YE5-30701-41435
3 vaccinations
5 coded responses
23 check-ins
5 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 480 / MI
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Dose 1 — Pfizer-BioNTech
-
2021-04-05
Registered in v-safe
- 2021-04-05
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2021-04-10
Dose 2 — Pfizer-BioNTech
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2021-04-10
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tirednessAdult check-in
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-26
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-07-10
-
2021-09-18
Dose 3 — Pfizer-BioNTech
-
2021-10-09
Survey response — 6 months, dose 2MedDRA: Condition aggravated, Incarcerated hernia, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Recurring Hypothyroidism (after 25 years); and Post surgical incarcerated hernia. None of which are COVID-19 related. I will have to get COVID-19 tested before my upcoming surgery that hasn't been scheduled yet. Thank you for keeping us safe. · Healthcare visit (other): Dr's OfficeMedDRA releases: 2024-11 · check-in free text available
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2021-10-09
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-10-10
Survey response — day 21, dose 3MedDRA: Condition aggravated, Headache, Oropharyngeal pain, Pre-existing disease, Self-medication, Throat irritation — Feeling: GoodFree text: I usually have eyeball aches because of Uveitis, but I have been having a headache and more severe eye ache where I've had to take an Ibuprofen 400 mg. I had an itchy and mild sore throat, but I've been taking my allergy medication Cetirizine.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-16
- 2021-10-23
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2021-10-30
Survey response — day 42, dose 3MedDRA: Abdominal operation, Abdominal pain, Hernia pain, Hypersensitivity, Pre-existing disease, SARS-CoV-2 test — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Yes. Abdominal/Herniated pain for which I have to have surgery 11/9/21, and increased allergy symptoms for which I have meds for. I go in for Pre-Surgical COVID-19 Testing on 11/06/21.MedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-11-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-12-18
Survey response — 3 months, dose 3MedDRA: Headache, Oropharyngeal pain, Self-medication, Unevaluable event — 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 consultationFree text: * Sore throat and slight headache. Taking allergy meds and waiting to see if it's allergy-related). * Pre-surgical and post-surgical issues (non-Covid-19 related).MedDRA releases: 2024-11 · check-in free text available
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2021-12-18
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-12-21
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2022-03-19
Survey response — 6 months, dose 3MedDRA: Back injury, Hospitalisation — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, HospitalizationFree text: I sustained a back injury February 14, 2022, which I had to be hospitalized for.MedDRA releases: 2024-11 · check-in free text available
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2022-03-19
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
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2022-03-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-09-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Pfizer-BioNTech | |
| 2 | 2021-04-10 | Pfizer-BioNTech | |
| 3 | 2021-09-18 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-09 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-10-30 | Successful 2021-11-12 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-12-18 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-03-19 | Successful 2022-03-24 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 10 — 6 months, dose 2
Symptoms: Recurring Hypothyroidism (after 25 years); and Post surgical incarcerated hernia. None of which are COVID-19 related. I will have to get COVID-19 tested before my upcoming surgery that hasn't been scheduled yet. Thank you for keeping us safe.
Healthcare visit (other): Dr's Office
Release 10 — day 21, dose 3
Symptoms: I usually have eyeball aches because of Uveitis, but I have been having a headache and more severe eye ache where I've had to take an Ibuprofen 400 mg. I had an itchy and mild sore throat, but I've been taking my allergy medication Cetirizine.
Release 10 — day 42, dose 3
Symptoms: Yes. Abdominal/Herniated pain for which I have to have surgery 11/9/21, and increased allergy symptoms for which I have meds for. I go in for Pre-Surgical COVID-19 Testing on 11/06/21.
Release 10 — 3 months, dose 3
Symptoms: * Sore throat and slight headache. Taking allergy meds and waiting to see if it's allergy-related). * Pre-surgical and post-surgical issues (non-Covid-19 related).
Release 11 — 6 months, dose 3
Symptoms: I sustained a back injury February 14, 2022, which I had to be hospitalized for.
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 | Office visit | · | · | ✓ |
| SD | Abdominal operation | · | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Back injury | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hernia pain | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Incarcerated hernia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release