YDD-27138-90402
4 vaccinations
14 coded responses
55 check-ins
13 free-text entries
8 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 941 / CA
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-22
Registered in v-safe
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2021-01-22
Dose 1 — Pfizer-BioNTech
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2021-01-22
Survey response — day 0, dose 1MedDRA: Paraesthesia oral — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Lips mildly tingly on off for a few hours after injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Abnormal dreams — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Vivid weird dreams last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
- 2021-02-12
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2021-02-13
Dose 2 — Pfizer-BioNTech
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2021-02-13
Health check-in — day 0, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Upset and unsettled stomach.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-05-15
- 2021-08-14
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2021-10-01
Dose 3 — Pfizer-BioNTech
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2021-10-01
Health check-in — day 0, dose 3Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Brain fog — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Brain fogMedDRA releases: 2024-11 · check-in free text available
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2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Injection site urticaria, Urticaria — Feeling: Fair · HeadacheFree text: Hives on torso, back, and near injection site. Not itchy.MedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Urticaria — Feeling: Fair · Headache · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Hives on torso, back, neck.MedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Continuing hives though fading.MedDRA releases: 2024-11 · check-in free text available
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2021-10-05
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-10-06
Survey response — days 1–6 daily, dose 3MedDRA: Pruritus, Urticaria — Feeling: GoodFree text: Broke out on hives day 3 and they are itchyMedDRA releases: 2024-11 · check-in free text available
- 2021-10-07
- 2021-10-08
- 2021-10-08
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2021-10-11
Call successfulParticipant prefers to complete VAERS report online
- 2021-10-15
- 2021-10-22
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2021-10-29
Survey response — day 28, dose 3MedDRA: Cough, Fatigue, Respiratory disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Fatigue. Slight cough. Off breathing.MedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-11-01
- 2021-11-05
- 2021-11-12
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2022-01-02
Survey response — 3 months, dose 3MedDRA: Cough — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Slight on/off cough.MedDRA releases: 2024-11 · check-in free text available
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2022-01-02
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-05
- 2022-04-01
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2022-04-13
Dose 4 — Moderna
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2022-04-14
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2022-04-15
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2022-04-16
Health check-in — days 1–6 daily, dose 4Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2022-04-17
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Itching · Joint pains, Rash, not including the immediate area around the injection siteAdult check-in
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2022-04-18
Health check-in — days 1–6 daily, dose 4Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2022-04-20
- 2022-04-27
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2022-05-04
Survey response — day 21, dose 4MedDRA: Asthenia, Decreased appetite, Dizziness, Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Lightheaded. Mild headaches. Some lost appetite. Lower energy.MedDRA releases: 2024-11 · check-in free text available
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2022-05-04
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-05
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2022-05-11
Survey response — day 28, dose 4MedDRA: Asthenia, Dizziness, Electrocardiogram abnormal, Headache, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Abnormal EKG results. Continue mild headaches or tingling, some lightheadedness, and low energy.MedDRA releases: 2024-11 · check-in free text available
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2022-05-11
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-12
- 2022-05-12
- 2022-05-12
- 2022-05-12
- 2022-05-18
- 2022-05-25
- 2022-07-13
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2022-10-12
Survey response — 6 months, dose 4MedDRA: Unevaluable event, Ventricular extrasystoles — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Have heart PVCs. Started after second booster but took months to diagnose. · Healthcare visit (other): Blood work. EKG. Stress test. MRI. Pet scan. Pulmonary lung test. Echocardiogram. Holster monitor (twice).MedDRA releases: 2024-11 · check-in free text available
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2022-10-12
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-13
- 2022-10-13
- 2022-10-13
- 2022-10-13
- 2022-10-13
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2023-04-13
Survey response — 12 months, dose 4MedDRA: Ankle fracture, Cardiac ablation, Fall, Ligament sprain, Office visit, Tooth disorder, Ventricular extrasystoles — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, HospitalizationMedDRA releases: 2024-11
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2023-04-13
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
- 2023-04-14
- 2023-04-14
- 2023-04-14
- 2023-04-14
- 2023-04-14
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Pfizer-BioNTech | |
| 2 | 2021-02-13 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-04-13 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-04 | Successful | Participant prefers to complete VAERS report online |
| 2021-10-05 | Successful 2021-10-11 |
Participant prefers to complete VAERS report online |
| 2021-10-29 | Unsuccessful | |
| 2022-01-02 | Unsuccessful | |
| 2022-05-04 | Unsuccessful | |
| 2022-05-11 | Unsuccessful | |
| 2022-10-12 | Unsuccessful | |
| 2023-04-13 | Unsuccessful |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Lips mildly tingly on off for a few hours after injection.
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Vivid weird dreams last night
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Upset and unsettled stomach.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Brain fog
Systemic reaction (other): Hives on torso, back, and near injection site. Not itchy.
Systemic reaction (other): Hives on torso, back, neck.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Continuing hives though fading.
Systemic reaction (other): Broke out on hives day 3 and they are itchy
Release 10 — day 28, dose 3
Symptoms: Fatigue. Slight cough. Off breathing.
Release 10 — 3 months, dose 3
Symptoms: Slight on/off cough.
Release 11 — day 21, dose 4
Symptoms: Lightheaded. Mild headaches. Some lost appetite. Lower energy.
Release 11 — day 28, dose 4
Symptoms: Abnormal EKG results. Continue mild headaches or tingling, some lightheadedness, and low energy.
Release 12 — 6 months, dose 4
Symptoms: Have heart PVCs. Started after second booster but took months to diagnose.
Healthcare visit (other): Blood work. EKG. Stress test. MRI. Pet scan. Pulmonary lung test. Echocardiogram. Holster monitor (twice).
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 | Ankle fracture | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Cardiac ablation | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Electrocardiogram abnormal | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Ligament sprain | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | Tooth disorder | · | · | ✓ |
| SD | Ventricular extrasystoles | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Injection site urticaria | · | · | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release