YAD-91469-90826
2 vaccinations
4 coded responses
22 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 917 / CA
- Registered
- 2020-12-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-17
Registered in v-safe
-
2020-12-17
Dose 1 — Pfizer-BioNTech
- 2020-12-17
- 2020-12-18
-
2020-12-19
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Low back acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-20
- 2020-12-21
- 2020-12-22
- 2020-12-23
- 2020-12-26
- 2020-12-31
-
2021-01-04
Dose 2 — Pfizer-BioNTech
-
2021-01-07
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Chills, Dizziness, Headache, Nausea, Pain, Pyrexia — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to workFree text: January and January 6 I had severe symptoms of fever joint pain chills bodyaches joint pain nausea headache and dizziness. This was the second and third day after my second dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-07
-
2021-01-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea · Be unable to workAdult check-in
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-18
- 2021-01-25
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-04-05
-
2021-07-05
Survey response — 6 months, dose 2MedDRA: Adverse reaction, Chest pain, Visual impairment — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Mammogram suspicion, had to have biopsy, Also chest pain and visual disturbance, had a stress test.everything negative. Maybe related to high stress levels · Healthcare visit (other): See change in health conditionsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-05
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-08
-
2021-07-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-01-04
Survey response — 12 months, dose 2MedDRA: Fatigue, Parosmia — Feeling: GoodFree text: Unusual fatigue and increased sense of smellMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-17 | Pfizer-BioNTech | |
| 2 | 2021-01-04 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-07 | priority 2/3 | |
| 2021-01-08 | priority 2/3 | |
| 2021-07-05 | Successful 2021-07-08 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Low back ache
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): January and January 6 I had severe symptoms of fever joint pain chills bodyaches joint pain nausea headache and dizziness. This was the second and third day after my second dose.
Release 9 — 6 months, dose 2
Symptoms: Mammogram suspicion, had to have biopsy, Also chest pain and visual disturbance, had a stress test.everything negative. Maybe related to high stress levels
Healthcare visit (other): See change in health conditions
Release 10 — 12 months, dose 2
Symptoms: Unusual fatigue and increased sense of smell
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 | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Parosmia | · | · | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release