YWR-33626-58364
3 vaccinations
3 coded responses
6 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 370 / TN
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Dose 1 — Pfizer-BioNTech
-
2021-03-25
Dose 2 — Pfizer-BioNTech
-
2021-03-26
Registered in v-safe
- 2021-03-26
-
2021-04-30
Survey response — day 35, dose 2MedDRA: Abdominal pain upper, Chills, Dizziness, Headache, Pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Chills , high temperature, headaches, upper stomach pain , dizziness ,congestion and body aches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-06-24
-
2021-09-23
Survey response — 6 months, dose 2MedDRA: Abdominal pain lower, Back pain, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I do not know if it is Covid 19 or Vacinated related but I have am experiencing a pain in my mid left back that has gradually extended to my lower mid abdominal left side. Have appointment on 9/24 and will discuss. · Healthcare visit (other): 9/24 scheduled visit with my Physician .MedDRA releases: 2024-11 · check-in free text available
-
2021-09-23
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-27
- 2021-09-30
-
2021-11-11
Dose 3 — Pfizer-BioNTech
-
2022-03-25
Survey response — 12 months, dose 2MedDRA: Asthenia, Headache, Sinusitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sinus infections . Weakness no Energy . Random Headaches .MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Pfizer-BioNTech | |
| 2 | 2021-03-25 | Pfizer-BioNTech | |
| 3 | 2021-11-11 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-23 | Unsuccessful |
Free text
Release 8 — day 35, dose 2
Symptoms: Chills , high temperature, headaches, upper stomach pain , dizziness ,congestion and body aches.
Release 9 — 6 months, dose 2
Symptoms: I do not know if it is Covid 19 or Vacinated related but I have am experiencing a pain in my mid left back that has gradually extended to my lower mid abdominal left side. Have appointment on 9/24 and will discuss.
Healthcare visit (other): 9/24 scheduled visit with my Physician .
Release 11 — 12 months, dose 2
Symptoms: Sinus infections . Weakness no Energy . Random Headaches .
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 | Unevaluable event | · | · | ✓ |
| SD | Abdominal pain lower | · | · | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release