Y4V-21991-91747
1 vaccination
7 coded responses
10 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 941 / CA
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- Other
- Ethnicity
- N/A
Timeline
-
2021-04-07
Registered in v-safe
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2021-04-07
Dose 1 — Pfizer-BioNTech
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2021-04-07
Survey response — day 0, dose 1MedDRA: Dry throat — Feeling: GoodFree text: It has been 6 hours since i got it. How long does it take to start feeling effects. So car dry throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
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2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Dry throat — Feeling: GoodFree text: Dry throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Dry mouth — Feeling: GoodFree text: Mouth drynessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
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2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Feeling of relaxation, Therapeutic response unexpected — Feeling: GoodFree text: More relax since i got the shot. CalmnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
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2021-07-10
Survey response — 3 months, dose 1MedDRA: Abdominal pain upper, Diarrhoea, Digestive enzyme abnormal, Fatigue — 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: Digestive, diarrhea, stomach pain, fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-10
Report sent to call center — 3 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-16
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2021-10-08
Survey response — 6 months, dose 1MedDRA: Eye irritation, Temperature intolerance — Feeling: GoodFree text: Eye irritation and sensitivity to heatMedDRA releases: 2024-11 · check-in free text available
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2022-04-07
Survey response — 12 months, dose 1MedDRA: Condition aggravated, Dry eye, Gastrointestinal disorder, Pre-existing disease — 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 consultation, Outpatient clinic or urgent care clinic visitFree text: Digestive issues. After buster Eye dryness after covid on jan 2020 These two issus now has flair up. I had issues with this two organs before but worse after covid and buster. I believed is a case of long Covid.MedDRA releases: 2024-11 · check-in free text available
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2022-04-07
Report sent to call center — 12 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-10 | Unsuccessful | |
| 2022-04-07 | Unsuccessful |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): It has been 6 hours since i got it. How long does it take to start feeling effects. So car dry throat.
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Dry throat
Systemic reaction (other): Mouth dryness
Systemic reaction (other): More relax since i got the shot. Calmness
Release 9 — 3 months, dose 1
Symptoms: Digestive, diarrhea, stomach pain, fatigue.
Release 10 — 6 months, dose 1
Symptoms: Eye irritation and sensitivity to heat
Release 11 — 12 months, dose 1
Symptoms: Digestive issues. After buster Eye dryness after covid on jan 2020 These two issus now has flair up. I had issues with this two organs before but worse after covid and buster. I believed is a case of long Covid.
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 pain upper | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Digestive enzyme abnormal | ✓ | ✓ | ✓ |
| SD | Dry eye | · | · | ✓ |
| SD | Eye irritation | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Temperature intolerance | · | · | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Dry throat | ✓ | ✓ | ✓ |
| SRO | Feeling of relaxation | ✓ | ✓ | ✓ |
| SRO | Therapeutic response unexpected | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release