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YD5-11603-20615

4 vaccinations 4 coded responses 36 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
028 / RI
Registered
2021-04-01
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-31
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-01
    Registered in v-safe
  3. 2021-04-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest discomfort — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Nausea
    Free text: On the day of vaccination I felt a warm feeling from my right shoulder to my chest like I had an IV on running thru my vein of my chest only lasted around 1 min. I was got up the middle of night confused thinking I had my reading glasses on and I was making the gesture of removing my glasses over and over again when I didnt have them on.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal pain upper, Lethargy — Feeling: Fair · Fatigue or tiredness
    Free text: I still have mild stomach like cramps symptoms and I feel lethargic.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-21
    Dose 2 — Pfizer-BioNTech
  9. 2021-04-21
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  10. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-28
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-07-21
    Survey response — 3 months, dose 2
    MedDRA: Anaemia, Bone density decreased, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Anemic and loss bone density · Healthcare visit (other): Doctors visit to office
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-07-21
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-07-27
  24. 2021-08-06
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  25. 2021-10-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-12
    Dose 3 — Pfizer-BioNTech
  27. 2022-04-21
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-05-15
    Dose 4 — Pfizer-BioNTech
  29. 2022-05-15
    Health check-in — day 0, dose 4
    Feeling: Good · None
    Adult check-in
  30. 2022-05-16
    Survey response — days 1–6 daily, dose 4
    MedDRA: Fatigue — Feeling: Good · Site: Pain, Swelling
    Free text: Tired
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-05-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  32. 2022-05-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  33. 2022-05-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  34. 2022-05-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  35. 2022-05-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  36. 2022-05-22
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  37. 2022-05-29
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-06-05
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-06-14
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-06-19
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-06-28
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-08-14
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-11-13
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  44. 2023-05-15
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Pfizer-BioNTech
22021-04-21Pfizer-BioNTech
32021-11-12Pfizer-BioNTech No
42022-05-15Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-07-21 Successful
2021-08-06
 Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): On the day of vaccination I felt a warm feeling from my right shoulder to my chest like I had an IV on running thru my vein of my chest only lasted around 1 min. I was got up the middle of night confused thinking I had my reading glasses on and I was making the gesture of removing my glasses over and over again when I didnt have them on.

2021-04-02

Systemic reaction (other): I still have mild stomach like cramps symptoms and I feel lethargic.

Release 9 — 3 months, dose 2

2021-07-21

Symptoms: Anemic and loss bone density
Healthcare visit (other): Doctors visit to office

Release 11 — days 1–6 daily, dose 4

2022-05-16

Systemic reaction (other): Tired

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
HCVOOffice visit · · ✓
SDAnaemia · · ✓
SDBone density decreased · · ✓
SROAbdominal pain upper ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROFatigue · · ✓
SROLethargy ✓ ✓ ✓

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

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