Y3J-22073-96792
5 vaccinations
5 coded responses
53 check-ins
5 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 950 / CA
- 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
Health check-in — day 0, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-20
-
2021-03-27
Dose 2 — Pfizer-BioNTech
- 2021-03-27
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
-
2021-04-10
Survey response — day 14, dose 2MedDRA: Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: VomitingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
-
2021-06-26
Survey response — 3 months, dose 2MedDRA: Biopsy, Thyroid mass — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Thyroid nodules · Healthcare visit (other): BiopsyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-26
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-07-01
Call successfulParticipant prefers to complete VAERS report online
-
2021-09-25
Survey response — 6 months, dose 2MedDRA: Thyroid mass, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Nodules on thyroid. The biopsies results were non-cancerous. · Healthcare visit (other): Echo and needle biopsyMedDRA releases: 2024-11 · check-in free text available
-
2021-09-25
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-29
-
2021-09-30
Dose 3 — Pfizer-BioNTech
- 2021-09-30
-
2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-11-04
- 2021-11-17
-
2021-12-30
Survey response — 3 months, dose 3MedDRA: Cough, Eyelid rash, Fatigue, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: Fair · 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: Cold virus: cough, runny nose, sneezing, fatigue started 12/19 and continues though symptoms are improving. COVID test was negative. Also, bumps inside lower eyelids treated with antibiotic and warm compress since 12/19. Not fully resolved.MedDRA releases: 2024-11 · check-in free text available
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2021-12-30
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-04
- 2022-01-14
-
2022-01-14
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-03-31
-
2022-04-01
Dose 4 — Pfizer-BioNTech
- 2022-04-14
- 2022-04-15
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
-
2022-07-01
Survey response — 3 months, dose 4MedDRA: COVID-19, Cough, Fatigue, Oropharyngeal pain, SARS-CoV-2 test — Feeling: Poor · 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 visitFree text: Symptoms: Positive for COVID: sore throat, cough, fatigue · Healthcare visit (other): Test to Treat for COVIDMedDRA releases: 2024-11 · check-in free text available
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2022-07-01
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-07-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-08
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-30
- 2022-10-04
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-12-08
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Pfizer-BioNTech | |
| 2 | 2021-03-27 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
| 4 | 2022-04-01 | Pfizer-BioNTech | No |
| 5 | 2022-09-08 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-26 | Successful 2021-07-01 |
Participant prefers to complete VAERS report online |
| 2021-09-25 | Successful | Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2021-12-30 | Successful 2022-01-14 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-07-01 | Successful 2022-07-05 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 7 — day 14, dose 2
Symptoms: Vomiting
Release 9 — 3 months, dose 2
Release 9 — 6 months, dose 2
Symptoms: Nodules on thyroid. The biopsies results were non-cancerous.
Healthcare visit (other): Echo and needle biopsy
Release 10 — 3 months, dose 3
Symptoms: Cold virus: cough, runny nose, sneezing, fatigue started 12/19 and continues though symptoms are improving. COVID test was negative. Also, bumps inside lower eyelids treated with antibiotic and warm compress since 12/19. Not fully resolved.
Release 12 — 3 months, dose 4
Symptoms: Positive for COVID: sore throat, cough, fatigue
Healthcare visit (other): Test to Treat for COVID
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 | Biopsy | ✓ | ✓ | ✓ |
| HCVO | SARS-CoV-2 test | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Eyelid rash | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Thyroid mass | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release