2YM-11102-55666
5 vaccinations
10 coded responses
55 check-ins
9 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 604 / IL
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Registered in v-safe
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2021-02-08
Dose 1 — Pfizer-BioNTech
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-22
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2021-03-01
Dose 2 — Pfizer-BioNTech
- 2021-03-01
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Joint painsFree text: Rt hipMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-06
- 2021-04-12
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2021-05-31
Survey response — 3 months, dose 2MedDRA: Constipation, Nausea — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Constipation without any change in diet some nausea tooMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-31
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-30
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2021-10-15
Dose 3 — Pfizer-BioNTech
- 2021-10-15
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2021-10-16
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-17
- 2021-10-18
- 2021-10-19
- 2021-10-20
- 2021-10-21
- 2021-10-22
- 2021-10-29
- 2021-11-05
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2021-11-14
Survey response — day 28, dose 3MedDRA: Primary stabbing headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Icepick headachesMedDRA releases: 2024-11 · check-in free text available
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2021-11-14
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-15
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2021-11-19
Survey response — day 35, dose 3MedDRA: Primary stabbing headache — Feeling: FairFree text: Still having icepick headaches off & on. Mostly on left side of myheadMedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
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2022-01-14
Survey response — 3 months, dose 3MedDRA: Breast swelling, Pruritus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Rt breast nipple itching and fullness to outer aspect at 10 o'clock. Had diagnostic mammogram & ultrasound - results negative for cancer. The nipple itching has been off & on only on the right for the past 6-8 months. The fullness was new.MedDRA releases: 2024-11 · check-in free text available
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2022-01-14
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-18
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2022-04-15
Survey response — 6 months, dose 3MedDRA: Benign breast neoplasm, Nipple disorder, Office visit, Pruritus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I had breast nipple itching, and lump to right breast, in Nov 2021. Tests done diagnostic mam & MRI. Results neg for cancer. Aeriola and nipple have stopped itching by the end of March. I had the nipple itching off & on thru the summer only 1-2 day · Healthcare visit (other): Saw PCP & benign breast care clinicMedDRA releases: 2024-11 · check-in free text available
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2022-04-15
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-22
-
2022-07-16
Dose 4 — Moderna
- 2022-07-16
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2022-07-17
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2022-07-18
- 2022-07-19
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2022-07-20
Survey response — days 1–6 daily, dose 4MedDRA: Pruritus — Feeling: Fair · Site: Itching · Fatigue or tirednessFree text: I have itching to my right breast nippleMedDRA releases: 2024-11 · check-in free text available
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2022-07-21
Survey response — days 1–6 daily, dose 4MedDRA: Pruritus — Feeling: Good · Site: Itching · Fatigue or tirednessFree text: Itching is to my right breastMedDRA releases: 2024-11 · check-in free text available
- 2022-07-22
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2022-07-23
Survey response — day 7, dose 4MedDRA: Pruritus — Feeling: GoodFree text: Itching to right breast nippleMedDRA releases: 2024-11 · check-in free text available
- 2022-07-30
- 2022-08-06
- 2022-08-13
- 2022-08-20
- 2022-08-27
- 2022-10-15
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2022-11-12
Dose 5 — Pfizer-BioNTech
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2023-01-14
Survey response — 6 months, dose 4MedDRA: COVID-19, Rash — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-01-14
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2023-01-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-01-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-01-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-01-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-01-16
Call successfulCompleted over the phone
- 2023-05-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Pfizer-BioNTech | |
| 2 | 2021-03-01 | Pfizer-BioNTech | |
| 3 | 2021-10-15 | Pfizer-BioNTech | No |
| 4 | 2022-07-16 | Moderna | No |
| 5 | 2022-11-12 | Pfizer-BioNTech | No |
Call center
5 call center cases
5 successful
VAERS report filed, before or during a call: 1
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Rt hip
Release 8 — 3 months, dose 2
Symptoms: Constipation without any change in diet some nausea too
Release 10 — day 28, dose 3
Symptoms: Icepick headaches
Release 10 — day 35, dose 3
Symptoms: Still having icepick headaches off & on. Mostly on left side of myhead
Release 10 — 3 months, dose 3
Symptoms: Rt breast nipple itching and fullness to outer aspect at 10 o'clock. Had diagnostic mammogram & ultrasound - results negative for cancer. The nipple itching has been off & on only on the right for the past 6-8 months. The fullness was new.
Release 11 — 6 months, dose 3
Symptoms: I had breast nipple itching, and lump to right breast, in Nov 2021. Tests done diagnostic mam & MRI. Results neg for cancer. Aeriola and nipple have stopped itching by the end of March. I had the nipple itching off & on thru the summer only 1-2 day cut off by CDC
Healthcare visit (other): Saw PCP & benign breast care clinic
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I have itching to my right breast nipple
Systemic reaction (other): Itching is to my right breast
Release 12 — day 7, dose 4
Systemic reaction (other): Itching to right breast nipple
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 | Benign breast neoplasm | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Benign breast neoplasm | · | · | ✓ |
| SD | Breast swelling | · | · | ✓ |
| SD | Constipation | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Nipple disorder | · | · | ✓ |
| SD | Primary stabbing headache | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release