YUN-65044-56132
3 vaccinations
4 coded responses
16 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 774 / TX
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Pfizer-BioNTech
- 2021-01-13
-
2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Good · Fatigue or tirednessFree text: Yesterday after my vsafe report I experienced a feeling in my head similar to how NyQuil feels, sort of narcotic though less powerful. All is ok with no feelings today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
- 2021-01-27
-
2021-02-03
Dose 2 — Pfizer-BioNTech
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-05
- 2021-02-07
-
2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-17
- 2021-02-25
- 2021-03-04
- 2021-03-17
- 2021-05-06
-
2021-08-04
Survey response — 6 months, dose 2MedDRA: Office visit, Oropharyngeal pain, Rhinorrhoea — Feeling: GoodFree text: Just a runny nose and sore throat after a heart-cath procedure at a(b)(6) hospital by my heart & vascular doctor.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-21
Dose 3 — Pfizer-BioNTech
-
2022-02-03
Survey response — 12 months, dose 2MedDRA: Flank pain, Hospitalisation, Office visit, Pre-existing disease, Pulmonary thrombosis, Renal vein thrombosis, Splenic thrombosis — Feeling: Good · Be unable to do your normal daily activitiesFree text: I'm a heart transplant patient +5 mn., and 2 days after my Covid booster i was admitted to (b)(6) Memorial for side pains. It turned out over 2.5 wks I had small clots in my kidneys, spleen and both of my lungs. Drs did not know the cause. None did.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-21
Survey response — 12 months, dose 3MedDRA: Hospitalisation, Pulmonary thrombosis, Renal vascular thrombosis, Splenic thrombosis — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationFree text: Two days after my 1st booster shot, over a year ago, I was admitted to hospital. I was eventually there for 2.5 weeks. I was diagnosed with tiny or micro-blood clots. One in spleen, one in kidneys, and one in each of lungs. No Dr. Determined cause.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-21
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
-
2022-10-24
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Pfizer-BioNTech | |
| 2 | 2021-02-03 | Pfizer-BioNTech | |
| 3 | 2021-10-21 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-21 | Successful 2022-10-24 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday after my vsafe report I experienced a feeling in my head similar to how NyQuil feels, sort of narcotic though less powerful. All is ok with no feelings today.
Release 9 — 6 months, dose 2
Symptoms: Just a runny nose and sore throat after a heart-cath procedure at a(b)(6) hospital by my heart & vascular doctor.
redacted (b)(6)
Release 11 — 12 months, dose 2
Symptoms: I'm a heart transplant patient +5 mn., and 2 days after my Covid booster i was admitted to (b)(6) Memorial for side pains. It turned out over 2.5 wks I had small clots in my kidneys, spleen and both of my lungs. Drs did not know the cause. None did. cut off by CDC
redacted (b)(6)
Release 12 — 12 months, dose 3
Symptoms: Two days after my 1st booster shot, over a year ago, I was admitted to hospital. I was eventually there for 2.5 weeks. I was diagnosed with tiny or micro-blood clots. One in spleen, one in kidneys, and one in each of lungs. No Dr. Determined cause. cut off by CDC
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 | Flank pain | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pulmonary thrombosis | · | · | ✓ |
| SD | Renal vascular thrombosis | · | · | ✓ |
| SD | Renal vein thrombosis | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | Splenic thrombosis | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release