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
-
2021-02-03
Dose 1 — Pfizer-BioNTech
-
2021-02-24
Registered in v-safe
-
2021-02-24
Dose 2 — Pfizer-BioNTech
- 2021-02-24
- 2021-02-25
- 2021-02-26
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain — Feeling: GoodFree text: moderate eyeball painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
-
2021-03-19
Survey response — day 21, dose 2MedDRA: Headache, Hypertension, Palpitations — Feeling: Fair · Be unable to do your normal daily activitiesFree text: pounding feeling of my heartbeat. higher blood pressure. mild headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
-
2021-03-31
Survey response — day 35, dose 2MedDRA: Dysgeusia, Nausea, Vomiting — Feeling: GoodFree 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
- 2021-04-07
-
2021-05-28
Survey response — 3 months, dose 2MedDRA: Dyspnoea, Rash, Rash erythematous, Rash papular — Feeling: GoodFree text: raised red bumps on kneesoccasional labored breathing if going for a walkMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-27
-
2022-02-24
Survey response — 12 months, dose 2MedDRA: Dysphagia, Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Trouble swallowing on occasion High blood pressure on occasionMedDRA releases: 2024-11 · check-in free text available
-
2022-02-24
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-02-28
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Pfizer-BioNTech | |
| 2 | 2021-02-24 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-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
Systemic reaction (other): moderate eyeball pain
Release 5 — day 21, dose 2
Symptoms: pounding feeling of my heartbeat. higher blood pressure. mild headache.
Release 6 — day 35, dose 2
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
Symptoms: raised red bumps on kneesoccasional labored breathing if going for a walk
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Dysgeusia | ✓ | ✓ | ✓ |
| SD | Dysphagia | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release