YXN-30712-04019
5 vaccinations
15 coded responses
65 check-ins
14 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 082 / NJ
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 1 — Pfizer-BioNTech
- 2021-02-26
- 2021-02-28
- 2021-03-02
- 2021-03-03
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-03-26
Dose 2 — Pfizer-BioNTech
-
2021-03-26
Survey response — day 0, dose 2MedDRA: Paraesthesia — Feeling: Good · Site: PainFree text: Tingling along neck near shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-02
- 2021-04-09
- 2021-04-16
-
2021-04-25
Survey response — day 28, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Slight tenderness at injection site... varies day to day. Almost have to think about it to notice.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-07
- 2021-06-25
- 2021-09-24
-
2021-10-04
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-10-04
-
2021-10-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-06
-
2021-10-07
Survey response — days 1–6 daily, dose 3MedDRA: Hypoaesthesia — Feeling: Good · DiarrheaFree text: Not sure if related.. arm that was shot..falls asleep alot. Might be weigh gain idk..MedDRA releases: 2024-11 · check-in free text available
-
2021-10-08
Survey response — days 1–6 daily, dose 3MedDRA: Nerve compression, Paraesthesia — Feeling: GoodFree text: Stated 10/7 - temp parenthesis in shot arm mostly at night during sleep. More tyan likely nerve entrapment vs shot reaction. Will check w doctorMedDRA releases: 2024-11 · check-in free text available
-
2021-10-09
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-10
- 2021-10-11
-
2021-10-20
Survey response — day 14, dose 3MedDRA: Emergency care, Fall, Hip fracture — Feeling: Poor · Be unable to work or attend schoolFree text: Moving, feel carrying furniture, microfracture on hip, visited hospital. Unrelated to covid-19 but saw people at hospital w/ it... no direct contact but closer than 6 ft. Air filtration in hospital unknown-(b)(6) medical center ncMedDRA releases: 2024-11 · check-in free text available
- 2021-10-25
- 2021-11-01
- 2021-11-08
-
2021-11-15
Survey response — day 42, dose 3MedDRA: Injection site pain, Walking aid user — Feeling: FairFree text: Now using crutches... pain in muscle at shot location.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-03
- 2022-04-04
-
2022-05-16
Dose 4 — Pfizer-BioNTech
- 2022-05-16
-
2022-05-17
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2022-05-18
Survey response — days 1–6 daily, dose 4MedDRA: Rhinorrhoea — Feeling: Good · Site: PainFree text: Runny nose but not clogged etc.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
- 2022-05-20
-
2022-05-21
Survey response — days 1–6 daily, dose 4MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Slight sore throat... no concerns.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-22
Survey response — days 1–6 daily, dose 4MedDRA: Pain — Feeling: Good · Joint pains, Muscle or body achesFree text: Pains related to moving and climbing stairs a number of times etc.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-23
Survey response — day 7, dose 4MedDRA: Abdominal pain lower, Arthralgia, Neck pain — Feeling: Good · Joint pains, Muscle or body achesFree text: Same pain as 5/22 dt moving. Neck,lower abdomen, kneesMedDRA releases: 2024-11 · check-in free text available
- 2022-05-30
- 2022-06-06
- 2022-06-13
- 2022-06-20
- 2022-06-27
- 2022-08-15
-
2022-11-12
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2022-11-12
Survey response — day 0, dose 5MedDRA: Pre-existing disease — Feeling: GoodFree text: Sore throat but prior to shot.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-13
Survey response — days 1–6 daily, dose 5MedDRA: Cough, Infection — Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessFree text: Dry cough... lasted 24 hrs. Had same cough when infected in September 2022.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-14
Survey response — days 1–6 daily, dose 5MedDRA: COVID-19, Cough, Rhinorrhoea — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Runny nose, covid cough stopped after 24 hrs.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-15
- 2022-11-16
- 2022-11-17
- 2022-11-18
- 2022-11-19
- 2022-11-26
-
2022-12-03
Survey response — day 21, dose 5MedDRA: Nasal congestion, Oropharyngeal pain, Productive cough — Feeling: FairFree text: Sore throat, phlegm, stuffed nose during sleep etc been 7+ days. Dissipates during day... Not checked for strep .MedDRA releases: 2024-11 · check-in free text available
- 2022-12-10
- 2022-12-17
- 2022-12-24
-
2023-02-11
Survey response — 3 months, dose 5MedDRA: Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-02-11
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-02-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-05-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Pfizer-BioNTech | |
| 2 | 2021-03-26 | Pfizer-BioNTech | |
| 3 | 2021-10-04 | Pfizer-BioNTech | Flu |
| 4 | 2022-05-16 | Pfizer-BioNTech | No |
| 5 | 2022-11-12 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-02-11 | Successful 2023-02-13 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): Tingling along neck near shot.
Release 7 — day 28, dose 2
Symptoms: Slight tenderness at injection site... varies day to day. Almost have to think about it to notice.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Not sure if related.. arm that was shot..falls asleep alot. Might be weigh gain idk..
Systemic reaction (other): Stated 10/7 - temp parenthesis in shot arm mostly at night during sleep. More tyan likely nerve entrapment vs shot reaction. Will check w doctor
Release 10 — day 14, dose 3
Symptoms: Moving, feel carrying furniture, microfracture on hip, visited hospital. Unrelated to covid-19 but saw people at hospital w/ it... no direct contact but closer than 6 ft. Air filtration in hospital unknown-(b)(6) medical center nc
redacted (b)(6)
Release 10 — day 42, dose 3
Symptoms: Now using crutches... pain in muscle at shot location.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Runny nose but not clogged etc.
Systemic reaction (other): Slight sore throat... no concerns.
Systemic reaction (other): Pains related to moving and climbing stairs a number of times etc.
Release 11 — day 7, dose 4
Systemic reaction (other): Same pain as 5/22 dt moving. Neck,lower abdomen, knees
Release 12 — day 0, dose 5
Systemic reaction (other): Sore throat but prior to shot.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Dry cough... lasted 24 hrs. Had same cough when infected in September 2022.
Systemic reaction (other): Runny nose, covid cough stopped after 24 hrs.
Release 12 — day 21, dose 5
Symptoms: Sore throat, phlegm, stuffed nose during sleep etc been 7+ days. Dissipates during day... Not checked for strep .
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 | Emergency care | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Hip fracture | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Walking aid user | · | · | ✓ |
| SRO | Abdominal pain lower | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | COVID-19 | · | · | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Infection | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Nerve compression | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release