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Y9S-19721-35652

2 vaccinations 5 coded responses 15 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
605 / IL
Registered
2021-02-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-03
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-24
    Registered in v-safe
  3. 2021-02-24
    Dose 2 — Pfizer-BioNTech
  4. 2021-02-24
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Eye pain — Feeling: Good
    Free text: moderate eyeball pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-03
    Health check-in — day 7, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  11. 2021-03-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-19
    Survey response — day 21, dose 2
    MedDRA: Headache, Hypertension, Palpitations — Feeling: Fair · Be unable to do your normal daily activities
    Free text: pounding feeling of my heartbeat. higher blood pressure. mild headache.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-31
    Survey response — day 35, dose 2
    MedDRA: Dysgeusia, Nausea, Vomiting — Feeling: Good
    Free text: nausea (queasiness) from Saturday morning 3/27 to Monday night 3/29.vomiting one time - Saturday morning 3/27much food tastes funny (odd) to me, but I can still TASTE it. I have not LOST my sense of taste.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-28
    Survey response — 3 months, dose 2
    MedDRA: Dyspnoea, Rash, Rash erythematous, Rash papular — Feeling: Good
    Free text: raised red bumps on kneesoccasional labored breathing if going for a walk
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-08-27
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  18. 2022-02-24
    Survey response — 12 months, dose 2
    MedDRA: Dysphagia, Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Trouble swallowing on occasion High blood pressure on occasion
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-02-24
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  20. 2022-02-28
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-02-03Pfizer-BioNTech
22021-02-24Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2022-02-24 Successful
2022-02-28
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): moderate eyeball pain

Release 5 — day 21, dose 2

2021-03-19

Symptoms: pounding feeling of my heartbeat. higher blood pressure. mild headache.

Release 6 — day 35, dose 2

2021-03-31

Symptoms: nausea (queasiness) from Saturday morning 3/27 to Monday night 3/29.vomiting one time - Saturday morning 3/27much food tastes funny (odd) to me, but I can still TASTE it. I have not LOST my sense of taste.

Release 8 — 3 months, dose 2

2021-05-28

Symptoms: raised red bumps on kneesoccasional labored breathing if going for a walk

Release 11 — 12 months, dose 2

2022-02-24

Symptoms: Trouble swallowing on occasion High blood pressure on occasion

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

FieldPreferred term2021-092023-042024-11
SDDysgeusia ✓ ✓ ✓
SDDysphagia · · ✓
SDDyspnoea ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHypertension ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPalpitations ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash erythematous ✓ ✓ ✓
SDRash papular ✓ ✓ ✓
SDVomiting ✓ ✓ ✓
SROEye pain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release