YCA-20531-53313
2 vaccinations
3 coded responses
22 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 191 / PA
- Registered
- 2021-11-23
- Relationship
- Child or adolescent in my care
- Guardian
- JJY-64740-79487
- Race
- N/A
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-23
Registered in v-safe
-
2021-11-23
Dose 1 — Pfizer-BioNTech
- 2021-11-24
-
2021-11-26
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Headache, Nausea, VomitingAdult check-in
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-12-02
- 2021-12-07
- 2021-12-14
-
2021-12-21
Dose 2 — Pfizer-BioNTech
- 2021-12-21
- 2021-12-23
- 2021-12-24
- 2021-12-25
- 2021-12-26
- 2021-12-27
- 2021-12-28
- 2022-01-06
-
2022-01-11
Survey response — day 21, dose 2, dependentMedDRA: Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had 24 hours when she vomitted 4 times, 2 of the 4 times were huge spews of vomit.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-20
Survey response — day 28, dose 2, dependentMedDRA: Abdominal discomfort, SARS-CoV-2 test negative, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: 12 hours of upset stomach, during which she had 3 huge vomits. This had happened 12 hours after her 2nd vaccine, and it happened more recently several days after her family members had covid symptoms. She tested negative for covid.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-25
- 2022-02-01
- 2022-03-24
-
2022-12-21
Survey response — 12 months, dose 2, dependentMedDRA: Abdominal pain upper, Cough, Headache, Influenza, Pain, Pyrexia, Self-medication — Feeling: Good · 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 visitFree text: She had the flu for several days. Her fever peaked at 102.7 on day 2, but went down with tylenol after a few hours, and hovered at 100.1 for a day before returning to normal. Cough, stomach ache, head ache and general pains were also symptoms.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-21
Report sent to call center — 12 months, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-12-22
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-23 | Pfizer-BioNTech | No |
| 2 | 2021-12-21 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-21 | Successful 2022-12-22 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 10 — day 21, dose 2, dependent
Symptoms: Had 24 hours when she vomitted 4 times, 2 of the 4 times were huge spews of vomit.
Release 10 — day 28, dose 2, dependent
Symptoms: 12 hours of upset stomach, during which she had 3 huge vomits. This had happened 12 hours after her 2nd vaccine, and it happened more recently several days after her family members had covid symptoms. She tested negative for covid.
Release 12 — 12 months, dose 2, dependent
Symptoms: She had the flu for several days. Her fever peaked at 102.7 on day 2, but went down with tylenol after a few hours, and hovered at 100.1 for a day before returning to normal. Cough, stomach ache, head ache and general pains were also symptoms.
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 | Abdominal discomfort | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release