XYU-33751-95356
5 vaccinations
12 coded responses
69 check-ins
10 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 018 / MA
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Registered in v-safe
-
2021-02-23
Dose 1 — Pfizer-BioNTech
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-17
-
2021-03-18
Dose 2 — Pfizer-BioNTech
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
-
2021-06-18
Survey response — 3 month, dose 2MedDRA: Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-06-18
Report sent to call center — 3 month, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-24
- 2021-09-16
-
2021-10-19
Dose 3 — Pfizer-BioNTech
- 2021-10-19
- 2021-10-20
-
2021-10-21
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-22
- 2021-10-23
- 2021-10-24
- 2021-10-25
- 2021-10-26
- 2021-11-03
- 2021-11-09
- 2021-11-16
-
2021-11-23
Survey response — 35 day, dose 3MedDRA: Gastrointestinal disorder, Pre-existing disease, Tinnitus — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2021-11-30
-
2022-01-18
Survey response — 3 month, dose 3MedDRA: Cough, Fatigue, Nasopharyngitis, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11 · check-in answers available
-
2022-01-18
Report sent to call center — 3 month, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-20
-
2022-01-20
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-01-20
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-19
-
2022-05-12
Dose 4 — Moderna
-
2022-05-12
Survey response — 0 day, dose 4MedDRA: Tinnitus — Feeling: Good · Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
- 2022-05-13
-
2022-05-14
Survey response — days 1–6 daily, dose 4MedDRA: Tinnitus — Feeling: Good · Site: Pain · HeadacheMedDRA releases: 2024-11 · check-in answers available
- 2022-05-15
-
2022-05-16
Survey response — days 1–6 daily, dose 4MedDRA: Tinnitus — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2022-05-17
Survey response — days 1–6 daily, dose 4MedDRA: Tinnitus — Feeling: Good · Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
-
2022-05-18
Survey response — days 1–6 daily, dose 4MedDRA: Tinnitus — Feeling: Good · HeadacheMedDRA releases: 2024-11 · check-in answers available
-
2022-05-19
Survey response — 7 day, dose 4MedDRA: Tinnitus — Feeling: Good · HeadacheMedDRA releases: 2024-11 · check-in answers available
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-06-23
- 2022-08-11
-
2022-10-18
Dose 5 — Moderna
- 2022-10-18
- 2022-10-19
-
2022-10-20
Health check-in — days 1–6 daily, dose 5Feeling: Good · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-15
-
2022-11-22
Survey response — 35 day, dose 5MedDRA: Nasopharyngitis — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
- 2022-11-29
-
2023-01-17
Survey response — 3 month, dose 5MedDRA: Asthma, Cough, Ear infection, Pre-existing disease, Sinusitis — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2023-04-18
Survey response — 6 month, dose 5MedDRA: Rash — 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
-
2023-04-18
Report sent to call center — 6 month, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Pfizer-BioNTech | |
| 2 | 2021-03-18 | Pfizer-BioNTech | |
| 3 | 2021-10-19 | Pfizer-BioNTech | No |
| 4 | 2022-05-12 | Moderna | No |
| 5 | 2022-10-18 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-18 | Successful 2022-01-20 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-01-18 | Successful 2022-01-20 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2023-04-18 | Unsuccessful |
Free text
Release 9
Symptoms: Vertigo for 1 night and light headed for over 3 weeks. This is the first time I have ever had either of these.
Release 10
Symptoms: Ringing in my ears has been constant since my 1st shot. Now it seems to be getting louder. I also am dealing with a gastrointestinal issue the past 3 days.
Symptoms: I tested positive for Covid. I had moderate cold symptoms and bad cough. I was very tired. My initial test was a PCR. I tested after 10 days via a rapid test and was still positive. It was 14 days before I tested negative
Release 11
Systemic reaction (other): Ringing in my ears got loud 1 hr after my Booster
Systemic reaction (other): Ringing in my ears is constant and loud.
Systemic reaction (other): Loud ringing in ears
Systemic reaction (other): Constant loud ringing in ears
Systemic reaction (other): Loud constant ringing in ears
Systemic reaction (other): Constant ringing in ears
Release 12
Symptoms: Cold symptoms
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 | Asthma | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release