YDS-29214-13959
3 vaccinations
6 coded responses
39 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 975 / OR
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Pfizer-BioNTech
-
2021-01-23
Registered in v-safe
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
-
2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Body temperature increased — Feeling: Good · Fever · Chills, HeadacheFree text: My normal temp is 97.6. Yesterday it was 98.6 and today 99MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Fever · DiarrheaFree text: My normal temp is 97.6 so thats why my 98.7 is above averageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-02-05
-
2021-02-12
Dose 2 — Pfizer-BioNTech
- 2021-02-12
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, DiarrheaFree text: The symptoms were worse last night (day of shot) but I had already filled in report. I am much better now at 4:30pmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-03-26
Survey response — day 42, dose 2MedDRA: Pre-existing disease, Unevaluable event — 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 visitFree text: Symptoms: I have had vertigo but I do not think it is related to my vaccination. I have had it previously · Healthcare visit (other): (b)(6) from PTMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-14
- 2021-08-13
-
2021-08-26
Dose 3 — Pfizer-BioNTech
- 2021-08-26
-
2021-08-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-08-28
Survey response — days 1–6 daily, dose 3MedDRA: Mobility decreased, Muscle strain, Myalgia — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My quad muscles were exceptionally sore yesterday after I checked in. I could barely squat down to sit. They are sore today but not strained like yesterdayMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-29
-
2021-08-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-08-31
- 2021-09-01
- 2021-09-02
- 2021-09-09
- 2021-09-16
- 2021-09-23
- 2021-09-30
- 2021-10-07
- 2021-11-25
- 2022-02-24
-
2022-03-09
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-08-26
Survey response — 12 months, dose 3MedDRA: Blood pressure increased, Vertigo — 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, Emergency room or emergency department visitFree text: Vertigo blood pressure over 200MedDRA releases: 2024-11 · check-in free text available
-
2022-08-26
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-08-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Pfizer-BioNTech | |
| 2 | 2021-02-12 | Pfizer-BioNTech | |
| 3 | 2021-08-26 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-26 | Successful 2022-03-09 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-08-26 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): My normal temp is 97.6. Yesterday it was 98.6 and today 99
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): My normal temp is 97.6 so thats why my 98.7 is above average
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): The symptoms were worse last night (day of shot) but I had already filled in report. I am much better now at 4:30pm
Release 6 — day 42, dose 2
Symptoms: I have had vertigo but I do not think it is related to my vaccination. I have had it previously
Healthcare visit (other): (b)(6) from PT
redacted (b)(6)
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): My quad muscles were exceptionally sore yesterday after I checked in. I could barely squat down to sit. They are sore today but not strained like yesterday
Release 12 — 12 months, dose 3
Symptoms: Vertigo blood pressure over 200
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 | Blood pressure increased | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | · | ✓ |
| SRO | Muscle strain | ✓ | · | ✓ |
| SRO | Myalgia | ✓ | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release