Y7N-25516-21308
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 981 / WA
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-07
Registered in v-safe
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2021-04-07
Dose 1 — Pfizer-BioNTech
- 2021-04-07
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2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Oral pain — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessFree text: Sore spot in palateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
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2021-04-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-14
Health check-in — day 7, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-21
Survey response — day 14, dose 1MedDRA: Back pain, Rash — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had severe lower back pain days 5-14. A rash that is localized under left breast started day 11 and persists (may be fungal so possibly unrelated)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Report sent to call center — day 14, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-28
Dose 2 — Pfizer-BioNTech
- 2021-04-28
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2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to workAdult check-in
- 2021-04-30
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2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
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2021-05-12
Survey response — day 14, dose 2MedDRA: Headache — Feeling: GoodFree text: Daily headaches when I first wake up in the morning. Started Monday morning, 5/10.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Survey response — day 21, dose 2MedDRA: Cough, Pre-existing disease — Feeling: GoodFree text: Cough. I'm pretty sure it's from seasonal allergies as I get it every year.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-07-28
- 2021-10-27
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2022-04-02
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-04-28
Survey response — 12 months, dose 2MedDRA: Allergic respiratory symptom, Eye pruritus, Pruritus, Respiratory tract congestion, Rhinorrhoea, Scratch, Throat irritation, Urticaria — Feeling: GoodFree text: Seem like allergies: extreme congestion, itching eyes, runny nose, itchy (no soreness) throat, skin itches, occasional small hives near scratchesMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Pfizer-BioNTech | |
| 2 | 2021-04-28 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-21 | Successful 2022-04-02 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Sore spot in palate
Release 7 — day 14, dose 1
Symptoms: I had severe lower back pain days 5-14. A rash that is localized under left breast started day 11 and persists (may be fungal so possibly unrelated)
Release 8 — day 14, dose 2
Symptoms: Daily headaches when I first wake up in the morning. Started Monday morning, 5/10.
Release 8 — day 21, dose 2
Symptoms: Cough. I'm pretty sure it's from seasonal allergies as I get it every year.
Release 11 — 12 months, dose 2
Symptoms: Seem like allergies: extreme congestion, itching eyes, runny nose, itchy (no soreness) throat, skin itches, occasional small hives near scratches
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 | Allergic respiratory symptom | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Eye pruritus | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Scratch | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Oral pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release