YWZ-19755-72662
2 vaccinations
3 coded responses
18 check-ins
3 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 032 / NH
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Dose 1 — Pfizer-BioNTech
-
2021-04-01
Registered in v-safe
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-14
- 2021-04-21
-
2021-04-28
Dose 2 — Pfizer-BioNTech
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-06-09
-
2021-07-28
Survey response — 3 months, dose 2MedDRA: Facial pain, Herpes zoster, Hypoaesthesia, Office visit, Oral mucosal eruption, Paraesthesia, Rash — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I came down with shingles and the rash was inside my mouth and all the way up the one side of my face and over my ear. The pain was unbearable. My face is still numb and tingling with occasional pain. · Healthcare visit (other): My primary care provider saw me and also an ENT specialist.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-28
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-11
-
2021-10-27
Survey response — 6 months, dose 2MedDRA: Herpes zoster, Nerve injury, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Nerve damage from the shingles in my ear and face is bad. · Healthcare visit (other): Ent Associates for my ear and medication from my primary care physician.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-28
-
2022-04-29
Survey response — 12 months, dose 2MedDRA: Headache, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Pains in my head . Doctor ruled out ear problems. · Healthcare visit (other): Ent specialist and vascular surgeonMedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Pfizer-BioNTech | |
| 2 | 2021-04-28 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-28 | Unsuccessful | |
| 2021-10-27 | Unsuccessful | |
| 2022-04-29 | Unsuccessful |
Free text
Release 9 — 3 months, dose 2
Symptoms: I came down with shingles and the rash was inside my mouth and all the way up the one side of my face and over my ear. The pain was unbearable. My face is still numb and tingling with occasional pain.
Healthcare visit (other): My primary care provider saw me and also an ENT specialist.
Release 10 — 6 months, dose 2
Symptoms: Nerve damage from the shingles in my ear and face is bad.
Healthcare visit (other): Ent Associates for my ear and medication from my primary care physician.
Release 11 — 12 months, dose 2
Symptoms: Pains in my head . Doctor ruled out ear problems.
Healthcare visit (other): Ent specialist and vascular surgeon
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 | Facial pain | ✓ | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Herpes zoster | ✓ | · | ✓ |
| SD | Hypoaesthesia | ✓ | · | ✓ |
| SD | Nerve injury | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oral mucosal eruption | ✓ | · | ✓ |
| SD | Paraesthesia | ✓ | · | ✓ |
| SD | Rash | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release