Y2E-30390-93652
5 vaccinations
7 coded responses
61 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 730 / OK
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Pfizer-BioNTech
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
-
2021-04-02
Survey response — day 14, dose 1MedDRA: Asthenia, Fatigue, Injection site erythema, Injection site pruritus, Pain — Feeling: GoodFree text: On Saturday 3/27, I did have a red and slightly itchy area around the vaccination site. It was his under 2 in diameter. I also felt a little achy and tired that day. No aches on 3/28 but still lacking some energy. I have been fine since then.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Dose 2 — Pfizer-BioNTech
- 2021-04-09
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tirednessAdult check-in
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-18
- 2021-04-23
- 2021-04-30
-
2021-05-07
Survey response — day 28, dose 2MedDRA: Ear congestion, Nasal congestion, Oropharyngeal pain — Feeling: GoodFree text: Slight sore throat and a stuffy ear and nose. Not sure if it is allergies or a cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
- 2021-05-21
- 2021-07-09
- 2021-10-10
-
2021-12-04
Dose 3 — Pfizer-BioNTech
-
2021-12-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-12-06
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Nasopharyngitis, Pyrexia — Feeling: Good · Site: Pain, SwellingFree text: Last night I felt a little feverish and exhausted even though I hadn't done much. I felt like I was catching a cold. It was gone this morning.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-01-01
- 2022-01-08
- 2022-01-15
- 2022-03-05
-
2022-05-20
Dose 4 — Pfizer-BioNTech
-
2022-05-22
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · None · Be unable to work or attend schoolAdult check-in
- 2022-05-23
- 2022-05-24
- 2022-05-25
- 2022-05-27
- 2022-06-03
-
2022-06-10
Survey response — day 21, dose 4MedDRA: Pre-existing disease — Feeling: GoodFree text: I developed afib about 3 weeks before my vaccination. It has been lies in control the past week. I don't believe that is tired to the vaccine but thought I would mention it incase you are getting similar reports.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-17
- 2022-06-24
- 2022-07-01
-
2022-08-19
Survey response — 3 months, dose 4MedDRA: Asthma, Influenza virus test negative, Office visit, Pneumonia bacterial, Pre-existing disease, Respiratory tract infection viral, SARS-CoV-2 test negative — 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 · Outpatient clinic or urgent care clinic visitFree text: Symptoms: In early July I caught a respiratory virus that inflamed my asthma. It turned into a bacterial lung infection and took about 4 weeks for my lungs to get back to normal. I tested negative for Covid 3 times. Flu and Strep were negativ It took about the · Healthcare visit (other): 2 separate urgent care visitsMedDRA releases: 2024-11 · check-in free text available
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2022-08-19
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-22
-
2022-10-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-11-18
Survey response — 6 months, dose 4MedDRA: SARS-CoV-2 test positive — Feeling: Fair · 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: Tested positive for Covid on 11/7zMedDRA releases: 2024-11 · check-in free text available
-
2022-11-18
Report sent to call center — 6 months, dose 4Be 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)
- 2022-11-21
-
2023-02-18
Dose 5 — Pfizer-BioNTech
- 2023-02-18
- 2023-02-19
- 2023-02-20
- 2023-02-21
- 2023-02-22
- 2023-02-23
- 2023-02-27
- 2023-03-04
- 2023-03-11
- 2023-03-18
- 2023-03-25
- 2023-04-01
-
2023-05-21
Survey response — 3 months, dose 5MedDRA: Herpes zoster, Herpes zoster meningoencephalitis, Hospitalisation — Feeling: Fair · 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 consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationMedDRA releases: 2024-11
-
2023-05-21
Report sent to call center — 3 months, dose 5Be 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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2023-05-24
- 2023-05-24
-
2023-05-25
Callback requested for10:00AM ET
-
2023-05-25
Call successfulDoes not wish to fill out VAERS report
-
2023-05-25
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Pfizer-BioNTech | |
| 2 | 2021-04-09 | Pfizer-BioNTech | |
| 3 | 2021-12-04 | Pfizer-BioNTech | No |
| 4 | 2022-05-20 | Pfizer-BioNTech | No |
| 5 | 2023-02-18 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-19 | Successful 2022-10-26 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-11-18 | Successful 2023-05-25 |
Does not wish to fill out VAERS report |
| 2023-05-21 | Successful 2023-05-25 |
Completed over the phone |
Free text
Release 6 — day 14, dose 1
Symptoms: On Saturday 3/27, I did have a red and slightly itchy area around the vaccination site. It was his under 2 in diameter. I also felt a little achy and tired that day. No aches on 3/28 but still lacking some energy. I have been fine since then.
Release 8 — day 28, dose 2
Symptoms: Slight sore throat and a stuffy ear and nose. Not sure if it is allergies or a cold.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Last night I felt a little feverish and exhausted even though I hadn't done much. I felt like I was catching a cold. It was gone this morning.
Release 12 — day 21, dose 4
Symptoms: I developed afib about 3 weeks before my vaccination. It has been lies in control the past week. I don't believe that is tired to the vaccine but thought I would mention it incase you are getting similar reports.
Release 12 — 3 months, dose 4
Symptoms: In early July I caught a respiratory virus that inflamed my asthma. It turned into a bacterial lung infection and took about 4 weeks for my lungs to get back to normal. I tested negative for Covid 3 times. Flu and Strep were negativ It took about the cut off by CDC
Healthcare visit (other): 2 separate urgent care visits
Release 12 — 6 months, dose 4
Symptoms: Tested positive for Covid on 11/7z
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 | Office visit | · | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Ear congestion | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Herpes zoster | · | · | ✓ |
| SD | Herpes zoster meningoencephalitis | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pneumonia bacterial | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract infection viral | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release