XYQ-38359-55464
2 vaccinations
6 coded responses
10 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 221 / VA
- Registered
- 2021-06-27
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
26H-20530-34631
Child or adolescent in my care · Male · 2021-06-27
Timeline
-
2021-06-11
Dose 1 — Pfizer-BioNTech
-
2021-06-27
Registered in v-safe
- 2021-06-27
- 2021-07-02
-
2021-07-03
Dose 2 — Pfizer-BioNTech
- 2021-07-09
-
2021-07-12
Survey response — 7 day, dose 2MedDRA: Insomnia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-07-17
Survey response — 14 day, dose 2MedDRA: Blood iron decreased, Oropharyngeal discomfort, Throat irritation — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
-
2021-07-31
Survey response — 28 day, dose 2MedDRA: Chest pain, Cough, Dizziness, Fatigue, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-08-07
Survey response — 35 day, dose 2MedDRA: Cough, Fatigue, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-08-14
Survey response — 42 day, dose 2MedDRA: Blood iron decreased, Fatigue, Immune system disorder, Menstruation irregular, Viral infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2024-11 · check-in answers available
- 2021-10-03
-
2022-07-05
Survey response — 12 month, dose 2MedDRA: Amenorrhoea, Memory impairment — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2022-07-05
Report sent to call center — 12 month, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-06
-
2022-07-07
Callback requested for12:00PM ET
-
2022-07-07
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-11 | Pfizer-BioNTech | No |
| 2 | 2021-07-03 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-05 | Successful 2022-07-07 |
Does not wish to fill out VAERS report |
Free text
Release 9
Systemic reaction (other): Insomnia
Symptoms: Throat irritation/discomfort. Blood iron level became low.
Symptoms: Fever, sore throat, cough, fatigue, light headed, chest pain, congestion,
Symptoms: Cough, congestion, fever, sore throat, fatigue
Symptoms: Since the vaccine, I havent had my menstrual cycle, and more tired and my iron levels have dropped.Also, since the vaccine, it seems my immune system is weaker to common viruses.
Release 12
Symptoms: After my second vaccine shot, my menstrual cycle stopped and hasn't returned yet. I always been regular. Also, having difficulty with remembering.
Free-text releases are not linked to a specific 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 | Amenorrhoea | · | · | ✓ |
| SD | Blood iron decreased | ✓ | · | ✓ |
| SD | Chest pain | ✓ | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Dizziness | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Immune system disorder | ✓ | · | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Menstruation irregular | ✓ | · | ✓ |
| SD | Oropharyngeal discomfort | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Viral infection | ✓ | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release