YWN-52921-53920
3 vaccinations
5 coded responses
33 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 078 / NJ
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-18
Dose 1 — Pfizer-BioNTech
-
2021-02-19
Registered in v-safe
-
2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Discomfort, Facial pain — Feeling: Fair · Site: Pain · HeadacheFree text: Pressure and pain around the temples. And at the lower center of the forehead, possible sinus pressure.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-26
- 2021-03-06
-
2021-03-11
Dose 2 — Pfizer-BioNTech
-
2021-03-11
Survey response — day 0, dose 2MedDRA: Pre-existing disease — Feeling: GoodFree text: When I received the shot I was asked if I was on blood thinners. I am not however I take medicine for hypertension. I dont understand why I was asked that question.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-17
- 2021-03-18
- 2021-03-27
- 2021-04-01
-
2021-04-08
Survey response — day 28, dose 2MedDRA: Headache — Feeling: GoodFree text: Headaches at night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-22
- 2021-06-10
- 2021-09-10
-
2021-11-30
Dose 3 — Pfizer-BioNTech
-
2021-12-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-07
- 2021-12-14
- 2021-12-21
-
2021-12-28
Survey response — day 28, dose 3MedDRA: Cough, Oropharyngeal pain — Feeling: FairFree text: Sore throat. Slight cough.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-04
- 2022-03-01
- 2022-05-31
-
2022-11-30
Survey response — 12 months, dose 3MedDRA: COVID-19, Chills, Dyspnoea, Headache, Heart rate increased, Nasal congestion, Pain, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Yes, I got Covid. Day 1 - headache, trouble breathing, nasal congestion / Day -2 headache, congestion, ache and shivering to fever / day 3 headache and nasal congestion and higher than normal heart rate. / day 4 and on congestion and headache.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-30
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-12-01
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Pfizer-BioNTech | |
| 2 | 2021-03-11 | Pfizer-BioNTech | |
| 3 | 2021-11-30 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-30 | Successful 2022-12-01 |
Participant prefers to complete VAERS report online |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Pressure and pain around the temples. And at the lower center of the forehead, possible sinus pressure.
Release 5 — day 0, dose 2
Systemic reaction (other): When I received the shot I was asked if I was on blood thinners. I am not however I take medicine for hypertension. I dont understand why I was asked that question.
Release 7 — day 28, dose 2
Symptoms: Headaches at night.
Release 10 — day 28, dose 3
Symptoms: Sore throat. Slight cough.
Release 12 — 12 months, dose 3
Symptoms: Yes, I got Covid. Day 1 - headache, trouble breathing, nasal congestion / Day -2 headache, congestion, ache and shivering to fever / day 3 headache and nasal congestion and higher than normal heart rate. / day 4 and on congestion and 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 |
|---|---|---|---|---|
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Facial pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release