Y5V-10385-44479
3 vaccinations
4 coded responses
24 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 954 / CA
- Registered
- 2020-12-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-21
Registered in v-safe
-
2020-12-21
Dose 1 — Pfizer-BioNTech
- 2020-12-21
- 2020-12-22
- 2020-12-28
- 2021-01-04
-
2021-01-11
Dose 2 — Pfizer-BioNTech
- 2021-01-13
- 2021-01-15
- 2021-01-17
- 2021-01-18
- 2021-01-25
- 2021-02-01
- 2021-02-08
-
2021-02-15
Survey response — day 35, dose 2MedDRA: Pre-eclampsia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Postpartum preeclampsiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-15
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-22
- 2021-04-12
- 2021-05-04
-
2021-05-05
Callback requested for1:00P EST
- 2021-05-06
-
2021-05-14
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-07-12
-
2021-09-21
Dose 3 — Pfizer-BioNTech
-
2021-09-28
Survey response — day 7, dose 3MedDRA: Fatigue, Myalgia — Feeling: Good · Headache · Be unable to do your normal daily activitiesFree text: On 9/22, the day after my vaccine, terrible myalgias and fatigue. Only lasted that day. None since.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-07
- 2021-10-12
- 2021-10-21
- 2021-10-26
- 2021-11-02
-
2021-12-21
Survey response — 3 months, dose 3MedDRA: Respiratory syncytial virus infection, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Good · Be unable to work or attend schoolFree text: RSV URI 2 weeks ago. COVID test negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-22
-
2022-09-21
Survey response — 12 months, dose 3MedDRA: Cardiomyopathy, Office visit, Ventricular extrasystoles — 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: Frequent PVCs and a mild cardiomyopathy (EF 50%). Had to see a cardiologist and start medications. That was end of May and early June 2022.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-21
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-21 | Pfizer-BioNTech | |
| 2 | 2021-01-11 | Pfizer-BioNTech | |
| 3 | 2021-09-21 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-15 | Successful 2021-05-14 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-09-21 | Unsuccessful |
Free text
Release 4 — day 35, dose 2
Symptoms: Postpartum preeclampsia
Release 9 — day 7, dose 3
Systemic reaction (other): On 9/22, the day after my vaccine, terrible myalgias and fatigue. Only lasted that day. None since.
Release 10 — 3 months, dose 3
Symptoms: RSV URI 2 weeks ago. COVID test negative.
Release 12 — 12 months, dose 3
Symptoms: Frequent PVCs and a mild cardiomyopathy (EF 50%). Had to see a cardiologist and start medications. That was end of May and early June 2022.
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 | Cardiomyopathy | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-eclampsia | ✓ | ✓ | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SD | Ventricular extrasystoles | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release