Y4S-21960-58554
4 vaccinations
5 coded responses
53 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 480 / MI
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Registered in v-safe
-
2021-02-01
Dose 1 — Pfizer-BioNTech
-
2021-02-01
Health check-in — day 0, dose 1Feeling: Good · Site: Itching · Headache, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-02-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-03
-
2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Lower respiratory tract infection, Productive cough — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: I dont know if its a coincidence or a symptom, feeling like I have a chest cold. I had to use me inhaler and nebulizer Tuesday evening and Wednesday evening and have some phlegm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
-
2021-02-22
Dose 2 — Pfizer-BioNTech
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-05-24
- 2021-08-23
- 2022-02-22
-
2022-09-17
Dose 3 — Pfizer-BioNTech
-
2022-09-17
Survey response — day 0, dose 3MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: I accidentally put that this was my third vaccine it is actually my fourth.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-18
-
2022-09-19
Survey response — days 1–6 daily, dose 3MedDRA: Nausea, Paranasal sinus hypersecretion — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, NauseaFree text: Sinus drainage could be causing nausea.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-23
- 2022-09-24
- 2022-10-01
-
2022-10-08
Survey response — day 21, dose 3MedDRA: Dizziness, Fatigue — Feeling: FairFree text: Very tired for the past 2 days, some dizziness, maybe an ear infection.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-15
- 2022-10-22
- 2022-10-29
-
2022-12-17
Survey response — 3 months, dose 3MedDRA: Arthropathy, Back disorder, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I need back and hip surgery · Healthcare visit (other): Orthopedic. SpecialistMedDRA releases: 2024-11 · check-in free text available
-
2022-12-17
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-12-19
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-02-17
Dose 4 — Pfizer-BioNTech
- 2023-02-17
- 2023-02-18
- 2023-02-19
- 2023-02-20
- 2023-02-21
- 2023-02-22
- 2023-02-23
- 2023-02-24
- 2023-03-03
- 2023-03-10
- 2023-03-17
- 2023-03-24
- 2023-03-31
- 2023-05-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Pfizer-BioNTech | |
| 2 | 2021-02-22 | Pfizer-BioNTech | |
| 3 | 2022-09-17 | Pfizer-BioNTech | No |
| 4 | 2023-02-17 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-17 | Successful 2022-12-19 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): I dont know if its a coincidence or a symptom, feeling like I have a chest cold. I had to use me inhaler and nebulizer Tuesday evening and Wednesday evening and have some phlegm.
Release 12 — day 0, dose 3
Systemic reaction (other): I accidentally put that this was my third vaccine it is actually my fourth.
Release 12 — days 1–6 daily, dose 3
Systemic reaction (other): Sinus drainage could be causing nausea.
Release 12 — day 21, dose 3
Symptoms: Very tired for the past 2 days, some dizziness, maybe an ear infection.
Release 12 — 3 months, dose 3
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 | Arthropathy | · | · | ✓ |
| SD | Back disorder | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SRO | Lower respiratory tract infection | ✓ | ✓ | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Paranasal sinus hypersecretion | · | · | ✓ |
| SRO | Productive cough | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release