Y3R-60797-18377
1 vaccination
7 coded responses
12 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 147 / NY
- Registered
- 2021-08-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-08-24
Dose 1 — Pfizer-BioNTech
-
2021-08-26
Registered in v-safe
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2021-08-26
Survey response — days 1–6 daily, dose 1MedDRA: Anaphylactic reaction — Feeling: Poor · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Upon injection I went into anaphylaxis reaction I wasnt well enough yesterday to fill this outMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-27
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-08-28
Survey response — days 1–6 daily, dose 1MedDRA: Anxiety, Dyspnoea — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Definitely anxious and that seems to be affecting my being able to get deep breathsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-08-30
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Dizziness, Headache — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lightheadedness at times no stamina headache in lower right side back of headMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-31
Survey response — day 7, dose 1MedDRA: Anxiety, Asthenia, Brain fog — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Anxiety no stamina foggy brainMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-07
- 2021-09-14
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2021-09-27
Survey response — day 28, dose 1MedDRA: Fatigue, Headache, Tinnitus — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Severe fatigue,tinnitus, headacheMedDRA releases: 2024-11 · check-in free text available
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2021-10-05
Survey response — day 42, dose 1MedDRA: Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Extreme fatigue and chronic pain everywhereMedDRA releases: 2024-11 · check-in free text available
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2021-11-23
Survey response — 3 months, dose 1MedDRA: Fatigue, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Bouts of total fatigue that won't go away. This vaccine has caused me a lot of problems. · Healthcare visit (other): Homeopathic Dr to detoxMedDRA releases: 2024-11 · check-in free text available
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2021-11-23
Report sent to call center — 3 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-24
- 2022-02-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-24 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-23 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Upon injection I went into anaphylaxis reaction I wasnt well enough yesterday to fill this out
Systemic reaction (other): Definitely anxious and that seems to be affecting my being able to get deep breaths
Systemic reaction (other): Lightheadedness at times no stamina headache in lower right side back of head
Release 9 — day 7, dose 1
Systemic reaction (other): Anxiety no stamina foggy brain
Release 9 — day 28, dose 1
Symptoms: Severe fatigue,tinnitus, headache
Release 10 — day 42, dose 1
Symptoms: Extreme fatigue and chronic pain everywhere
Release 10 — 3 months, dose 1
Symptoms: Bouts of total fatigue that won't go away. This vaccine has caused me a lot of problems.
Healthcare visit (other): Homeopathic Dr to detox
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 | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Anaphylactic reaction | ✓ | · | ✓ |
| SRO | Anxiety | ✓ | · | ✓ |
| SRO | Asthenia | ✓ | · | ✓ |
| SRO | Brain fog | ✓ | · | ✓ |
| SRO | Dizziness | ✓ | · | ✓ |
| SRO | Dyspnoea | ✓ | · | ✓ |
| SRO | Headache | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release