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
-
2021-01-04
Dose 1 — Pfizer-BioNTech
-
2021-01-08
Registered in v-safe
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-18
-
2021-01-21
Dose 2 — Pfizer-BioNTech
-
2021-01-25
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea, Nasal congestion — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tirednessFree 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
-
2021-01-26
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree 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
-
2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-28
Health check-in — day 7, dose 2Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-04-22
Survey response — 3 months, dose 2MedDRA: Nasal congestion, Office visit, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sinusitis and stuffy nose · Healthcare visit (other): Office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-22
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-22
-
2021-08-26
Dose 3 — Pfizer-BioNTech
- 2021-09-29
- 2021-09-30
- 2021-10-07
- 2021-11-25
- 2022-02-26
- 2022-03-03
-
2022-03-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-15
Dose 4 — Moderna
- 2022-05-14
- 2022-05-20
- 2022-05-27
- 2022-07-17
- 2022-10-14
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Pfizer-BioNTech | |
| 2 | 2021-01-21 | Pfizer-BioNTech | |
| 3 | 2021-08-26 | Pfizer-BioNTech | No |
| 4 | 2022-04-15 | Moderna | No |
Call center
| Reported | Outcome | VAERS-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
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.
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
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release