Y8Z-86264-91332
4 vaccinations
19 coded responses
34 check-ins
19 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 071 / NJ
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-15
Dose 1 — Pfizer-BioNTech
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2021-03-17
Registered in v-safe
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2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort, Feeling abnormal — Feeling: Fair · Site: Pain · DiarrheaFree text: A little stomach upset and a little body sensationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort — Feeling: Fair · Site: Pain · Nausea · Be unable to do your normal daily activitiesFree text: A little stomach upsetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: A little stomach upsetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
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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2021-03-22
Survey response — day 7, dose 1MedDRA: Bradykinesia, Flushing — Feeling: Good · Fatigue or tirednessFree text: A little flush, a little slow movingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — day 14, dose 1MedDRA: Nodule — Feeling: FairFree text: The day of the vaccine, I noticed a small lump in the middle of my back. It was a little painful. I still have the lump .Today I'm aching but i suffer with Degeneration Disc DiseaseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Dose 2 — Pfizer-BioNTech
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2021-04-05
Survey response — day 0, dose 2MedDRA: Abdominal discomfort — Feeling: Fair · Site: Pain · DiarrheaFree text: A little stomach upsetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Energy increased — Feeling: Good · Site: PainFree text: I feel like I have a little bit more energyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort — Feeling: Fair · Site: Pain · Fatigue or tiredness, DiarrheaFree text: A little stomach upsetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-09
- 2021-04-10
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2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Aphasia, Self-medication — Feeling: Fair · Site: Pain · Muscle or body achesFree text: A little loss of control of some words in thinking. Not sure if it''s the vaccine or tylenol and i take opioids for pain managementMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — day 7, dose 2MedDRA: Mental impairment, Thinking abnormal — Feeling: Fair · Site: PainFree text: A little mental or thinking un easyness wandering thoughtsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — day 14, dose 2MedDRA: Emotional distress, Fatigue, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Mood changes. About a week after my second vaccine, I had mental Health concerns. Words that I don't use, profanities, in thought only during times of my prayers and thinking on other issues. Very concerning and distressing. Also just low feeling · Healthcare visit (other): I called and spoke with my pharmacist to see if any of the regular medications that I take could be one of the causes. I take percocet and xtampza for chronic pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-26
Survey response — day 21, dose 2MedDRA: Brain fog, Mood altered, Office visit, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I have ringing in my ear ,left ear very bad.Some changes in my moods.A little foggy as well. · Healthcare visit (other): Appointment with my primary care physician. He is doing a full work upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-03
- 2021-05-10
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2021-05-17
Survey response — day 42, dose 2MedDRA: Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Ringing in my left ear. Going to the Doctors tomorrow. Had a physical. INTRUSIVE THOUGHTS!THIS HAPPENED LONG AGO WHEN I WAS TAKING 800 MILLIGRAMS OF IBUPROFEN. 3 OR 4 TIMES A DAY · Healthcare visit (other): Primary care physician. Tomorrow i will see an ear nose throat Dr.for ringing in my earMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-05
- 2021-10-04
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2021-12-02
Dose 3 — Pfizer-BioNTech
- 2022-03-03
- 2022-04-05
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2022-09-16
Dose 4 — Pfizer-BioNTech
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2022-09-20
Survey response — days 1–6 daily, dose 4MedDRA: Brain fog — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: A little foggyMedDRA releases: 2024-11 · check-in free text available
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2022-09-21
Survey response — days 1–6 daily, dose 4MedDRA: Brain fog, Flushing — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Foggy and flushedMedDRA releases: 2024-11 · check-in free text available
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2022-09-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body achesAdult check-in
- 2022-09-23
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2022-09-30
Survey response — day 14, dose 4MedDRA: Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: More nauseous a few daysMedDRA releases: 2024-11 · check-in free text available
- 2022-10-07
- 2022-10-14
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2022-10-21
Survey response — day 35, dose 4MedDRA: Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Body aches. However I got the regular flu shot appomoxity 4 weeks after the BOOSTERMedDRA releases: 2024-11 · check-in free text available
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2022-10-30
Survey response — day 42, dose 4MedDRA: Abdominal discomfort, Fatigue, Malaise, Nausea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Overall feeling of not feeling well Stomach upset, a little nausea Tired. Just not feeling wellMedDRA releases: 2024-11 · check-in free text available
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2022-12-18
Survey response — 3 months, dose 4MedDRA: Abdominal discomfort, Asthenia, Insomnia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Upset stomach a lot, a little bit of weakness. A little trouble sleeping, not to muchMedDRA releases: 2024-11 · check-in free text available
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Pfizer-BioNTech | |
| 2 | 2021-04-05 | Pfizer-BioNTech | |
| 3 | 2021-12-02 | Pfizer-BioNTech | No |
| 4 | 2022-09-16 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-19 | Unsuccessful | |
| 2021-04-26 | Unsuccessful | |
| 2021-05-17 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): A little stomach upset and a little body sensation
Systemic reaction (other): A little stomach upset
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): A little stomach upset
Release 6 — day 7, dose 1
Systemic reaction (other): A little flush, a little slow moving
Release 6 — day 14, dose 1
Symptoms: The day of the vaccine, I noticed a small lump in the middle of my back. It was a little painful. I still have the lump .Today I'm aching but i suffer with Degeneration Disc Disease
Release 6 — day 0, dose 2
Systemic reaction (other): A little stomach upset
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I feel like I have a little bit more energy
Systemic reaction (other): A little stomach upset
Systemic reaction (other): A little loss of control of some words in thinking. Not sure if it''s the vaccine or tylenol and i take opioids for pain management
Release 7 — day 7, dose 2
Systemic reaction (other): A little mental or thinking un easyness wandering thoughts
Release 7 — day 14, dose 2
Symptoms: Mood changes. About a week after my second vaccine, I had mental Health concerns. Words that I don't use, profanities, in thought only during times of my prayers and thinking on other issues. Very concerning and distressing. Also just low feeling cut off by CDC
Healthcare visit (other): I called and spoke with my pharmacist to see if any of the regular medications that I take could be one of the causes. I take percocet and xtampza for chronic pain.
Release 8 — day 21, dose 2
Symptoms: I have ringing in my ear ,left ear very bad.Some changes in my moods.A little foggy as well.
Healthcare visit (other): Appointment with my primary care physician. He is doing a full work up
Release 8 — day 42, dose 2
Symptoms: Ringing in my left ear. Going to the Doctors tomorrow. Had a physical. INTRUSIVE THOUGHTS!THIS HAPPENED LONG AGO WHEN I WAS TAKING 800 MILLIGRAMS OF IBUPROFEN. 3 OR 4 TIMES A DAY
Healthcare visit (other): Primary care physician. Tomorrow i will see an ear nose throat Dr.for ringing in my ear
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): A little foggy
Systemic reaction (other): Foggy and flushed
Release 12 — day 14, dose 4
Symptoms: More nauseous a few days
Release 12 — day 35, dose 4
Symptoms: Body aches. However I got the regular flu shot appomoxity 4 weeks after the BOOSTER
Release 12 — day 42, dose 4
Symptoms: Overall feeling of not feeling well Stomach upset, a little nausea Tired. Just not feeling well
Release 12 — 3 months, dose 4
Symptoms: Upset stomach a lot, a little bit of weakness. A little trouble sleeping, not to much
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Tinnitus | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Emotional distress | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Mood altered | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Nodule | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Aphasia | ✓ | ✓ | ✓ |
| SRO | Bradykinesia | ✓ | ✓ | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Energy increased | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Mental impairment | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Thinking abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release