YVW-18018-21376
4 vaccinations
5 coded responses
28 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 233 / VA
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Dose 1 — Pfizer-BioNTech
-
2021-04-08
Registered in v-safe
- 2021-04-08
- 2021-04-15
-
2021-04-22
Dose 2 — Pfizer-BioNTech
-
2021-04-22
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: PainFree text: just received injection 5 minutes prior to this weeks surveyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
-
2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Pre-existing disease — Feeling: Fair · Site: Pain · HeadacheFree text: i have chronic headache triggered by barometer changes; i would expect a headache today normallyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-05-06
- 2021-05-15
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-07-22
- 2021-10-22
-
2021-11-15
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2022-04-22
Survey response — 12 months, dose 2MedDRA: Arthralgia, Mobility decreased, Physiotherapy — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: right and left shoulder pain. Extremely painful with loss of mobility. Pain started in April or May 2021, and continued to worsen since. Didn't mention in last covid survey as it was just starting. · Healthcare visit (other): Physical TherapyMedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-25
Call successfulCompleted over the phone
- 2022-05-16
-
2022-11-15
Survey response — 12 months, dose 3MedDRA: Back pain, Neck pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pain where back and neck meet.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-15
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-11-16
Call successfulDoes not wish to fill out VAERS report
-
2023-02-25
Dose 4 — Pfizer-BioNTech
-
2023-03-03
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue, Malaise — Feeling: Fair · Site: Pain · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-03-07
- 2023-03-11
- 2023-03-18
- 2023-03-25
- 2023-04-01
- 2023-04-08
- 2023-05-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Pfizer-BioNTech | |
| 2 | 2021-04-22 | Pfizer-BioNTech | |
| 3 | 2021-11-15 | Pfizer-BioNTech | Flu |
| 4 | 2023-02-25 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-22 | Successful 2022-04-25 |
Completed over the phone |
| 2022-11-15 | Successful 2022-11-16 |
Does not wish to fill out VAERS report |
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): just received injection 5 minutes prior to this weeks survey
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): i have chronic headache triggered by barometer changes; i would expect a headache today normally
Release 11 — 12 months, dose 2
Symptoms: right and left shoulder pain. Extremely painful with loss of mobility. Pain started in April or May 2021, and continued to worsen since. Didn't mention in last covid survey as it was just starting.
Healthcare visit (other): Physical Therapy
Release 12 — 12 months, dose 3
Symptoms: Pain where back and neck meet.
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 | Physiotherapy | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release