Y2F-15665-69101
3 vaccinations
3 coded responses
32 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 221 / VA
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Registered in v-safe
-
2021-03-06
Dose 1 — Pfizer-BioNTech
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-13
- 2021-03-20
-
2021-03-27
Dose 2 — Pfizer-BioNTech
- 2021-03-27
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Musculoskeletal stiffness, Tenderness — Feeling: Good · Site: PainFree text: All over body tenderness & slight stiffnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-03-30
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-06-26
- 2021-09-25
-
2021-09-27
Dose 3 — Pfizer-BioNTech
- 2021-10-03
- 2021-10-04
-
2021-10-11
Survey response — day 14, dose 3MedDRA: Abdominal pain, Asthenia, Fatigue, Nausea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Nausea, fatigue, abdominal pain, weakness but these are all symptoms related to my autoimmune disease & happen periodically to me. I don't believe they're related to the booster shot. I'm already on disability for my medical conditions since 2020.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
-
2021-12-27
Survey response — 3 months, dose 3MedDRA: Bronchitis, Cough, Office visit, Oropharyngeal pain, SARS-CoV-2 test negative, Sinusitis, Viral upper respiratory tract infection — Feeling: Good · 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: Symptoms: Had bad virus upper respiratory infection with sore throat initially, then cough, sinus infection & bronchitis. Lasted 4 weeks & needed 3 rounds of antibiotics & a steroid. Negative for COVID on at home test. · Healthcare visit (other): Also saw local GP in personMedDRA releases: 2024-11 · check-in free text available
-
2021-12-27
Report sent to call center — 3 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 · 1 call case(s)
- 2021-12-29
-
2022-01-06
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-28
- 2022-09-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Pfizer-BioNTech | |
| 2 | 2021-03-27 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-27 | Successful 2022-01-06 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): All over body tenderness & slight stiffness
Release 10 — day 14, dose 3
Symptoms: Nausea, fatigue, abdominal pain, weakness but these are all symptoms related to my autoimmune disease & happen periodically to me. I don't believe they're related to the booster shot. I'm already on disability for my medical conditions since 2020.
Release 10 — 3 months, dose 3
Symptoms: Had bad virus upper respiratory infection with sore throat initially, then cough, sinus infection & bronchitis. Lasted 4 weeks & needed 3 rounds of antibiotics & a steroid. Negative for COVID on at home test.
Healthcare visit (other): Also saw local GP in person
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 | Abdominal pain | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Viral upper respiratory tract infection | · | · | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release