YEJ-90847-98446
6 vaccinations
8 coded responses
78 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 483 / MI
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Pfizer-BioNTech
- 2021-01-21
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Nausea — Feeling: Fair · Site: Pain · Headache, NauseaFree text: Very mild nausea and headache that comes and goes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Pfizer-BioNTech
- 2021-02-11
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Good · HeadacheFree text: Tenderness in lymph nodes of arm of injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Good · HeadacheFree text: Mild tenderness in lymph nodes on side of injection.MedDRA 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
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-05-13
-
2021-08-12
Survey response — 6 months, dose 2MedDRA: Cough, Paranasal sinus hypersecretion, Pre-existing disease — Feeling: GoodFree text: Some sinus drainage and dry cough. Not sure if this is seasonal allergy issues or not. Continue to wear a mask in public due to my age and living with daughter who has Sjogren's Syndrome.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-01
Dose 3 — Pfizer-BioNTech
- 2021-10-01
-
2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Abdominal painAdult check-in
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
-
2021-12-31
Survey response — 3 months, dose 3MedDRA: Headache — Feeling: GoodFree text: HeadacheMedDRA releases: 2024-11 · check-in free text available
-
2022-04-01
Survey response — 6 months, dose 3MedDRA: Atrioventricular block, Atrioventricular block second degree, 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, HospitalizationFree text: Symptoms: AV Wenkebach Block, partial not complete · Healthcare visit (other): Follow up testsMedDRA releases: 2024-11 · check-in free text available
-
2022-04-01
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-04-05
-
2022-04-11
Call successfulParticipant prefers to complete VAERS report online
-
2022-06-08
Dose 4 — Moderna
- 2022-06-08
-
2022-06-09
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, NauseaAdult check-in
-
2022-06-10
Survey response — days 1–6 daily, dose 4MedDRA: Oral herpes — Feeling: Good · Site: PainFree text: Developed a cold sore overnight.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-11
- 2022-06-12
- 2022-06-13
- 2022-06-14
- 2022-06-15
- 2022-06-22
- 2022-06-29
- 2022-07-06
- 2022-07-13
- 2022-07-20
- 2022-09-07
-
2022-09-27
Dose 5 — Moderna
-
2022-09-27
Health check-in — day 0, dose 5Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2022-09-28
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2022-09-29
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-04
- 2022-10-11
- 2022-10-18
-
2022-10-27
Survey response — day 28, dose 5MedDRA: Paranasal sinus hypersecretion, Throat irritation — Feeling: FairFree text: Sinus drainage, scratchy throatMedDRA releases: 2024-11 · check-in free text available
- 2022-11-01
- 2022-11-08
- 2022-12-27
- 2023-03-28
-
2023-05-08
Dose 6 — Moderna
- 2023-05-08
- 2023-05-12
- 2023-05-13
- 2023-05-14
- 2023-05-15
- 2023-05-22
- 2023-05-29
- 2023-06-05
- 2023-06-12
- 2023-06-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Pfizer-BioNTech | |
| 2 | 2021-02-11 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-06-08 | Moderna | No |
| 5 | 2022-09-27 | Moderna | No |
| 6 | 2023-05-08 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-01 | Successful 2022-04-11 |
Participant prefers to complete VAERS report online |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Very mild nausea and headache that comes and goes.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Tenderness in lymph nodes of arm of injection site.
Systemic reaction (other): Mild tenderness in lymph nodes on side of injection.
Release 9 — 6 months, dose 2
Symptoms: Some sinus drainage and dry cough. Not sure if this is seasonal allergy issues or not. Continue to wear a mask in public due to my age and living with daughter who has Sjogren's Syndrome.
Release 10 — 3 months, dose 3
Symptoms: Headache
Release 11 — 6 months, dose 3
Symptoms: AV Wenkebach Block, partial not complete
Healthcare visit (other): Follow up tests
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Developed a cold sore overnight.
Release 12 — day 28, dose 5
Symptoms: Sinus drainage, scratchy throat
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 | Atrioventricular block | · | · | ✓ |
| SD | Atrioventricular block second degree | · | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Oral herpes | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release