YXZ-32860-57006
4 vaccinations
5 coded responses
50 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 554 / MN
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Registered in v-safe
-
2021-01-23
Dose 1 — Pfizer-BioNTech
-
2021-01-23
Survey response — day 0, dose 1MedDRA: Tenderness — Feeling: GoodFree text: ever so slight local tenderness similar to a minor contusion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
-
2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: zero residual tenderness even directly over the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-06
-
2021-02-13
Dose 2 — Pfizer-BioNTech
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-05-15
- 2021-08-14
-
2021-10-15
Dose 3 — Pfizer-BioNTech
- 2021-10-15
- 2021-10-16
- 2021-10-18
- 2021-10-19
- 2021-10-20
- 2021-10-21
- 2021-10-22
- 2021-10-29
- 2021-11-05
-
2021-11-12
Survey response — day 28, dose 3MedDRA: Emergency care, Myocardial infarction — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Had a heart attack 11.10.2021 while waiting to play a 3rd game of double's handball. Just got home today from Fairview Southdale cardio unit. New meds & lifestyle prescriptions... Life's Good!MedDRA releases: 2024-11 · check-in free text available
-
2021-11-12
Report sent to call center — day 28, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-11-15
- 2021-11-19
- 2021-11-26
- 2021-12-14
-
2021-12-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-01-14
- 2022-04-15
-
2022-04-28
Dose 4 — Pfizer-BioNTech
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
-
2022-06-02
Survey response — day 35, dose 4MedDRA: Oropharyngeal pain, Productive cough, Respiratory tract congestion, Rhinorrhoea — Feeling: GoodFree text: Sore throat, runny nose & slight congestion. Once or twice a day minimally productive cough.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-09
-
2022-07-28
Survey response — 3 months, dose 4MedDRA: Lung carcinoma cell type unspecified stage I — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Stage 1 lung cancerMedDRA releases: 2024-11 · check-in free text available
-
2022-07-28
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-07-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-27
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Pfizer-BioNTech | |
| 2 | 2021-02-13 | Pfizer-BioNTech | |
| 3 | 2021-10-15 | Pfizer-BioNTech | No |
| 4 | 2022-04-28 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-12 | Successful 2021-12-17 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-07-28 | Successful 2022-07-29 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): ever so slight local tenderness similar to a minor contusion.
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): zero residual tenderness even directly over the injection site
Release 10 — day 28, dose 3
Symptoms: Had a heart attack 11.10.2021 while waiting to play a 3rd game of double's handball. Just got home today from Fairview Southdale cardio unit. New meds & lifestyle prescriptions... Life's Good!
Release 11 — day 35, dose 4
Symptoms: Sore throat, runny nose & slight congestion. Once or twice a day minimally productive cough.
Release 12 — 3 months, dose 4
Symptoms: Stage 1 lung cancer
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 | Lung carcinoma cell type unspecified stage I | · | · | ✓ |
| SD | Myocardial infarction | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release