Y3Z-32583-41716
2 vaccinations
6 coded responses
13 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 604 / IL
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Dose 1 — Pfizer-BioNTech
-
2021-04-08
Dose 2 — Pfizer-BioNTech
-
2021-04-10
Registered in v-safe
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Sinus congestion, Sneezing — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Sinus congestion and sneezingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-17
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2021-04-23
Survey response — day 14, dose 2MedDRA: Cough, Paranasal sinus hypersecretion, Pre-existing disease, Sneezing — Feeling: FairFree text: Sinus draining, sneezing and coughing from tree pollen allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — day 21, dose 2MedDRA: Pre-existing disease, Sinus congestion — Feeling: FairFree text: Sinus congestion due to seasonal tree pollen allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Survey response — day 28, dose 2MedDRA: Adverse reaction, Asthma, Cough, Decreased appetite, Hypogeusia, Nasopharyngitis, Pre-existing disease, Sinus congestion, Sneezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold since last Friday. Cough, sinus congestion, sneezing, allergy symptoms, triggered my asthma, less appetite and taste.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Survey response — day 35, dose 2MedDRA: Chromaturia, Micturition urgency, Pollakiuria, Pruritus, Urinary tract infection — Feeling: FairFree text: urinary tract infection symptoms, frequency, urgency, darker urine than normal some itching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-22
- 2021-07-10
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2021-10-07
Survey response — 6 months, dose 2MedDRA: Chills, Ear infection, Ear pain, Fatigue, Gingivitis, Headache, Office visit — 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: I had a gum infection 2 weeks. Was treated at my nearest Advocate Health care Urgent Care on the weekend with ear infection symptoms, pain in ear which was referred pain from gum infection . Chills no fever. Fatigue and headache. amoxicillin 1 week.MedDRA releases: 2024-11 · check-in free text available
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2021-10-07
Report sent to call center — 6 months, dose 2Be 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)
- 2021-10-14
- 2022-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Pfizer-BioNTech | |
| 2 | 2021-04-08 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-07 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Sinus congestion and sneezing
Release 7 — day 14, dose 2
Symptoms: Sinus draining, sneezing and coughing from tree pollen allergies
Release 8 — day 21, dose 2
Symptoms: Sinus congestion due to seasonal tree pollen allergies
Release 8 — day 28, dose 2
Symptoms: Cold since last Friday. Cough, sinus congestion, sneezing, allergy symptoms, triggered my asthma, less appetite and taste.
Release 8 — day 35, dose 2
Symptoms: urinary tract infection symptoms, frequency, urgency, darker urine than normal some itching.
Release 10 — 6 months, dose 2
Symptoms: I had a gum infection 2 weeks. Was treated at my nearest Advocate Health care Urgent Care on the weekend with ear infection symptoms, pain in ear which was referred pain from gum infection . Chills no fever. Fatigue and headache. amoxicillin 1 week. cut off by CDC
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 | Adverse reaction | · | · | ✓ |
| SD | Asthma | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Chromaturia | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gingivitis | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypogeusia | · | · | ✓ |
| SD | Micturition urgency | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SD | Pollakiuria | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
| SRO | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release