Y4S-22990-97870
5 vaccinations
10 coded responses
49 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 672 / KS
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Registered in v-safe
-
2021-03-22
Dose 1 — Pfizer-BioNTech
-
2021-03-22
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-04-05
-
2021-04-12
Dose 2 — Pfizer-BioNTech
- 2021-04-12
-
2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-14
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
-
2021-05-17
Survey response — day 35, dose 2MedDRA: Dyspepsia — Feeling: GoodFree text: Digestive distress for about 20 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
- 2021-07-12
- 2021-10-11
-
2021-10-13
Dose 3 — Pfizer-BioNTech
-
2022-04-10
Dose 4 — Pfizer-BioNTech
- 2022-04-12
-
2022-04-12
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain — Feeling: Good · Site: Pain, SwellingFree text: The arm pain is under the arm on the side where I got the vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-13
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain — Feeling: Good · Site: PainFree text: Still have underarm pain, which is moderate.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-14
- 2022-04-15
- 2022-04-16
- 2022-04-19
- 2022-04-24
- 2022-05-01
- 2022-05-08
-
2022-05-15
Survey response — day 35, dose 4MedDRA: Dermatitis, Discharge, Throat irritation — Feeling: FairFree text: Scratchy throat and drainage. Dermatitis outbreak on the left side, where I received my vaccinations/boosters.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-22
-
2022-07-10
Survey response — 3 months, dose 4MedDRA: Rash — Feeling: GoodFree text: I have a rash under the arm where I got my booster. It Delores about 7 weeks ago, and has lessened in the past couple of weeks.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-15
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2022-09-17
Survey response — days 1–6 daily, dose 5MedDRA: Back pain — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Lower back acheMedDRA releases: 2024-11 · check-in free text available
- 2022-09-18
- 2022-09-19
- 2022-09-21
- 2022-09-22
-
2022-09-29
Survey response — day 14, dose 5MedDRA: Arthralgia, Back pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: I have been having som back and hip pain.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-06
Survey response — day 21, dose 5MedDRA: Abdominal discomfort, Chest discomfort, Dental discomfort, Sleep disorder — Feeling: FairFree text: I was awakened to upper stomach, chest and teeth discomfort. I wasn't sure if it was indigestion or something more serious.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-13
Survey response — day 28, dose 5MedDRA: Sinusitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Developed sinusitis.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-13
Report sent to call center — day 28, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-14
- 2022-10-20
- 2022-10-27
- 2022-12-15
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Pfizer-BioNTech | |
| 2 | 2021-04-12 | Pfizer-BioNTech | |
| 3 | 2021-10-13 | Pfizer-BioNTech | No |
| 4 | 2022-04-10 | Pfizer-BioNTech | No |
| 5 | 2022-09-15 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-13 | Unsuccessful |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): No
Release 8 — day 35, dose 2
Symptoms: Digestive distress for about 20 hours.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): The arm pain is under the arm on the side where I got the vaccine.
Systemic reaction (other): Still have underarm pain, which is moderate.
Release 11 — day 35, dose 4
Symptoms: Scratchy throat and drainage. Dermatitis outbreak on the left side, where I received my vaccinations/boosters.
Release 12 — 3 months, dose 4
Symptoms: I have a rash under the arm where I got my booster. It Delores about 7 weeks ago, and has lessened in the past couple of weeks.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Lower back ache
Release 12 — day 14, dose 5
Symptoms: I have been having som back and hip pain.
Release 12 — day 21, dose 5
Symptoms: I was awakened to upper stomach, chest and teeth discomfort. I wasn't sure if it was indigestion or something more serious.
Release 12 — day 28, dose 5
Symptoms: Developed sinusitis.
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 | Abdominal discomfort | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Dental discomfort | · | · | ✓ |
| SD | Dermatitis | · | · | ✓ |
| SD | Discharge | · | · | ✓ |
| SD | Dyspepsia | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Sleep disorder | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release