YXL-18197-70285
2 vaccinations
10 coded responses
22 check-ins
10 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 923 / CA
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Pfizer-BioNTech
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2021-02-13
-
2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Fair · Fatigue or tirednessFree text: Been very fatigued the last few daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Balance disorder, Fatigue — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Im very fatigued and when standing I occasionally lose my balance.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-17
- 2021-02-18
-
2021-02-25
Survey response — day 14, dose 1MedDRA: Lethargy, Weight increased — Feeling: FairFree text: Still lethargic and have gained weight. Maybe not related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Dose 2 — Pfizer-BioNTech
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Pollakiuria — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Constant PeeingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-10
Health check-in — day 7, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-20
Survey response — day 14, dose 2MedDRA: Fatigue — Feeling: FairFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Survey response — day 21, dose 2MedDRA: Fall, Spinal column injury — Feeling: FairFree text: I fell and hurt my tail boneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-07
-
2021-04-14
Survey response — day 42, dose 2MedDRA: Memory impairment — Feeling: FairFree text: My memory is continuing to get worse.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-02
Survey response — 3 months, dose 2MedDRA: Balance disorder, Stress — Feeling: FairFree text: Very, very stressed. I also lose my balance at times when I bend down to pick something up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-01
Survey response — 6 months, dose 2MedDRA: Balance disorder, Fall, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: My equilibrium is not good. I keep falling. I see a Neurologist in a few weeks. · Healthcare visit (other): Dr. VisitMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-01
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-03
-
2021-09-03
Call successfulCompleted over the phone
-
2022-03-05
Survey response — 12 months, dose 2MedDRA: Back pain, Ear discomfort, Gait disturbance, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Problems walking. Leg and back pain. Clogged right ear.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-05
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Pfizer-BioNTech | |
| 2 | 2021-03-03 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-01 | Successful 2021-09-03 |
Completed over the phone |
| 2022-03-05 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Been very fatigued the last few days
Systemic reaction (other): Im very fatigued and when standing I occasionally lose my balance.
Release 4 — day 14, dose 1
Symptoms: Still lethargic and have gained weight. Maybe not related.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Constant Peeing
Release 6 — day 14, dose 2
Symptoms: Fatigue
Release 6 — day 21, dose 2
Symptoms: I fell and hurt my tail bone
Release 7 — day 42, dose 2
Symptoms: My memory is continuing to get worse.
Release 8 — 3 months, dose 2
Symptoms: Very, very stressed. I also lose my balance at times when I bend down to pick something up.
Release 9 — 6 months, dose 2
Symptoms: My equilibrium is not good. I keep falling. I see a Neurologist in a few weeks.
Healthcare visit (other): Dr. Visit
Release 11 — 12 months, dose 2
Symptoms: Problems walking. Leg and back pain. Clogged right ear.
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 | Back pain | · | · | ✓ |
| SD | Balance disorder | ✓ | ✓ | ✓ |
| SD | Ear discomfort | · | · | ✓ |
| SD | Fall | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Lethargy | ✓ | ✓ | ✓ |
| SD | Memory impairment | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Spinal column injury | ✓ | ✓ | ✓ |
| SD | Stress | ✓ | ✓ | ✓ |
| SD | Weight increased | ✓ | ✓ | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pollakiuria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release