YEE-21461-99546
4 vaccinations
3 coded responses
17 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 452 / OH
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
X98-26302-44657
Adult relative or friend · Male · 2021-10-16
Timeline
-
2021-02-14
Dose 1 — Pfizer-BioNTech
-
2021-03-04
Dose 2 — Pfizer-BioNTech
-
2021-04-03
Registered in v-safe
-
2021-04-03
Survey response — day 28, dose 2MedDRA: Cough, Laryngitis, Throat irritation — Feeling: GoodFree text: Mild throat irritation mild rattly cough for the last five days, had laryngitis two days ago.I do not see where to enter side effects from second vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-15
- 2021-06-04
- 2021-09-02
-
2021-09-25
Dose 3 — Pfizer-BioNTech
-
2021-10-02
Survey response — day 7, dose 3MedDRA: Nasal congestion — Feeling: Fair · HeadacheFree text: Stuffy noseMedDRA releases: 2024-11 · check-in free text available
- 2021-10-09
- 2021-10-16
- 2021-10-23
- 2021-11-01
- 2021-12-25
- 2022-03-26
-
2022-04-21
Dose 4 — Moderna
-
2022-05-15
Survey response — day 21, dose 4MedDRA: Exposure to SARS-CoV-2, Influenza B virus test positive, Malaise, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, 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: Flu B tested and confirmed positive. COVID negative but have doubts. I was sick three weeks with symptoms more specific to COVID than flu and think I am one of those who had flu-Rona. Caught it from my son who was flu negative exposed to COVID 4/22.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-15
Report sent to call center — day 21, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-05-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-21
- 2022-05-26
- 2022-06-04
- 2022-07-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-14 | Pfizer-BioNTech | |
| 2 | 2021-03-04 | Pfizer-BioNTech | |
| 3 | 2021-09-25 | Pfizer-BioNTech | No |
| 4 | 2022-04-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-15 | Successful 2022-05-17 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 6 — day 28, dose 2
Symptoms: Mild throat irritation mild rattly cough for the last five days, had laryngitis two days ago.I do not see where to enter side effects from second vaccine.
Release 9 — day 7, dose 3
Systemic reaction (other): Stuffy nose
Release 11 — day 21, dose 4
Symptoms: Flu B tested and confirmed positive. COVID negative but have doubts. I was sick three weeks with symptoms more specific to COVID than flu and think I am one of those who had flu-Rona. Caught it from my son who was flu negative exposed to COVID 4/22. cut off by CDC
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 |
|---|---|---|---|---|
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Influenza B virus test positive | · | · | ✓ |
| SD | Laryngitis | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release