YCD-10457-72906

3 vaccinations 10 coded responses 25 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 100 / NY
Registered: 2021-01-20

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-20
Registered in v-safe
2021-01-20
Dose 1 — Pfizer-BioNTech
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Productive cough — Feeling: Fair · Chills, Muscle or body aches

Free text: Shortness of breath and asthma-like wet cough and couldnt breathe through my nose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Good · Muscle or body aches

Free text: Just neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-27
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-03
Survey response — day 14, dose 1
MedDRA: Contusion, Medical observation, Parosmia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Bad bruises on my leg. Saw the doctor for blood tests. Also constantly smell blood when there is no blood.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-09
Dose 2 — Pfizer-BioNTech
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain — Feeling: Fair · Site: Pain

Free text: Slight chest pain

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

Free text: Slight headache intermittent, but having nervous/anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Survey response — day 14, dose 2
MedDRA: Chest pain, Pain in extremity — Feeling: Good

Free text: Sometimes leg pain and sometimes slight chest pain but nothing major just noticeable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 21, dose 2
MedDRA: Neck pain, Pain in jaw — Feeling: Fair

Free text: Pain in the left side of my neck under the jawline. Its not too bad but noticeable off and on.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-16
Survey response — day 35, dose 2
MedDRA: Dry skin — Feeling: Good

Free text: Excessive dry skin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-22
Call 2 — Left Voicemail
2021-08-10
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-10
Survey response — 12 months, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pain in right leg daily

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-14
Call 1 — Left Voicemail
2022-02-18
Dose 3 — Pfizer-BioNTech
2022-05-20
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-08-19
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-02-18
Survey response — 12 months, dose 3
MedDRA: COVID-19, Influenza — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-02-18
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2023-02-20
Call 1 — Left Voicemail
2023-02-20
Call 2 — Left Voicemail
2023-02-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Pfizer-BioNTech
2	2021-02-09	Pfizer-BioNTech
3	2022-02-18	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-03	Unsuccessful
2022-02-10	Unsuccessful
2023-02-18	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): Shortness of breath and asthma-like wet cough and couldnt breathe through my nose.

2021-01-25

Systemic reaction (other): Just neck pain

Release 3 — day 14, dose 1

2021-02-03

Symptoms: Bad bruises on my leg. Saw the doctor for blood tests. Also constantly smell blood when there is no blood.

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Slight chest pain

2021-02-11

Systemic reaction (other): Slight headache intermittent, but having nervous/anxiety

Release 4 — day 14, dose 2

2021-02-23

Symptoms: Sometimes leg pain and sometimes slight chest pain but nothing major just noticeable.

Release 5 — day 21, dose 2

2021-03-04

Symptoms: Pain in the left side of my neck under the jawline. Its not too bad but noticeable off and on.

Release 5 — day 35, dose 2

2021-03-16

Symptoms: Excessive dry skin

Release 11 — 12 months, dose 2

2022-02-10

Symptoms: Pain in right leg daily

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	Chest pain	✓	✓	✓
SD	Contusion	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dry skin	✓	✓	✓
SD	Influenza	·	·	✓
SD	Medical observation	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Parosmia	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Nervousness	✓	✓	✓
SRO	Productive cough	✓	✓	✓

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