YBG-12035-86375

3 vaccinations 12 coded responses 39 check-ins 12 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 751 / TX
Registered: 2021-03-10

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Pfizer-BioNTech
2021-03-10
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Sinus disorder — Feeling: Fair · Site: Pain

Free text: Fuzzy feeling in head and sinuses, not typical sinus pains.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Dose 2 — Pfizer-BioNTech
2021-03-31
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Mild Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Good

Free text: Forgot to mention YESTERDAY that I had a moment where it seemed difficult to catch my breath for 5-10 minutes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal discomfort — Feeling: Good · Fatigue or tiredness

Free text: Nasal cavities bothering me, but no other sinus issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Survey response — day 14, dose 2
MedDRA: Arthralgia, Headache, Neck pain, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Headache and sore neck on and off die a week or so, sore knees yesterday. Wasnt worried about it until I read an article about blood clots and headaches · Healthcare visit (other): Chiropractor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-04
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site erythema — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Free text: There's a big red spot below the site where I received a flu shot.

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site erythema — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Same redness, though lighter, at flu site below Covid.

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-10
Survey response — days 1–6 daily, dose 3
MedDRA: Headache, Neck pain — Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Onset of headache and neck pains Saturday evening that never abated, even with pain meds. Finally improved some today, but still sore.

MedDRA releases: 2024-11 · check-in free text available
2021-10-11
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-25
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-08
Survey response — day 35, dose 3
MedDRA: Cough, Ear pain, Headache, Nasal congestion, Oropharyngeal pain — Feeling: Fair

Free text: Headache, stuffy nose, cough, sore throat, slight ear ache

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Survey response — day 42, dose 3
MedDRA: Nasal discharge discolouration — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Yellow nasal secretions

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-16
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-04
Survey response — 3 months, dose 3
MedDRA: Cough, Oropharyngeal pain, Upper respiratory tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sore throat, cough, dx URI

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-04
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-06
Survey response — 6 months, dose 3
MedDRA: COVID-19, Influenza — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Covid, flu

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-11
Call 1 — Left Voicemail
2022-04-28
Call successful
Not applicable - Accidental Reporting
2022-10-05
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Pfizer-BioNTech
2	2021-03-31	Pfizer-BioNTech
3	2021-10-04	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-04-14	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-15	Successful 2021-11-16	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-04	Successful 2022-01-04	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-06	Successful 2022-04-28	Not applicable - Accidental Reporting

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Fuzzy feeling in head and sinuses, not typical sinus pains.

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Mild Dizziness

2021-04-02

Systemic reaction (other): Forgot to mention YESTERDAY that I had a moment where it seemed difficult to catch my breath for 5-10 minutes.

2021-04-03

Systemic reaction (other): Nasal cavities bothering me, but no other sinus issues

Release 7 — day 14, dose 2

2021-04-14

Symptoms: Headache and sore neck on and off die a week or so, sore knees yesterday. Wasnt worried about it until I read an article about blood clots and headaches

Healthcare visit (other): Chiropractor

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): There's a big red spot below the site where I received a flu shot.

2021-10-06

Systemic reaction (other): Same redness, though lighter, at flu site below Covid.

2021-10-10

Systemic reaction (other): Onset of headache and neck pains Saturday evening that never abated, even with pain meds. Finally improved some today, but still sore.

Release 10 — day 35, dose 3

2021-11-08

Symptoms: Headache, stuffy nose, cough, sore throat, slight ear ache

Release 10 — day 42, dose 3

2021-11-15

Symptoms: Yellow nasal secretions

Release 10 — 3 months, dose 3

2022-01-04

Symptoms: Sore throat, cough, dx URI

Release 11 — 6 months, dose 3

2022-04-06

Symptoms: Covid, flu

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	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Ear pain	·	·	✓
SD	Headache	✓	✓	✓
SD	Influenza	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasal discharge discolouration	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Injection site erythema	·	·	✓
SRO	Nasal discomfort	✓	✓	✓
SRO	Neck pain	·	·	✓
SRO	Sinus disorder	✓	✓	✓

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