Y7N-74747-61238
3 vaccinations
6 coded responses
35 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 196 / PA
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Dose 1 — Pfizer-BioNTech
-
2021-01-29
Registered in v-safe
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
-
2021-02-18
Dose 2 — Pfizer-BioNTech
- 2021-02-18
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-27
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-02
- 2021-05-20
- 2021-08-19
-
2021-09-30
Dose 3 — Pfizer-BioNTech
-
2021-09-30
Health check-in — day 0, dose 3Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: Herpes simplex, Stress — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Began with herpes outbreak; question of related to stress from injectionMedDRA releases: 2024-11 · check-in free text available
-
2021-10-14
Survey response — day 14, dose 3MedDRA: Genital herpes — Feeling: Fair · Be unable to do your normal daily activitiesFree text: As I had reported previously I experienced a genital herpes outbreak several days after receiving Covid 19 booster. I feel the vaccine caused the outbreakMedDRA releases: 2024-11 · check-in free text available
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2021-10-22
Survey response — day 21, dose 3MedDRA: Herpes simplex — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Heroes outbreakMedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Survey response — day 28, dose 3MedDRA: Dizziness, Fatigue, Malaise — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still experiencing fatigue sometimes dizziness. Just do not feel wellMedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
- 2021-11-11
- 2021-12-30
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2022-04-02
Survey response — 6 months, dose 3MedDRA: Emergency care, Office visit, Palpitations, Ventricular extrasystoles — Feeling: Fair · 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 visitFree text: Symptoms: Have developed heart palpitations; had to go to local emergency room l am having premature ventricular contractions. Scheduled to have echocardiogram and halter monitor; also scheduled to see cardiologist · Healthcare visit (other): Pcp visitMedDRA releases: 2024-11 · check-in free text available
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2022-04-02
Report sent to call center — 6 months, dose 3Be 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 · 1 call case(s)
- 2022-04-06
-
2022-04-06
Call successfulDoes not wish to fill out VAERS report
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2022-09-30
Survey response — 12 months, dose 3MedDRA: COVID-19 — Feeling: Fair · 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 consultationFree text: Contracted covidMedDRA releases: 2024-11 · check-in free text available
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2022-09-30
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-10-03
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Pfizer-BioNTech | |
| 2 | 2021-02-18 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-02 | Successful 2022-04-06 |
Does not wish to fill out VAERS report |
| 2022-09-30 | Successful 2022-10-03 |
Does not wish to fill out VAERS report |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Began with herpes outbreak; question of related to stress from injection
Release 10 — day 14, dose 3
Symptoms: As I had reported previously I experienced a genital herpes outbreak several days after receiving Covid 19 booster. I feel the vaccine caused the outbreak
Release 10 — day 21, dose 3
Symptoms: Heroes outbreak
Release 10 — day 28, dose 3
Symptoms: Still experiencing fatigue sometimes dizziness. Just do not feel well
Release 11 — 6 months, dose 3
Symptoms: Have developed heart palpitations; had to go to local emergency room l am having premature ventricular contractions. Scheduled to have echocardiogram and halter monitor; also scheduled to see cardiologist
Healthcare visit (other): Pcp visit
Release 12 — 12 months, dose 3
Symptoms: Contracted covid
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 | Office visit | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Genital herpes | · | · | ✓ |
| SD | Herpes simplex | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Ventricular extrasystoles | · | · | ✓ |
| SRO | Herpes simplex | · | · | ✓ |
| SRO | Stress | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release