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YCY-52888-56327

3 vaccinations 7 coded responses 15 check-ins 7 free-text entries 4 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
917 / CA
Registered
2020-12-20
Relationship
Self
Race
Native Hawaiian or other Pacific Islander
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-20
    Registered in v-safe
  2. 2020-12-20
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2020-12-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  5. 2020-12-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2020-12-26
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  7. 2020-12-27
    Survey response — day 7, dose 1
    MedDRA: Dizziness — Feeling: Fair
    Free text: Dizziness, moderate
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-03
    Survey response — day 14, dose 1
    MedDRA: Chest discomfort, Pre-existing disease, Respiratory tract congestion, Upper-airway cough syndrome — Feeling: Fair
    Free text: I have some chest discomfort that started last night I thought I will go to ER, a little bit now, like a chest congestion type. No fever. Some post nasal drip. Please note I have autoimmune disease.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-11
    Dose 2 — Pfizer-BioNTech
  10. 2021-01-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasal congestion, Upper-airway cough syndrome — Feeling: Good
    Free text: Nasal congestion, post nasal dripping
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-20
    Health check-in — day 7, dose 2
    Feeling: Good · Headache
    Adult check-in
  12. 2021-01-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-02-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-02-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-02-22
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-07-12
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Dry eye, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: intermittent palpitations, bilateral knee pain, dry eyes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-07-12
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-07-19
  20. 2021-09-10
    Dose 3 — Pfizer-BioNTech
  21. 2021-09-28
    Survey response — day 14, dose 3
    MedDRA: Palpitations — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Palpitations one week after receiving the 3rd shot
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-09-28
    Report sent to call center — day 14, dose 3
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  23. 2021-09-29
  24. 2021-10-04
  25. 2021-10-15
    Survey response — day 35, dose 3
    MedDRA: General physical health deterioration — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Overall health is declining, multiple tests being done
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-10-15
    Report sent to call center — day 35, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  27. 2021-10-20

Vaccinations

DoseDateManufacturerCo-administered
12020-12-20Pfizer-BioNTech
22021-01-11Pfizer-BioNTech
32021-09-10Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2020-12-26 priority 2/3
2021-07-12 Unsuccessful
2021-09-28 Unsuccessful
2021-10-15 Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-26

Systemic reaction (other): Dizziness

Release 1 — day 7, dose 1

2020-12-27

Systemic reaction (other): Dizziness, moderate

Release 1 — day 14, dose 1

2021-01-03

Symptoms: I have some chest discomfort that started last night I thought I will go to ER, a little bit now, like a chest congestion type. No fever. Some post nasal drip. Please note I have autoimmune disease.

Release 2 — days 1–6 daily, dose 2

2021-01-15

Systemic reaction (other): Nasal congestion, post nasal dripping

Release 9 — 6 months, dose 2

2021-07-12

Symptoms: intermittent palpitations, bilateral knee pain, dry eyes

Release 9 — day 14, dose 3

2021-09-28

Symptoms: Palpitations one week after receiving the 3rd shot

Release 10 — day 35, dose 3

2021-10-15

Symptoms: Overall health is declining, multiple tests being done

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
SDArthralgia ✓ ✓ ✓
SDChest discomfort ✓ ✓ ✓
SDDry eye ✓ ✓ ✓
SDGeneral physical health deterioration · · ✓
SDPalpitations ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDUpper-airway cough syndrome ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SROUpper-airway cough syndrome ✓ ✓ ✓

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