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YCT-55681-78897

2 vaccinations 5 coded responses 13 check-ins 5 free-text entries 3 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
688 / NE
Registered
2021-03-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-25
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-04
    Registered in v-safe
  3. 2021-03-04
    Health check-in — day 7, dose 1
    Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-03-14
    Survey response — day 14, dose 1
    MedDRA: Abdominal pain, Abdominal pain lower, Back pain, Computerised tomogram abnormal, Emergency care, Thoracic vertebral fracture — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Continued back and lower right side abdominal pain. ER visit, CT scan showed fractured T-12 vertebrae. Nothing related to vaccination.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-14
    Report sent to call center — day 14, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-03-19
    Dose 2 — Pfizer-BioNTech
  7. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  8. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  10. 2021-04-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-09
    Survey response — day 21, dose 2
    MedDRA: Back pain, Bloody discharge, Chest pain, Cough, Headache, Increased viscosity of upper respiratory secretion, Musculoskeletal chest pain, Nasal congestion, Oxygen therapy, Paranasal sinus discomfort, Productive cough, Pulmonary pain, Rhinorrhoea, Sputum discoloured, Wheezing — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Sinus pressure, nasal congestion, blowing my nose all the time. Bloody yellow-green gunk. I'm coughing and wheezing bringing up a thick yellow-green phlegm. Headache, ribs, chest, lungs, back hurt especially when coughing. I'm on 3L O². Need Dr ASAP
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-19
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-04-23
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-04-30
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-25
    Survey response — 3 months, dose 2
    MedDRA: Chest discomfort, Chest pain, Fluid retention — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Retaining lots of water from my knees to my toes. I have constant pressure and pain in my chest when I stoop over, walk faster than usual or carry even a couple of lbs.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-25
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-06-28
  18. 2021-09-17
    Survey response — 6 months, dose 2
    MedDRA: Abdominal pain, Headache, Vomiting — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Headaches, abdominal pain and occasional vomiting.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-12-02
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  20. 2022-03-20
    Survey response — 12 months, dose 2
    MedDRA: Chest pain, Dyspnoea — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: More difficulty breathing and chest discomfort when walking my dog a moderate distance and also bending over doing yard work and tending to my flowers.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-03-20
    Report sent to call center — 12 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  22. 2022-03-22

Vaccinations

DoseDateManufacturerCo-administered
12021-02-25Pfizer-BioNTech
22021-03-19Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-03-14 Successful Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-06-25 Successful
2021-12-02
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-20 Unsuccessful

Free text

Release 5 — day 14, dose 1

2021-03-14

Symptoms: Continued back and lower right side abdominal pain. ER visit, CT scan showed fractured T-12 vertebrae. Nothing related to vaccination.

Release 7 — day 21, dose 2

2021-04-09

Symptoms: Sinus pressure, nasal congestion, blowing my nose all the time. Bloody yellow-green gunk. I'm coughing and wheezing bringing up a thick yellow-green phlegm. Headache, ribs, chest, lungs, back hurt especially when coughing. I'm on 3L O². Need Dr ASAP cut off by CDC

Release 9 — 3 months, dose 2

2021-06-25

Symptoms: Retaining lots of water from my knees to my toes. I have constant pressure and pain in my chest when I stoop over, walk faster than usual or carry even a couple of lbs.

Release 9 — 6 months, dose 2

2021-09-17

Symptoms: Headaches, abdominal pain and occasional vomiting.

Release 11 — 12 months, dose 2

2022-03-20

Symptoms: More difficulty breathing and chest discomfort when walking my dog a moderate distance and also bending over doing yard work and tending to my flowers.

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

FieldPreferred term2021-092023-042024-11
SDAbdominal pain ✓ ✓ ✓
SDAbdominal pain lower ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDBloody discharge · · ✓
SDChest discomfort ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDComputerised tomogram abnormal ✓ ✓ ✓
SDCough ✓ ✓ ○
SDDyspnoea · · ✓
SDEmergency care ✓ ✓ ✓
SDFluid retention ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDIncreased viscosity of upper respiratory secretion · · ✓
SDMusculoskeletal chest pain ✓ ✓ ✓
SDNasal congestion ✓ ✓ ✓
SDOxygen therapy · · ✓
SDParanasal sinus discomfort ✓ ✓ ✓
SDProductive cough ✓ ✓ ✓
SDPulmonary pain ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSputum discoloured · · ✓
SDThoracic vertebral fracture ✓ ✓ ✓
SDVomiting · · ✓
SDWheezing ✓ ✓ ✓

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