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YCV-14024-61216

4 vaccinations 13 coded responses 54 check-ins 13 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
857 / AZ
Registered
2021-03-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-12
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-13
    Registered in v-safe
  3. 2021-03-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Tremor — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Nausea
    Free text: Temp normal, but feel extremely chilled. To point of shaking at times.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypertension, Pre-existing disease — Feeling: Good · Site: Pain · Headache, Muscle or body aches
    Free text: I have HTN well controlled with lisinopril hctz and metoprolol. BP was 190/92 yesterday evening. 104/72 now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Hyperhidrosis — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Fatigue accompanied by diaphoresis if i do simple chores.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-19
    Survey response — day 7, dose 1
    MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tiredness
    Free text: Have had fatugue since positive covid 19 in dec 2020. No different
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-03
    Dose 2 — Pfizer-BioNTech
  13. 2021-04-03
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches
    Adult check-in
  18. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Migraine, Vertigo — Feeling: Fair · Headache
    Free text: Have had a migraine/vertigo for a few hrs today. Have + history of this - not new
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-10
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Joint pains, Muscle or body aches
    Adult check-in
  21. 2021-04-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-15
    Survey response — day 42, dose 2
    MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Flare in asthma symptoms but not unusual for spring pollens, wind and dust this time of year for me. Would say im using rescue inhaler more often than usual, and getting less relief this year.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-07-03
    Survey response — 3 months, dose 2
    MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Migraine increase over last month or so. Usually only 1 or 2 per year. First week of 6/21 had short duration (30 minute) migraines 4 out of 7 days, and 3 more (including today) since.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-07-03
    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)
  28. 2021-07-07
  29. 2021-07-07
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  30. 2021-10-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2021-10-06
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  32. 2021-10-06
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-10-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  34. 2021-10-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Fatigue, Hypersomnia, Somnolence — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Severe fatigue yesterday. Slept all day.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-10-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-10-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  37. 2021-10-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-10-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  39. 2021-10-13
    Survey response — day 7, dose 3
    MedDRA: Pain — Feeling: Good · Joint pains, Muscle or body aches
    Free text: Body aches usual I think due to arthritis
    MedDRA releases: 2024-11 · check-in free text available
  40. 2021-10-20
    Survey response — day 14, dose 3
    MedDRA: Headache — Feeling: Good
    Free text: Daily headaches - possibly sinus/allergy symptoms, but unusual for me.
    MedDRA releases: 2024-11 · check-in free text available
  41. 2021-10-27
    Survey response — day 21, dose 3
    MedDRA: Fatigue, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fatigue back. Recurring since having positive covid in december 2020. Can easily sleep 12 hrs a day.
    MedDRA releases: 2024-11 · check-in free text available
  42. 2021-11-03
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  43. 2021-11-10
    Survey response — day 35, dose 3
    MedDRA: Nasal congestion, Throat irritation — Feeling: Fair
    Free text: Grandson has cold. (Neg covid test yesterday) I usually dont get colds. However, am having increased nasal congestion and scratchy irritated throat tonite. Afebrile. Will monitor.
    MedDRA releases: 2024-11 · check-in free text available
  44. 2021-11-17
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  45. 2022-01-05
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  46. 2022-04-08
    Survey response — 6 months, dose 3
    MedDRA: Migraine — Feeling: Poor · Be unable to do your normal daily activities
    Free text: New diagnosis cluster migraines. Also household currently having sore throat, cough and nasal congestion. Neg covid test.
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-04-23
    Dose 4 — Pfizer-BioNTech
  48. 2022-04-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  49. 2022-04-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  50. 2022-04-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  51. 2022-04-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  52. 2022-04-28
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  53. 2022-04-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  54. 2022-04-30
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  55. 2022-05-07
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  56. 2022-05-14
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-05-21
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  58. 2022-05-28
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  59. 2022-06-04
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  60. 2022-07-23
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  61. 2022-10-22
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  62. 2023-04-23
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-12Pfizer-BioNTech
22021-04-03Pfizer-BioNTech
32021-10-06Pfizer-BioNTech Flu
42022-04-23Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-07-03 Successful
2021-07-07
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Temp normal, but feel extremely chilled. To point of shaking at times.

2021-03-14

Systemic reaction (other): I have HTN well controlled with lisinopril hctz and metoprolol. BP was 190/92 yesterday evening. 104/72 now.

2021-03-15

Systemic reaction (other): Fatigue accompanied by diaphoresis if i do simple chores.

Release 5 — day 7, dose 1

2021-03-19

Systemic reaction (other): Have had fatugue since positive covid 19 in dec 2020. No different

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Have had a migraine/vertigo for a few hrs today. Have + history of this - not new

Release 8 — day 42, dose 2

2021-05-15

Symptoms: Flare in asthma symptoms but not unusual for spring pollens, wind and dust this time of year for me. Would say im using rescue inhaler more often than usual, and getting less relief this year.

Release 9 — 3 months, dose 2

2021-07-03

Symptoms: Migraine increase over last month or so. Usually only 1 or 2 per year. First week of 6/21 had short duration (30 minute) migraines 4 out of 7 days, and 3 more (including today) since.

Release 10 — days 1–6 daily, dose 3

2021-10-08

Systemic reaction (other): Severe fatigue yesterday. Slept all day.

Release 10 — day 7, dose 3

2021-10-13

Systemic reaction (other): Body aches usual I think due to arthritis

Release 10 — day 14, dose 3

2021-10-20

Symptoms: Daily headaches - possibly sinus/allergy symptoms, but unusual for me.

Release 10 — day 21, dose 3

2021-10-27

Symptoms: Fatigue back. Recurring since having positive covid in december 2020. Can easily sleep 12 hrs a day.

Release 10 — day 35, dose 3

2021-11-10

Symptoms: Grandson has cold. (Neg covid test yesterday) I usually dont get colds. However, am having increased nasal congestion and scratchy irritated throat tonite. Afebrile. Will monitor.

Release 11 — 6 months, dose 3

2022-04-08

Symptoms: New diagnosis cluster migraines. Also household currently having sore throat, cough and nasal congestion. Neg covid test.

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
SDAsthma ✓ ✓ ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDMigraine ✓ ✓ ✓
SDNasal congestion · · ✓
SDPre-existing disease ✓ ✓ ✓
SDThroat irritation · · ✓
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROHypersomnia · · ✓
SROHypertension ✓ ✓ ✓
SROMigraine ✓ ✓ ✓
SROPain · · ✓
SROPre-existing disease ✓ ✓ ✓
SROSomnolence · · ✓
SROTremor ✓ ✓ ✓
SROVertigo ✓ ✓ ✓

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