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YW9-11151-06690

4 vaccinations 3 coded responses 26 check-ins 3 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
331 / FL
Registered
2021-01-08
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-04
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-08
    Registered in v-safe
  3. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-18
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-01-21
    Dose 2 — Pfizer-BioNTech
  8. 2021-01-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea, Nasal congestion — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness
    Free text: My nose stopped up completely in the middle of the night Thursday night to the extent that I woke up struggling to breath since I use a CPap machine. Frightening and would not respond to nasal spray or nasal irrigation. Had to stand in hot shower for about 45 minutes to resolve this. Came back the next night but earlier and I was able to stay ahead of it. Still have some nasal blockage but not complete. Seems to be less each day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasal congestion — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: My nose has totally stopped up a couple of times at night since my shot. Quite scary since I use a CPap machine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  11. 2021-01-28
    Health check-in — day 7, dose 2
    Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  12. 2021-02-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-02-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-02-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-22
    Survey response — 3 months, dose 2
    MedDRA: Nasal congestion, Office visit, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Sinusitis and stuffy nose · Healthcare visit (other): Office visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-22
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-07-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-26
    Dose 3 — Pfizer-BioNTech
  21. 2021-09-29
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  22. 2021-09-30
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  23. 2021-10-07
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-11-25
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  25. 2022-02-26
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  26. 2022-03-03
  27. 2022-03-03
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  28. 2022-04-15
    Dose 4 — Moderna
  29. 2022-05-14
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-05-20
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-05-27
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-07-17
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-10-14
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  34. 2023-04-17
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-04Pfizer-BioNTech
22021-01-21Pfizer-BioNTech
32021-08-26Pfizer-BioNTech No
42022-04-15Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-04-22 Successful
2022-03-03
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-25

Systemic reaction (other): My nose stopped up completely in the middle of the night Thursday night to the extent that I woke up struggling to breath since I use a CPap machine. Frightening and would not respond to nasal spray or nasal irrigation. Had to stand in hot shower for about 45 minutes to resolve this. Came back the next night but earlier and I was able to stay ahead of it. Still have some nasal blockage but not complete. Seems to be less each day.

2021-01-26

Systemic reaction (other): My nose has totally stopped up a couple of times at night since my shot. Quite scary since I use a CPap machine.

Release 7 — 3 months, dose 2

2021-04-22

Symptoms: Sinusitis and stuffy nose
Healthcare visit (other): Office visit

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDNasal congestion ✓ ✓ ✓
SDSinusitis ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release