Y4T-26278-55310
2 vaccinations
12 coded responses
21 check-ins
12 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 802 / CO
- Registered
- 2020-12-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-18
Registered in v-safe
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2020-12-18
Dose 1 — Pfizer-BioNTech
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2020-12-18
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Fair · Site: PainFree text: Slight dizziness for approx 15 mins after injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-19
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Malaise — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Shirt of breath. Feeling like im getting sick.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-19
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2020-12-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2020-12-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2020-12-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2020-12-27
Survey response — day 7, dose 1MedDRA: Dyspnoea — Feeling: Fair · Headache, Fatigue or tirednessFree text: Shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-01
Survey response — day 14, dose 1MedDRA: Emergency care, Migraine, Parotid gland enlargement — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: In ER with migraine and parotid gland swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-01
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-08
Dose 2 — Pfizer-BioNTech
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2021-01-08
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, DiarrheaFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-11
Survey response — days 1–6 daily, dose 2MedDRA: Rash, Urticaria — Feeling: Fair · Headache, Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: Small Hives/Rash on my abdomen and backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Survey response — days 1–6 daily, dose 2MedDRA: Dyspepsia — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: HeartburnMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-13
Survey response — days 1–6 daily, dose 2MedDRA: Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: Hives. RandomMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
- 2021-01-15
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2021-01-22
Survey response — day 14, dose 2MedDRA: Condition aggravated, Headache, Pre-existing disease, Tinnitus — Feeling: Fair · Be unable to workFree text: BAD headache, ringing in ears, shingles flareMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-01-29
- 2021-02-05
- 2021-02-12
- 2021-02-21
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2021-04-12
Survey response — 3 months, dose 2MedDRA: Chest pain, Diarrhoea, Hospitalisation — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Chest pain. Need a work up. Syayed in hospital a weekend. Intermittant diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-15
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2021-07-09
Survey response — 6 months, dose 2MedDRA: Pyrexia, Self-medication, Viral infection — Feeling: Fair · Be unable to work or attend schoolFree text: A really bad virus over last weekend. Fever 101.5 for 3 days (even with motrin and tylenol) now on steroids and augmentin.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2022-01-08
Survey response — 12 months, dose 2MedDRA: Fatigue, Headache, Illness, Nerve compression, Respiratory tract congestion, Viral infection — Feeling: Fair · Be unable to work or attend schoolFree text: Viral illness last week. Bad headache, congestion, fatigue. Tested negative. Had a pinched nerve in back tooMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-18 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-19 | Unsuccessful | |
| 2021-01-01 | Unsuccessful | |
| 2021-04-12 | Unsuccessful |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Slight dizziness for approx 15 mins after injection
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Shirt of breath. Feeling like im getting sick.
Release 1 — day 7, dose 1
Systemic reaction (other): Shortness of breath
Release 1 — day 14, dose 1
Symptoms: In ER with migraine and parotid gland swelling
Release 1 — day 0, dose 2
Systemic reaction (other): Dizziness
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Small Hives/Rash on my abdomen and back
Systemic reaction (other): Heartburn
Systemic reaction (other): Hives. Random
Release 2 — day 14, dose 2
Symptoms: BAD headache, ringing in ears, shingles flare
Release 7 — 3 months, dose 2
Symptoms: Chest pain. Need a work up. Syayed in hospital a weekend. Intermittant diarrhea
Release 9 — 6 months, dose 2
Symptoms: A really bad virus over last weekend. Fever 101.5 for 3 days (even with motrin and tylenol) now on steroids and augmentin.
Release 10 — 12 months, dose 2
Symptoms: Viral illness last week. Bad headache, congestion, fatigue. Tested negative. Had a pinched nerve in back too
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 | Chest pain | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Illness | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nerve compression | · | · | ✓ |
| SD | Parotid gland enlargement | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SD | Viral infection | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release