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Y3T-13633-35846

2 vaccinations 6 coded responses 25 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
109 / NY
Registered
2021-01-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-10
    Registered in v-safe
  2. 2021-01-10
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-10
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · Muscle or body aches
    Adult check-in
  5. 2021-01-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthma, Exposure to SARS-CoV-2, Heart rate increased, Pre-existing disease — Feeling: Fair · Site: Swelling
    Free text: Uptick to asthma, needed xopenex once today. Wheezing, not severe, and was happening BEFORE injection of vaccine. But for a day or so no asthma and now it appears to be mild. Also pulse appears a bit faster >80 but could be the Xopenex. I just found out today that my husband is positive for COVID. Heis having monoclonal injection today at (b)(6) in NYC. Will call DOH tomorrow to see if I need to be tested.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Exposure to SARS-CoV-2, Fatigue — Feeling: Good · Fatigue or tiredness
    Free text: However, although I checked tiredness, my husband was diagnosed with Covid yesterday and it's very tiring trying to care for someone who is isolated in quarantine. This may have absolutely nothing to do with the injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  9. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Abdominal pain
    Adult check-in
  10. 2021-01-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-31
    Dose 2 — Pfizer-BioNTech
  13. 2021-01-31
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  14. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  17. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  18. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  19. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  20. 2021-02-07
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  21. 2021-02-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-07
    Survey response — day 35, dose 2
    MedDRA: Back pain, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Palpitations, back pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-03-07
    Report sent to call center — day 35, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  26. 2021-03-14
    Survey response — day 42, dose 2
    MedDRA: Asthma — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Asthma
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-05-02
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-08-01
    Survey response — 6 months, dose 2
    MedDRA: Cough, Diarrhoea, Oropharyngeal pain, Sneezing — Feeling: Fair · Be unable to work or attend school
    Free text: Coughing sneezing sore throat diarrhea
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  29. 2021-11-13
  30. 2022-01-31
    Survey response — 12 months, dose 2
    MedDRA: Diabetes mellitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Diabetes
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-01-31
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  32. 2022-02-01
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-01-10Pfizer-BioNTech
22021-01-31Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-03-07 Successful Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-31 Successful
2022-02-01
 Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): Uptick to asthma, needed xopenex once today. Wheezing, not severe, and was happening BEFORE injection of vaccine. But for a day or so no asthma and now it appears to be mild. Also pulse appears a bit faster >80 but could be the Xopenex. I just found out today that my husband is positive for COVID. Heis having monoclonal injection today at (b)(6) in NYC. Will call DOH tomorrow to see if I need to be tested.
redacted (b)(6)

2021-01-13

Systemic reaction (other): However, although I checked tiredness, my husband was diagnosed with Covid yesterday and it's very tiring trying to care for someone who is isolated in quarantine. This may have absolutely nothing to do with the injection.

Release 5 — day 35, dose 2

2021-03-07

Symptoms: Palpitations, back pain

Release 5 — day 42, dose 2

2021-03-14

Symptoms: Asthma

Release 9 — 6 months, dose 2

2021-08-01

Symptoms: Coughing sneezing sore throat diarrhea

Release 11 — 12 months, dose 2

2022-01-31

Symptoms: Diabetes

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

FieldPreferred term2021-092023-042024-11
SDAsthma ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDCough ✓ · ✓
SDDiabetes mellitus · · ✓
SDDiarrhoea ✓ · ✓
SDOropharyngeal pain ✓ · ✓
SDPalpitations ✓ ✓ ✓
SDSneezing ✓ · ✓
SROAsthma ✓ ✓ ✓
SROExposure to SARS-CoV-2 ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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