Y66-11289-35437
2 vaccinations
12 coded responses
19 check-ins
12 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 784 / TX
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-04
Dose 1 — Pfizer-BioNTech
-
2021-02-05
Registered in v-safe
-
2021-02-05
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Influenza virus test positive — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Tested positive for fluMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-07
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease, Sjogren's syndrome — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Most likely from sjogrens syndromeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: Autoimmune disorder — Feeling: Good · Fatigue or tirednessFree text: Autoimmune diseaseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-13
Survey response — day 7, dose 1MedDRA: Pre-existing disease, Sjogren's syndrome — Feeling: Good · Fatigue or tirednessFree text: I have sjogrens syndromeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
-
2021-02-28
Dose 2 — Pfizer-BioNTech
- 2021-02-28
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Probably from sjogrens syndromeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I have sjogrens syndromeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-09
Survey response — day 7, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Most likely a sjogrens flareMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-14
Survey response — day 14, dose 2MedDRA: Hospitalisation, Pulmonary embolism — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Pulmonary embolism. Currently hospitalized.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-14
Report sent to call center — day 14, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-21
- 2021-03-28
-
2021-04-04
Survey response — day 35, dose 2MedDRA: Unevaluable event — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Since pulmonary embolism I have been trying to get the right side of blood thinner. I'm numbers were very high a couple of days ago which resulted in an ER visit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-04
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-12
Survey response — day 42, dose 2MedDRA: Headache — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: HeadachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-01
- 2021-06-16
-
2021-08-29
Survey response — 6 months, dose 2MedDRA: Nephrotic syndrome — Feeling: Poor · Be unable to work or attend school, 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: Nephrotic syndromeMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-29
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 pr1 call case(s)
-
2021-08-31
Call successfulCompleted over the phone
-
2022-03-02
Survey response — 12 months, dose 2MedDRA: Intervertebral disc protrusion, Urinary tract inflammation — Feeling: Poor · 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, Emergency room or emergency department visit, HospitalizationFree text: Kidney inflammation Sequestered disc L5/S1MedDRA releases: 2024-11 · check-in free text available
-
2022-03-02
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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-03-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Pfizer-BioNTech | |
| 2 | 2021-02-28 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-06 | Unsuccessful | |
| 2021-03-14 | Successful | Completed over the phone |
| 2021-04-04 | Successful | Completed over the phone |
| 2021-08-29 | Successful 2021-08-31 |
Completed over the phone |
| 2022-03-02 | Unsuccessful | Reported to VAERS during previous contact from GDIT |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Tested positive for flu
Systemic reaction (other): Most likely from sjogrens syndrome
Systemic reaction (other): Autoimmune disease
Release 4 — day 7, dose 1
Systemic reaction (other): I have sjogrens syndrome
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Probably from sjogrens syndrome
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I have sjogrens syndrome
Release 5 — day 7, dose 2
Systemic reaction (other): Most likely a sjogrens flare
Release 5 — day 14, dose 2
Symptoms: Pulmonary embolism. Currently hospitalized.
Release 6 — day 35, dose 2
Symptoms: Since pulmonary embolism I have been trying to get the right side of blood thinner. I'm numbers were very high a couple of days ago which resulted in an ER visit.
Release 7 — day 42, dose 2
Symptoms: Headaches
Release 9 — 6 months, dose 2
Symptoms: Nephrotic syndrome
Release 11 — 12 months, dose 2
Symptoms: Kidney inflammation Sequestered disc L5/S1
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 | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Intervertebral disc protrusion | · | · | ✓ |
| SD | Nephrotic syndrome | ✓ | · | ✓ |
| SD | Pulmonary embolism | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Urinary tract inflammation | · | · | ✓ |
| SRO | Autoimmune disorder | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Influenza virus test positive | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Sjogren's syndrome | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release