Y4W-29515-62933
2 vaccinations
5 coded responses
16 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 581 / ND
- Registered
- 2021-04-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-08
Dose 1 — Pfizer-BioNTech
-
2021-04-29
Registered in v-safe
-
2021-04-29
Dose 2 — Pfizer-BioNTech
-
2021-04-29
Survey response — day 0, dose 2MedDRA: Paraesthesia, Sensory disturbance — Feeling: Good · Site: PainFree text: A mild tingling in the arm that recieved the shot, like faint pins and needles, except that it tickled, too. I had my shot in the am and the tingling was in the pm about 6 hrs later.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
-
2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-05-05
-
2021-05-06
Survey response — day 7, dose 2MedDRA: Dehydration, Headache — Feeling: Fair · HeadacheFree text: Probably just a dehydration headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
- 2021-05-20
- 2021-05-27
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2021-06-03
Survey response — day 35, dose 2MedDRA: Headache, Neck pain, Pre-existing disease, Self-medication — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I woke up with a very very sore neck. Been taking ibprophen for it. Painful to hold my head in certain positions. Itcs happened before. It goes away in 3-4 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-10
- 2021-07-29
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2021-10-29
Survey response — 6 months, dose 2MedDRA: Influenza, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, 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 got a severe case of the flu that landed me in bed from Aug 31st thru september 6th. I had two negative covid tests during that time. I recovered with a prednisone prescription.MedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-02
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2022-04-29
Survey response — 12 months, dose 2MedDRA: Pre-existing disease — Feeling: Good · Be unable to work or attend school, 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 got sick with the flu (September), caught a stomach virus (March), and got my booster shot (December).MedDRA releases: 2024-11 · check-in free text available
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2022-04-29
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Pfizer-BioNTech | |
| 2 | 2021-04-29 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-29 | Unsuccessful | |
| 2022-04-29 | Unsuccessful |
Free text
Release 8 — day 0, dose 2
Systemic reaction (other): A mild tingling in the arm that recieved the shot, like faint pins and needles, except that it tickled, too. I had my shot in the am and the tingling was in the pm about 6 hrs later.
Release 8 — day 7, dose 2
Systemic reaction (other): Probably just a dehydration headache.
Release 8 — day 35, dose 2
Symptoms: I woke up with a very very sore neck. Been taking ibprophen for it. Painful to hold my head in certain positions. Itcs happened before. It goes away in 3-4 days.
Release 10 — 6 months, dose 2
Symptoms: I got a severe case of the flu that landed me in bed from Aug 31st thru september 6th. I had two negative covid tests during that time. I recovered with a prednisone prescription.
Release 11 — 12 months, dose 2
Symptoms: I got sick with the flu (September), caught a stomach virus (March), and got my booster shot (December).
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 | Headache | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Dehydration | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Sensory disturbance | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release