Y6W-16783-53844
4 vaccinations
4 coded responses
22 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 857 / AZ
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-02-05
Dose 1 — Pfizer-BioNTech
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 2 — Pfizer-BioNTech
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-28
- 2021-03-01
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tirednessFree text: Maybe its rhe Addisons dz; still feeling a little fatigued. May be because Ive been trying to minimize dosing the steroids since shot dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Fatigue or tirednessAdult check-in
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
- 2021-08-27
-
2021-10-04
Dose 3 — Pfizer-BioNTech
-
2022-02-26
Survey response — 12 months, dose 2MedDRA: Arthralgia, Arthropathy, Mobility decreased, Tendon rupture — 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: May have nothing to do with the vaccines (I want to say I believe not) but I developed joint pain and dysfunction throughout my body and now have ruptured tendons in both shoulders. I was formerly very fit and active and now can do very little.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-26
Report sent to call center — 12 months, dose 2Be 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)
- 2022-03-24
-
2022-03-28
Dose 4 — Pfizer-BioNTech
- 2022-04-20
-
2022-04-25
Survey response — day 28, dose 4MedDRA: Urinary tract infection — 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: Not related to the vaccine or covid. I have a very bad UTIMedDRA releases: 2024-11 · check-in free text available
-
2022-04-25
Report sent to call center — day 28, dose 4Be 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)
- 2022-04-26
- 2022-05-02
- 2022-05-09
-
2022-09-26
Survey response — 6 months, dose 4MedDRA: Ear pain, Fatigue, Headache, Mouth haemorrhage, Oral pain, Oropharyngeal pain, Pain, SARS-CoV-2 test positive, Sinus congestion, Stomatitis, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Tests + for covid while traveling in (b)(6) and again in (b)(6) despite taking precautions. Severe headache fatigue sinus congestion sore throat radiating into ear and painful bleeding mouth sores. Still have those · Healthcare visit (other): Unable to get Med attn public or private clinicsMedDRA releases: 2024-11 · check-in free text available
-
2022-09-26
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-09-27
- 2022-09-27
- 2022-09-27
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Pfizer-BioNTech | |
| 2 | 2021-02-26 | Pfizer-BioNTech | |
| 3 | 2021-10-04 | Pfizer-BioNTech | No |
| 4 | 2022-03-28 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-26 | Unsuccessful | |
| 2022-04-25 | Unsuccessful | |
| 2022-09-26 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Maybe its rhe Addisons dz; still feeling a little fatigued. May be because Ive been trying to minimize dosing the steroids since shot day
Release 11 — 12 months, dose 2
Symptoms: May have nothing to do with the vaccines (I want to say I believe not) but I developed joint pain and dysfunction throughout my body and now have ruptured tendons in both shoulders. I was formerly very fit and active and now can do very little.
Release 11 — day 28, dose 4
Symptoms: Not related to the vaccine or covid. I have a very bad UTI
Release 12 — 6 months, dose 4
Symptoms: Tests + for covid while traveling in (b)(6) and again in (b)(6) despite taking precautions. Severe headache fatigue sinus congestion sore throat radiating into ear and painful bleeding mouth sores. Still have those
Healthcare visit (other): Unable to get Med attn public or private clinics
redacted (b)(6)
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Arthropathy | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Mouth haemorrhage | · | · | ✓ |
| SD | Oral pain | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Stomatitis | · | · | ✓ |
| SD | Tendon rupture | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release