YXB-33442-72120
4 vaccinations
9 coded responses
51 check-ins
9 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 902 / CA
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Hispanic or Latino
Registered dependents
SJR-13821-04996
Adult relative or friend · Female · 2021-10-19
Timeline
-
2021-01-24
Registered in v-safe
-
2021-01-24
Dose 1 — Pfizer-BioNTech
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-29
-
2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, NauseaAdult check-in
-
2021-01-31
Survey response — day 7, dose 1MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I went for a. covid test, I tested positiveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-07
Survey response — day 14, dose 1MedDRA: Fatigue, Nasal congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Tiredness, stuffy ness sometimes coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-07
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-14
Dose 2 — Pfizer-BioNTech
- 2021-02-14
- 2021-02-15
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-28
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-03-28
-
2021-05-16
Survey response — 3 months, dose 2MedDRA: Pre-existing disease — Feeling: FairFree text: Dr has put me on oxygen, I have a history COPD I USE IT EVERYDAY when I sleep other than Im fineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-15
-
2021-08-15
Survey response — 6 months, dose 2MedDRA: Office visit, Pre-existing disease, Pulmonary function test abnormal — Feeling: GoodFree text: I have asthma lung dr checked my lungs and testedI need to do oxygen when I sleep and when I walk but I feel fine dr says maybe after effects of covid..MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-28
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-09-29
- 2021-09-30
-
2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity — Feeling: GoodFree text: I did have sore arm it has gone away feeling goodMedDRA releases: 2024-11 · check-in free text available
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-12
- 2021-10-19
- 2021-10-26
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2021-11-03
Survey response — day 35, dose 3MedDRA: Back pain — Feeling: GoodFree text: Nothing COVID, having a back pain usually goes away in a couple of days..MedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Survey response — day 42, dose 3MedDRA: Chest discomfort, Cough — Feeling: GoodFree text: Coughing last nite lungs were tight, OK today..MedDRA releases: 2024-11 · check-in free text available
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2021-12-28
Survey response — 3 months, dose 3MedDRA: Influenza, Nasopharyngitis — Feeling: FairFree text: Common cold flu using my inhalers and air at nightMedDRA releases: 2024-11 · check-in free text available
- 2022-03-29
-
2022-05-12
Dose 4 — Pfizer-BioNTech
- 2022-05-14
- 2022-05-15
- 2022-05-16
- 2022-05-17
- 2022-05-18
- 2022-05-19
- 2022-05-26
- 2022-06-04
- 2022-06-09
- 2022-06-16
- 2022-06-23
- 2022-08-11
-
2022-11-10
Survey response — 6 months, dose 4MedDRA: Cough, Fatigue — Feeling: GoodFree text: Just a cough and feeling a little tired , gone within week..MedDRA releases: 2024-11 · check-in free text available
- 2023-05-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-24 | Pfizer-BioNTech | |
| 2 | 2021-02-14 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | Flu |
| 4 | 2022-05-12 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-07 | Unsuccessful |
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): I went for a. covid test, I tested positive
Release 3 — day 14, dose 1
Symptoms: Tiredness, stuffy ness sometimes cold
Release 8 — 3 months, dose 2
Symptoms: Dr has put me on oxygen, I have a history COPD I USE IT EVERYDAY when I sleep other than Im fine
Release 9 — 6 months, dose 2
Symptoms: I have asthma lung dr checked my lungs and testedI need to do oxygen when I sleep and when I walk but I feel fine dr says maybe after effects of covid..
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): I did have sore arm it has gone away feeling good
Release 10 — day 35, dose 3
Symptoms: Nothing COVID, having a back pain usually goes away in a couple of days..
Release 10 — day 42, dose 3
Symptoms: Coughing last nite lungs were tight, OK today..
Release 10 — 3 months, dose 3
Symptoms: Common cold flu using my inhalers and air at night
Release 12 — 6 months, dose 4
Symptoms: Just a cough and feeling a little tired , gone within week..
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 | Back pain | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pulmonary function test abnormal | ✓ | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release