YXJ-88905-66839
4 vaccinations
3 coded responses
24 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 983 / WA
- Registered
- 2021-10-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Dose 1 — Pfizer-BioNTech
-
2021-03-15
Dose 2 — Pfizer-BioNTech
-
2021-10-21
Registered in v-safe
-
2021-10-21
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-10-22
- 2021-10-23
- 2021-10-24
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
-
2021-12-02
Survey response — day 42, dose 3MedDRA: Fatigue — Feeling: FairFree text: I believe my tiredness is not decreasing as quickly as I would have hoped. Am not returning to normal levels.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-20
-
2022-04-21
Survey response — 6 months, dose 3MedDRA: Office visit, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Chest congestion for over a month. Took an antibiotic, steroids, and an inhaler (albuterol) to get better. · Healthcare visit (other): Saw regular GP at his office.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-21
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-04-22
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-05-08
Dose 4 — Pfizer-BioNTech
- 2022-05-14
- 2022-05-15
- 2022-05-22
- 2022-05-29
- 2022-06-05
- 2022-06-14
-
2022-06-19
Survey response — day 42, dose 4MedDRA: Exposure to SARS-CoV-2, Nasopharyngitis — Feeling: FairFree text: I have slight symptoms of a chest cold. Was exposed on Thursday to Covid. Was in that household for three days. Wore a mask once diagnosis was give to my relative.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-07
- 2022-11-06
- 2023-05-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Pfizer-BioNTech | No |
| 2 | 2021-03-15 | Pfizer-BioNTech | No |
| 3 | 2021-10-21 | Pfizer-BioNTech | Flu |
| 4 | 2022-05-08 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-21 | Successful 2022-04-22 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 10 — day 42, dose 3
Symptoms: I believe my tiredness is not decreasing as quickly as I would have hoped. Am not returning to normal levels.
Release 11 — 6 months, dose 3
Symptoms: Chest congestion for over a month. Took an antibiotic, steroids, and an inhaler (albuterol) to get better.
Healthcare visit (other): Saw regular GP at his office.
Release 12 — day 42, dose 4
Symptoms: I have slight symptoms of a chest cold. Was exposed on Thursday to Covid. Was in that household for three days. Wore a mask once diagnosis was give to my relative.
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 | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release