Y2V-17286-96226
5 vaccinations
9 coded responses
54 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 541 / WI
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-23
Registered in v-safe
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2021-03-23
Dose 1 — Pfizer-BioNTech
- 2021-03-23
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2021-03-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-25
- 2021-03-26
- 2021-03-27
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2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Arthritis — Feeling: Fair · Joint pains · Be unable to do your normal daily activitiesFree text: Had inflammation in shoulders, but is is getting worse. Probably not related to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-30
Health check-in — day 7, dose 1Feeling: Good · Joint pains · Be unable to do your normal daily activitiesAdult check-in
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2021-04-06
Survey response — day 14, dose 1MedDRA: Adenoidal disorder, Ear discomfort — Feeling: GoodFree text: Fullness in ears and area where I imagine my adenoids are is thick/full also.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
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2021-04-16
Dose 2 — Pfizer-BioNTech
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-16
- 2021-05-21
- 2021-05-28
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2021-07-16
Survey response — 3 months, dose 2MedDRA: Oral pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Tender oral membranes.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-16
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-23
- 2021-10-15
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2021-10-16
Dose 3 — Pfizer-BioNTech
- 2022-01-12
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2022-04-16
Survey response — 12 months, dose 2MedDRA: Dyspnoea exertional, Gait inability, Unevaluable event — Feeling: Good · Be unable to do your normal daily activitiesFree text: The end of Dec 2021 and early Jan 2022, I was Real short of breath even just walking short distances. Needed a wheelchair to get to clinic appts and to see my Mom in ICU for Covid. Had neg test 12/02/21. Looking back, I should have been tested.MedDRA releases: 2024-11 · check-in free text available
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2022-04-16
Survey response — 6 months, dose 3MedDRA: Dyspnoea exertional, Gait inability, Office visit — Feeling: Good · Be unable to do your normal daily activitiesFree text: Mid Dec 2021 to late Jan 2022 I was Very short of breath even walking short distances. I needed to use a wheelchair for clinic appts and to see my Mom in ICU for covid after she had neg tests. Recent PA visit suggested I may have had Covid too.MedDRA releases: 2024-11 · check-in free text available
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2022-05-17
Dose 4 — Pfizer-BioNTech
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2022-05-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-05-19
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-05-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
- 2022-05-21
- 2022-05-22
- 2022-05-23
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2022-05-24
Survey response — day 7, dose 4MedDRA: Sinus headache — Feeling: Good · HeadacheFree text: Headache is probably from my sinuses due to a low pressure system here.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-31
- 2022-06-07
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2022-06-14
Survey response — day 28, dose 4MedDRA: Pre-existing disease, Wheezing — Feeling: GoodFree text: Some wheezing ? but I do have asthma and the weather is more humid lately.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-21
- 2022-06-28
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2022-08-16
Survey response — 3 months, dose 4MedDRA: Balance disorder — 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 · Outpatient clinic or urgent care clinic visitFree text: Increasing Balance issues Feeling of Fullness/heaviness in my ? ?inner ears?MedDRA releases: 2024-11 · check-in free text available
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2022-08-16
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)
- 2022-08-17
- 2022-08-17
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2022-08-17
Call successfulParticipant prefers to complete VAERS report online
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2022-08-17
Call successfulParticipant prefers to complete VAERS report online
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2022-11-04
Dose 5 — Pfizer-BioNTech
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2022-11-05
Survey response — days 1–6 daily, dose 5MedDRA: Balance disorder, Dizziness — Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Light headed and balance not rightMedDRA releases: 2024-11 · check-in free text available
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2022-11-06
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-11-07
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2022-11-08
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2022-11-09
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2022-11-10
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2022-12-16
- 2023-02-03
- 2023-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Pfizer-BioNTech | |
| 2 | 2021-04-16 | Pfizer-BioNTech | |
| 3 | 2021-10-16 | Pfizer-BioNTech | No |
| 4 | 2022-05-17 | Pfizer-BioNTech | No |
| 5 | 2022-11-04 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-16 | Successful 2022-08-17 |
Participant prefers to complete VAERS report online |
| 2022-08-16 | Successful 2022-08-17 |
Participant prefers to complete VAERS report online |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Had inflammation in shoulders, but is is getting worse. Probably not related to vaccine.
Release 7 — day 14, dose 1
Symptoms: Fullness in ears and area where I imagine my adenoids are is thick/full also.
Release 9 — 3 months, dose 2
Symptoms: Tender oral membranes.
Release 11 — 6 months, dose 3
Symptoms: Mid Dec 2021 to late Jan 2022 I was Very short of breath even walking short distances. I needed to use a wheelchair for clinic appts and to see my Mom in ICU for covid after she had neg tests. Recent PA visit suggested I may have had Covid too.
Release 11 — 12 months, dose 2
Symptoms: The end of Dec 2021 and early Jan 2022, I was Real short of breath even just walking short distances. Needed a wheelchair to get to clinic appts and to see my Mom in ICU for Covid. Had neg test 12/02/21. Looking back, I should have been tested.
Release 11 — day 7, dose 4
Systemic reaction (other): Headache is probably from my sinuses due to a low pressure system here.
Release 12 — day 28, dose 4
Symptoms: Some wheezing ? but I do have asthma and the weather is more humid lately.
Release 12 — 3 months, dose 4
Symptoms: Increasing Balance issues Feeling of Fullness/heaviness in my ? ?inner ears?
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Light headed and balance not right
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 | Adenoidal disorder | ○ | ✓ | ○ |
| SD | Balance disorder | · | · | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Ear discomfort | ✓ | ✓ | ✓ |
| SD | Gait inability | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oral pain | ✓ | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Arthritis | ✓ | ✓ | ✓ |
| SRO | Balance disorder | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Sinus headache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release