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YE7-20914-10406

3 vaccinations 4 coded responses 7 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
803 / CO
Registered
2021-10-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-22
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-12
    Dose 2 — Pfizer-BioNTech
  3. 2021-10-05
    Registered in v-safe
  4. 2021-10-05
    Dose 3 — Pfizer-BioNTech
  5. 2021-10-05
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-10-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  7. 2021-10-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Fatigue, Injection site pain — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Injection site pain anjection site pain and fatigue are much improved from yesterday
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-10-19
    Survey response — day 14, dose 3
    MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Slightly off balance but I think this started prior to vaccine
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-10-19
    Report sent to call center — day 14, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  10. 2021-10-22
  11. 2021-10-27
    Survey response — day 21, dose 3
    MedDRA: Cough, Exposure to communicable disease, Fatigue, Impaired work ability, Pain, Pyrexia, SARS-CoV-2 test — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Onset 3 days ago : Fatigue, body aches dry cough, mild fever: air travel prior to onset w exposure to young grandchildren with URI. covid test today. Had flu vaccine.borderline "unable to attend work"
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-11-02
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  13. 2021-11-16
    Survey response — day 42, dose 3
    MedDRA: Exposure to SARS-CoV-2, Fatigue, Headache, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Symptoms: Headache fatigue sore throat fever pos covid test yesterday after exposure · Healthcare visit (other): Ab infusion
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-11-16
    Report sent to call center — day 42, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  15. 2021-11-17
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12020-12-22Pfizer-BioNTech No
22021-01-12Pfizer-BioNTech No
32021-10-05Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-10-19 Successful Does not wish to fill out VAERS report
2021-11-16 Successful
2021-11-17
Does not wish to fill out VAERS report

Free text

Release 10 — days 1–6 daily, dose 3

2021-10-07

Systemic reaction (other): Injection site pain anjection site pain and fatigue are much improved from yesterday

Release 10 — day 14, dose 3

2021-10-19

Symptoms: Slightly off balance but I think this started prior to vaccine

Release 10 — day 21, dose 3

2021-10-27

Symptoms: Onset 3 days ago : Fatigue, body aches dry cough, mild fever: air travel prior to onset w exposure to young grandchildren with URI. covid test today. Had flu vaccine.borderline "unable to attend work"

Release 10 — day 42, dose 3

2021-11-16

Symptoms: Headache fatigue sore throat fever pos covid test yesterday after exposure
Healthcare visit (other): Ab infusion

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
HCVOUnevaluable event · · ✓
SDCough · · ✓
SDExposure to communicable disease · · ✓
SDExposure to SARS-CoV-2 · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDImpaired work ability · · ✓
SDOropharyngeal pain · · ✓
SDPain · · ✓
SDPre-existing disease · · ✓
SDPyrexia · · ✓
SDSARS-CoV-2 test · · ✓
SDSARS-CoV-2 test positive · · ✓
SROFatigue · · ✓
SROInjection site pain · · ✓

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