YCS-52941-91341
4 vaccinations
10 coded responses
36 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 229 / VA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Pfizer-BioNTech
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-27
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Pfizer-BioNTech
- 2021-02-11
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Stress — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Fatigue may be due to stress from other thingsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-14
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Fatigue is much better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-08-12
-
2021-11-30
Dose 3 — Pfizer-BioNTech
- 2022-02-11
-
2022-04-22
Dose 4 — Pfizer-BioNTech
-
2022-04-22
Survey response — day 0, dose 4MedDRA: Abdominal pain — Feeling: Good · Site: Pain · Abdominal painFree text: The abdominal pain came four days after the booster and is probably not related to it.MedDRA releases: 2024-11 · check-in free text available
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2022-04-24
Survey response — days 1–6 daily, dose 4MedDRA: Abdominal pain, Constipation, Faeces soft, Gastrointestinal sounds abnormal — Feeling: GoodFree text: I got the second booster shot on a Wednesday. I felt abdominal pains and rumblings on the following Monday. Monday through Saturday I stayed on a soft diet, had soft BMs. And feeling no pain today but I am very constipated.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-25
Survey response — days 1–6 daily, dose 4MedDRA: Abdominal pain lower, Constipation, Gastrointestinal sounds abnormal — Feeling: Fair · Site: Pain · Abdominal painFree text: Still feeling the rumblings and pain in my lower gut. No BM. I am going to call my primary care physician because it has been going on for more than a week.MedDRA releases: 2024-11 · check-in free text available
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2022-04-26
Survey response — days 1–6 daily, dose 4MedDRA: Abdominal pain, Gastrointestinal sounds abnormal, Unevaluable event — Feeling: Good · Abdominal pain · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I have been on a soft diet, had my first BM in 5 days and fewer abdominal pains and rumblings. Better today. · Healthcare visit (other): I called my doctor yesterday but canceled it today before she could return it.MedDRA releases: 2024-11 · check-in free text available
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2022-04-26
Report sent to call center — days 1–6 daily, dose 4Get care from a doctor or other healthcare professional1 call case(s)
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2022-04-27
Survey response — days 1–6 daily, dose 4MedDRA: Bowel movement irregularity — Feeling: GoodFree text: I started a probiotic two days ago to see if I could normalize my BM. It's almost normal but not quite.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-28
-
2022-04-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-04-29
- 2022-05-06
- 2022-05-13
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2022-05-20
Survey response — day 28, dose 4MedDRA: Gastrointestinal pain — Feeling: FairFree text: Lower gut pains again. I don't know if it's connected to the booster shot I had or something else.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-27
- 2022-06-03
- 2022-07-22
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2022-10-21
Survey response — 6 months, dose 4MedDRA: 5q minus syndrome, Anaemia, Myelodysplastic syndrome — Feeling: GoodFree text: I have been diagnosed with MDS with 5Q deletion and anemia. I will soon start taking Lenalidomide.MedDRA releases: 2024-11 · check-in free text available
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2023-04-22
Survey response — 12 months, dose 4MedDRA: Cardiac failure, Cardiac pacemaker insertion — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Pfizer-BioNTech | |
| 2 | 2021-02-11 | Pfizer-BioNTech | |
| 3 | 2021-11-30 | Pfizer-BioNTech | No |
| 4 | 2022-04-22 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-26 | Successful 2022-04-28 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Fatigue may be due to stress from other things
Systemic reaction (other): Fatigue is much better today.
Release 11 — day 0, dose 4
Systemic reaction (other): The abdominal pain came four days after the booster and is probably not related to it.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I got the second booster shot on a Wednesday. I felt abdominal pains and rumblings on the following Monday. Monday through Saturday I stayed on a soft diet, had soft BMs. And feeling no pain today but I am very constipated.
Systemic reaction (other): Still feeling the rumblings and pain in my lower gut. No BM. I am going to call my primary care physician because it has been going on for more than a week.
Systemic reaction (other): I have been on a soft diet, had my first BM in 5 days and fewer abdominal pains and rumblings. Better today.
Healthcare visit (other): I called my doctor yesterday but canceled it today before she could return it.
Systemic reaction (other): I started a probiotic two days ago to see if I could normalize my BM. It's almost normal but not quite.
Release 11 — day 28, dose 4
Symptoms: Lower gut pains again. I don't know if it's connected to the booster shot I had or something else.
Release 12 — 6 months, dose 4
Symptoms: I have been diagnosed with MDS with 5Q deletion and anemia. I will soon start taking Lenalidomide.
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 | 5q minus syndrome | · | · | ✓ |
| SD | Anaemia | · | · | ✓ |
| SD | Cardiac failure | · | · | ✓ |
| SD | Cardiac pacemaker insertion | · | · | ✓ |
| SD | Gastrointestinal pain | · | · | ✓ |
| SD | Myelodysplastic syndrome | · | · | ✓ |
| SRO | Abdominal pain | · | · | ✓ |
| SRO | Abdominal pain lower | · | · | ✓ |
| SRO | Bowel movement irregularity | · | · | ✓ |
| SRO | Constipation | · | · | ✓ |
| SRO | Faeces soft | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Gastrointestinal sounds abnormal | · | · | ✓ |
| SRO | Stress | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release