Y2E-36297-96974
5 vaccinations
9 coded responses
50 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 112 / NY
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Dose 1 — Pfizer-BioNTech
-
2021-03-29
Registered in v-safe
- 2021-03-29
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2021-04-02
Dose 2 — Pfizer-BioNTech
- 2021-04-02
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Vision blurred — Feeling: GoodFree text: Blurred vision for a couple of days nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-16
- 2021-04-24
-
2021-04-30
Survey response — day 28, dose 2MedDRA: Fatigue — Feeling: GoodFree text: Very tired latelyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
- 2021-05-16
- 2021-07-02
- 2021-10-01
-
2021-10-11
Dose 3 — Pfizer-BioNTech
- 2021-10-11
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2021-10-12
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-10-13
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-10-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-10-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-10-16
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2021-10-17
Survey response — days 1–6 daily, dose 3MedDRA: Menstruation irregular — Feeling: GoodFree text: Period strangely arrived 2 weeks earlierMedDRA releases: 2024-11 · check-in free text available
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-11-15
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2021-11-22
Survey response — day 42, dose 3MedDRA: Menstruation irregular — Feeling: GoodFree text: My period was affected. It usually runs as a clock. It came earlier the first month and later the second month.MedDRA releases: 2024-11 · check-in free text available
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2022-01-10
Survey response — 3 months, dose 3MedDRA: Diarrhoea, Headache, Nausea, Pyrexia, SARS-CoV-2 test negative — Feeling: GoodFree text: I had low grade fever, nausea, headache snd diarrhea for 3 days before Christmas but 4 covid tests negativeMedDRA releases: 2024-11 · check-in free text available
- 2022-04-11
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2022-06-03
Dose 4 — Moderna
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2022-06-04
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Redness · Fever · Chills, Joint pains, Muscle or body aches, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-06-05
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Chills, Headache, Muscle or body achesAdult check-in
- 2022-06-06
-
2022-06-08
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2022-06-10
- 2022-06-17
- 2022-06-25
- 2022-07-03
- 2022-07-10
- 2022-07-15
- 2022-09-04
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2022-10-12
Dose 5 — ModernaCo-administered: Flu
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2022-10-14
Health check-in — days 1–6 daily, dose 5Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2022-10-15
- 2022-10-26
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2022-11-02
Survey response — day 21, dose 5MedDRA: COVID-19 — Feeling: Poor · 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: I have CovidMedDRA releases: 2024-11 · check-in free text available
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2022-11-02
Report sent to call center — day 21, 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 · 1 call case(s)
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2022-11-03
Call successfulCompleted over the phone
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2022-11-11
Survey response — day 28, dose 5MedDRA: COVID-19, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: FairFree text: I am still positive ti Covid, perhaps a Paxvloid rebound after a few negative Covid tests. The PCR test result sadly came back positive today.MedDRA releases: 2024-11 · check-in free text available
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2022-11-16
Survey response — day 35, dose 5MedDRA: COVID-19 — Feeling: GoodFree text: Positive to Covid-19 since Oct 30. Reboubd die to PaxvloidMedDRA releases: 2024-11 · check-in free text available
- 2022-11-25
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Pfizer-BioNTech | |
| 2 | 2021-04-02 | Pfizer-BioNTech | |
| 3 | 2021-10-11 | Pfizer-BioNTech | No |
| 4 | 2022-06-03 | Moderna | No |
| 5 | 2022-10-12 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-02 | Successful 2022-11-03 |
Completed over the phone |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Blurred vision for a couple of days now
Release 8 — day 28, dose 2
Symptoms: Very tired lately
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Period strangely arrived 2 weeks earlier
Release 10 — day 42, dose 3
Symptoms: My period was affected. It usually runs as a clock. It came earlier the first month and later the second month.
Release 10 — 3 months, dose 3
Symptoms: I had low grade fever, nausea, headache snd diarrhea for 3 days before Christmas but 4 covid tests negative
Release 12 — day 21, dose 5
Symptoms: I have Covid
Release 12 — day 28, dose 5
Symptoms: I am still positive ti Covid, perhaps a Paxvloid rebound after a few negative Covid tests. The PCR test result sadly came back positive today.
Release 12 — day 35, dose 5
Symptoms: Positive to Covid-19 since Oct 30. Reboubd die to Paxvloid
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 | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Menstruation irregular | · | · | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release