Y9J-88732-56666
3 vaccinations
5 coded responses
34 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 194 / PA
- Registered
- 2021-02-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-21
Registered in v-safe
-
2021-02-21
Dose 1 — Pfizer-BioNTech
-
2021-02-21
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-22
- 2021-02-23
-
2021-02-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-08
- 2021-03-14
-
2021-03-15
Dose 2 — Pfizer-BioNTech
-
2021-03-15
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-23
- 2021-03-30
-
2021-04-05
Survey response — day 21, dose 2MedDRA: Burning sensation, Pain, Urticaria — Feeling: Poor · 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: Hives all over my body, a full blown extremely rare at 15 days after the 2nd shot, reaction to the vaccination. My body was fighting the hives, showing up in different spots on my body with extreme pain and burning feeling for about 18 to 24 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Report sent to call center — day 21, 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)
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-06-14
- 2021-06-22
- 2021-06-25
- 2021-09-14
-
2021-12-15
Dose 3 — Pfizer-BioNTech
- 2021-12-16
-
2021-12-19
Survey response — days 1–6 daily, dose 3MedDRA: Urticaria — Feeling: Fair · Site: Pain, Redness, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: HivesMedDRA releases: 2024-11 · check-in free text available
- 2021-12-21
- 2021-12-22
-
2021-12-29
Survey response — day 14, dose 3MedDRA: Urticaria — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Got Hives 4 days after the shotMedDRA releases: 2024-11 · check-in free text available
- 2022-01-05
-
2022-01-12
Survey response — day 28, dose 3MedDRA: Headache, Heavy menstrual bleeding — Feeling: Good · Be unable to do your normal daily activitiesFree text: Period lasting for 7 days with heavier bleeding and daily headaches during that timeMedDRA releases: 2024-11 · check-in free text available
- 2022-01-19
- 2022-01-26
- 2022-03-17
- 2022-06-15
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2022-12-17
Survey response — 12 months, dose 3MedDRA: COVID-19, Cough, Hypersensitivity, Office visit, Pre-existing disease — Feeling: Good · 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 visitFree text: Symptoms: After having Covid19, I had a cough for 2 months due to having asthma and severe allergies. · Healthcare visit (other): Primary Care DoctorMedDRA releases: 2024-11 · check-in free text available
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2022-12-17
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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-12-20
Call successfulDoes not wish to fill out VAERS report
-
2022-12-20
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-21 | Pfizer-BioNTech | |
| 2 | 2021-03-15 | Pfizer-BioNTech | |
| 3 | 2021-12-15 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-05 | Successful 2022-12-20 |
Does not wish to fill out VAERS report |
| 2022-12-17 | Successful 2022-12-20 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 6 — day 21, dose 2
Symptoms: Hives all over my body, a full blown extremely rare at 15 days after the 2nd shot, reaction to the vaccination. My body was fighting the hives, showing up in different spots on my body with extreme pain and burning feeling for about 18 to 24 hours. cut off by CDC
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Hives
Release 10 — day 14, dose 3
Symptoms: Got Hives 4 days after the shot
Release 10 — day 28, dose 3
Symptoms: Period lasting for 7 days with heavier bleeding and daily headaches during that time
Release 12 — 12 months, dose 3
Symptoms: After having Covid19, I had a cough for 2 months due to having asthma and severe allergies.
Healthcare visit (other): Primary Care Doctor
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 | Burning sensation | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Heavy menstrual bleeding | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release