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YWV-12436-80538

4 vaccinations 5 coded responses 34 check-ins 4 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
276 / NC
Registered
2021-02-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-06
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-07
    Registered in v-safe
  3. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  4. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  5. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  9. 2021-02-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-27
    Dose 2 — Pfizer-BioNTech
  12. 2021-02-27
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  14. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  15. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-20
    Survey response — day 21, dose 2
    MedDRA: Unevaluable event — Feeling: Fair
    Free text: Low fever 99.5 F
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-13
    Dose 3 — Pfizer-BioNTech
  28. 2022-02-27
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-04-13
    Survey response — 6 months, dose 3
    MedDRA: Diarrhoea, Influenza — Feeling: Good · Be unable to do your normal daily activities
    Free text: Intestinal flu diarrhea for about 4 days as did my wife and adult daughter. Two y.o. grandson had no symptoms but goes to daycare so he has been designated by us as patient zero.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-05-10
    Dose 4 — Pfizer-BioNTech
  31. 2022-05-19
    Survey response — day 7, dose 4
    MedDRA: Condition aggravated, Myalgia, Pre-existing disease — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: I am a 73-year-old cancer survivor so being tired and having muscle aches is pretty standard for me.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-05-24
    Survey response — day 14, dose 4
    MedDRA: Arthropathy, Muscle disorder, Self-medication — Feeling: Good · Be unable to do your normal daily activities
    Free text: Muscles and joint at my elbows (both arms) began on 05/19/22 got better with a Tylenol 2-3 times a day till 5/22/22. No other symptoms.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-05-31
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-06-07
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-06-14
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-06-21
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-08-09
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-11-08
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  39. 2023-05-10
    Survey response — 12 months, dose 4
    MedDRA: Office visit, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  40. 2023-05-10
    Report sent to call center — 12 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  41. 2023-05-11

Vaccinations

DoseDateManufacturerCo-administered
12021-02-06Pfizer-BioNTech
22021-02-27Pfizer-BioNTech
32021-10-13Pfizer-BioNTech No
42022-05-10Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2023-05-10 Unsuccessful

Free text

Release 6 — day 21, dose 2

2021-03-20

Symptoms: Low fever 99.5 F

Release 11 — 6 months, dose 3

2022-04-13

Symptoms: Intestinal flu diarrhea for about 4 days as did my wife and adult daughter. Two y.o. grandson had no symptoms but goes to daycare so he has been designated by us as patient zero.

Release 11 — day 7, dose 4

2022-05-19

Systemic reaction (other): I am a 73-year-old cancer survivor so being tired and having muscle aches is pretty standard for me.

Release 11 — day 14, dose 4

2022-05-24

Symptoms: Muscles and joint at my elbows (both arms) began on 05/19/22 got better with a Tylenol 2-3 times a day till 5/22/22. No other symptoms.

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 · · ✓
SDArthropathy · · ✓
SDDiarrhoea · · ✓
SDInfluenza · · ✓
SDMuscle disorder · · ✓
SDSelf-medication · · ✓
SDSinusitis · · ✓
SDUnevaluable event ✓ ✓ ✓
SROCondition aggravated · · ✓
SROMyalgia · · ✓
SROPre-existing disease · · ✓

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