XY8-15949-68385
3 vaccinations
5 coded responses
37 check-ins
4 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 100 / NY
- Registered
- 2021-07-06
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-07-06
Registered in v-safe
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2021-07-06
Dose 1 — Pfizer-BioNTech
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2021-07-06
Health check-in — day 0, dose 1Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-07-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-07-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-07-09
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2021-07-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-07-11
- 2021-07-12
- 2021-07-13
- 2021-07-20
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2021-07-27
Dose 2 — Pfizer-BioNTech
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2021-07-27
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-07-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-07-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-07-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Headache, Fatigue or tirednessAdult check-in
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2021-08-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-08-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-08-03
- 2021-08-10
- 2021-08-17
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2021-08-24
Survey response — day 28, dose 2MedDRA: Dizziness, Headache, Nausea, Oropharyngeal pain, Paranasal sinus discomfort, Visual impairment — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Headache, dizziness, nausea, vision changes, sore throat, sinus pressureMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-24
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-25
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-09-01
- 2021-09-07
- 2021-10-26
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2022-01-24
Dose 3 — Pfizer-BioNTech
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2022-01-25
Survey response — 6 months, dose 2MedDRA: Chills, Dizziness, Headache, Pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Headache, body aches, chills, dizziness (Received booster yesterday 1/24)MedDRA releases: 2024-11 · check-in free text available
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2022-01-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-01-27
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
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2022-01-27
Report sent to call center — days 1–6 daily, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-01-28
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-01-29
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-01-30
Survey response — days 1–6 daily, dose 3MedDRA: Palpitations — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Heart palpitationsMedDRA releases: 2024-11 · check-in free text available
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2022-01-30
Report sent to call center — days 1–6 daily, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-01-31
Survey response — day 7, dose 3MedDRA: Chest discomfort — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Chest tightnessMedDRA releases: 2024-11 · check-in free text available
- 2022-01-31
- 2022-02-07
- 2022-02-14
- 2022-02-21
- 2022-02-28
- 2022-03-07
- 2022-04-25
- 2022-07-25
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2023-01-24
Survey response — 12 months, dose 3MedDRA: Asthma, COVID-19, Nasopharyngitis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-01-24
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-25
- 2023-01-26
- 2023-01-26
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2023-01-26
Callback requested for03:00PM ET
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2023-01-26
Call successfulCompleted over the phone
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2023-01-26
Call successfulCompleted over the phone
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2023-01-26
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-06 | Pfizer-BioNTech | No |
| 2 | 2021-07-27 | Pfizer-BioNTech | No |
| 3 | 2022-01-24 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-24 | Successful 2021-08-25 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-01-27 | Successful 2023-01-26 |
Completed over the phone |
| 2022-01-30 | Successful 2023-01-26 |
Completed over the phone |
| 2023-01-24 | Successful 2023-01-26 |
Completed over the phone |
Free text
Release 9 — day 28, dose 2
Symptoms: Headache, dizziness, nausea, vision changes, sore throat, sinus pressure
Release 11 — 6 months, dose 2
Symptoms: Headache, body aches, chills, dizziness (Received booster yesterday 1/24)
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Heart palpitations
Release 11 — day 7, dose 3
Systemic reaction (other): Chest tightness
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 | Asthma | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paranasal sinus discomfort | ✓ | · | ✓ |
| SD | Visual impairment | ✓ | · | ✓ |
| SRO | Chest discomfort | · | · | ✓ |
| SRO | Palpitations | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release