YBX-11094-36179

3 vaccinations 11 coded responses 31 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 974 / OR
Registered: 2021-03-06

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

Timeline

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

2021-02-27
Dose 1 — Pfizer-BioNTech
2021-03-06
Registered in v-safe
2021-03-06
Survey response — day 7, dose 1
MedDRA: Pre-existing disease — Feeling: Fair

Free text: My health conditions present with several of above as usual. So none increased.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-20
Dose 2 — Pfizer-BioNTech
2021-03-20
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Sjogren's syndrome — Feeling: Good · Fatigue or tiredness

Free text: I am usually fatigued because of Sjogrens Syndrome. Yesterday was more. Usual today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness

Free text: Always fatigued. Just have to carry on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Hyperhidrosis — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Joint aches not pain; increased sweating legs at night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-10
Survey response — day 21, dose 2
MedDRA: Office visit, Osteoporosis, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Diagnosed with osteoporosis in spine. Rheumatologist reviewed DEXA scan. Will beginFosomax. · Healthcare visit (other): See second response above.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-24
Survey response — day 35, dose 2
MedDRA: Oral surgery, Osteoporosis, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Recent DEXA scan, osteoporosis diagnosis · Healthcare visit (other): To start alendronate in 2 months after oral dental surgery

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-19
Survey response — 3 months, dose 2
MedDRA: Osteoporosis — Feeling: Fair

Free text: Osteoporosis diagnosis April 27,2021

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-18
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-05
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-12
Survey response — day 14, dose 3
MedDRA: Cough, Fatigue, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor

Free text: Sore throat; occasions of increased fatigue; occasional runny nose; episodes of non productive coughing. NO fever.

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-26
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-02
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-09
Survey response — day 42, dose 3
MedDRA: Cough, Nasopharyngitis, Rhinorrhoea — Feeling: Fair

Free text: Sniffles; slight occasional cough (a cold)

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Survey response — 3 months, dose 3
MedDRA: Atrial fibrillation — Feeling: Poor

Free text: A fib with rapid ventricular response. And today maybe I ate something stomach doesn't like

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Call 1 — Left Voicemail
2022-03-29
Survey response — 6 months, dose 3
MedDRA: Atrial fibrillation, Cardiac failure congestive — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Continues with afib with ventricular response; CHF

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-03-30
Call 1 — Could Not Reach Participant
2022-04-05
Call 2 — Could Not Reach Participant
2022-09-30
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Pfizer-BioNTech
2	2021-03-20	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-10	Unsuccessful
2021-04-24	Unsuccessful
2022-03-29	Unsuccessful

Free text

Release 5 — day 7, dose 1

2021-03-06

Systemic reaction (other): My health conditions present with several of above as usual. So none increased.

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): I am usually fatigued because of Sjogrens Syndrome. Yesterday was more. Usual today.

2021-03-24

Systemic reaction (other): Always fatigued. Just have to carry on

2021-03-25

Systemic reaction (other): Joint aches not pain; increased sweating legs at night

Release 7 — day 21, dose 2

2021-04-10

Symptoms: Diagnosed with osteoporosis in spine. Rheumatologist reviewed DEXA scan. Will beginFosomax.

Healthcare visit (other): See second response above.

Release 7 — day 35, dose 2

2021-04-24

Symptoms: Recent DEXA scan, osteoporosis diagnosis

Healthcare visit (other): To start alendronate in 2 months after oral dental surgery

Release 9 — 3 months, dose 2

2021-06-19

Symptoms: Osteoporosis diagnosis April 27,2021

Release 10 — day 14, dose 3

2021-10-12

Symptoms: Sore throat; occasions of increased fatigue; occasional runny nose; episodes of non productive coughing. NO fever.

Release 10 — day 42, dose 3

2021-11-09

Symptoms: Sniffles; slight occasional cough (a cold)

Release 10 — 3 months, dose 3

2021-12-28

Symptoms: A fib with rapid ventricular response. And today maybe I ate something stomach doesn't like

Release 11 — 6 months, dose 3

2022-03-29

Symptoms: Continues with afib with ventricular response; CHF

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	Oral surgery	✓	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Atrial fibrillation	·	·	✓
SD	Cardiac failure congestive	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Office visit	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Osteoporosis	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sjogren's syndrome	✓	✓	✓

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