pfizer-BioNTech
-
2021-02-12
Registered in v-safe
-
2021-02-12
Dose 2 — Pfizer-BioNTech
-
2021-02-12
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Fair · Fatigue or tirednessFree text: Light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
-
2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness, NauseaFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
- 2021-02-16
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2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort, Cough, Office visit — Feeling: Good · Headache · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Chest tightness, causing cough -- bo is ok -- called cardiologist, getting checked. Probably not vaccine-related. · Healthcare visit (other): Scheduled check-up with cardiologist, but this is probably not related to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Blood pressure abnormal, Chest discomfort, Dizziness, Electrocardiogram, Feeling abnormal, Ultrasound scan, Unevaluable event — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Dizziness, and a worrisome chest sensation which I believe is my heart. BP is good, but feels very strange. I see my cardiologist tomorrow morning. I do not think this is related to the Vaccine -- may be medication related. · Healthcare visit (other): Office visit scheduled for tomorrow. Sonogram and EKG.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-22
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2021-08-06
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-08-13
Survey response — 6 months, dose 2MedDRA: Abdominal pain, Body temperature increased, Colitis ischaemic, Dental operation, Diarrhoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have had two rounds of diarrhea with some abdominal cramping, accompanied by low-grade fever (99.7), and extreme fatigue. I dont suspect COVID. Im on amoxicillin for dental surgery, and have had ischemic colitis in April.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-02
Dose 3 — Pfizer-BioNTech
- 2021-09-29
- 2021-09-30
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2021-10-07
Survey response — day 35, dose 3MedDRA: Abdominal discomfort, Headache — Feeling: Poor · Be unable to work or attend schoolFree text: Upset stomach, headacheMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Pfizer-BioNTech | |
| 2 | 2021-02-12 | Pfizer-BioNTech | |
| 3 | 2021-09-02 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-17 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-02-18 | Successful 2021-08-06 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): Light headed
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Systemic reaction (other): Chest tightness, causing cough -- bo is ok -- called cardiologist, getting checked. Probably not vaccine-related.
Healthcare visit (other): Scheduled check-up with cardiologist, but this is probably not related to vaccine.
Systemic reaction (other): Dizziness, and a worrisome chest sensation which I believe is my heart. BP is good, but feels very strange. I see my cardiologist tomorrow morning. I do not think this is related to the Vaccine -- may be medication related.
Healthcare visit (other): Office visit scheduled for tomorrow. Sonogram and EKG.
Release 9 — 6 months, dose 2
Symptoms: I have had two rounds of diarrhea with some abdominal cramping, accompanied by low-grade fever (99.7), and extreme fatigue. I dont suspect COVID. Im on amoxicillin for dental surgery, and have had ischemic colitis in April.
Release 10 — day 35, dose 3
Symptoms: Upset stomach, headache
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 | Electrocardiogram | ○ | ✓ | ○ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Ultrasound scan | ○ | ✓ | ○ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Abdominal pain | ✓ | · | ✓ |
| SD | Body temperature increased | ✓ | · | ✓ |
| SD | Colitis ischaemic | ✓ | · | ✓ |
| SD | Dental operation | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | · | · | ✓ |
| SRO | Blood pressure abnormal | ✓ | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release