YAB-66787-88411
5 vaccinations
2 coded responses
3 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 402 / KY
- Registered
- 2022-04-08
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-02-27
Dose 1 — Pfizer-BioNTech
-
2021-03-20
Dose 2 — Pfizer-BioNTech
-
2021-10-28
Dose 3 — Pfizer-BioNTechCo-administered: Shingles
-
2022-04-08
Registered in v-safe
-
2022-05-20
Dose 4 — Pfizer-BioNTechCo-administered: Shingles
-
2022-09-26
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-29
Survey response — day 28, dose 5MedDRA: Asthenia, Depression, Diarrhoea, Nausea, Patient isolation, Weight decreased — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Depression, Diarrhea, Nausea, Weakness, Isolation, Nausea, Weight loss from 185-128 since spouse died suddenly 3/23/2021. But there's a lot to do. He saved a lot.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-29
Survey response — 12 months, dose 3MedDRA: Asthenia, Depression, Diarrhoea, Fatigue, Malaise, Nausea, Weight decreased — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Diarrhea, nausea, weight loss, depression, exhaustion but my spouse dropped dead 3/23/2021 after 37 years of marriage and 39 years together. Got very ill for 2-3 weeks when they gave me the flu shot & booster together. R boosters gonna b fatal? · Healthcare visit (other): None too weakMedDRA releases: 2024-11 · check-in free text available
-
2022-10-29
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-11-01
-
2022-11-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-12-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Pfizer-BioNTech | No |
| 2 | 2021-03-20 | Pfizer-BioNTech | No |
| 3 | 2021-10-28 | Pfizer-BioNTech | Shingles |
| 4 | 2022-05-20 | Pfizer-BioNTech | Shingles |
| 5 | 2022-09-26 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-29 | Successful 2022-11-01 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 — 12 months, dose 3
Symptoms: Diarrhea, nausea, weight loss, depression, exhaustion but my spouse dropped dead 3/23/2021 after 37 years of marriage and 39 years together. Got very ill for 2-3 weeks when they gave me the flu shot & booster together. R boosters gonna b fatal?
Healthcare visit (other): None too weak
Release 12 — day 28, dose 5
Symptoms: Depression, Diarrhea, Nausea, Weakness, Isolation, Nausea, Weight loss from 185-128 since spouse died suddenly 3/23/2021. But there's a lot to do. He saved a lot.
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 | Asthenia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Patient isolation | · | · | ✓ |
| SD | Weight decreased | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release