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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

  1. 2021-04-08
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-29
    Registered in v-safe
  3. 2021-04-29
    Dose 2 — Pfizer-BioNTech
  4. 2021-04-29
    Survey response — day 0, dose 2
    MedDRA: Paraesthesia, Sensory disturbance — Feeling: Good · Site: Pain
    Free 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
  5. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  10. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-05-06
    Survey response — day 7, dose 2
    MedDRA: Dehydration, Headache — Feeling: Fair · Headache
    Free text: Probably just a dehydration headache.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-03
    Survey response — day 35, dose 2
    MedDRA: Headache, Neck pain, Pre-existing disease, Self-medication — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  16. 2021-06-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-07-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-10-29
    Survey response — 6 months, dose 2
    MedDRA: 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 visit
    Free 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
  19. 2021-10-29
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  20. 2021-11-02
  21. 2022-04-29
    Survey response — 12 months, dose 2
    MedDRA: 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 visit
    Free 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
  22. 2022-04-29
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  23. 2022-05-02

Vaccinations

DoseDateManufacturerCo-administered
12021-04-08Pfizer-BioNTech
22021-04-29Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-10-29 Unsuccessful
2022-04-29 Unsuccessful

Free text

Release 8 — day 0, dose 2

2021-04-29

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

2021-05-06

Systemic reaction (other): Probably just a dehydration headache.

Release 8 — day 35, dose 2

2021-06-03

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

2021-10-29

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

2022-04-29

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

FieldPreferred term2021-092023-042024-11
SDHeadache ✓ ✓ ✓
SDInfluenza · · ✓
SDNeck pain ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDSARS-CoV-2 test negative · · ✓
SDSelf-medication ✓ ✓ ✓
SRODehydration ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROSensory disturbance ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release