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YEP-62600-02108

3 vaccinations 9 coded responses 29 check-ins 9 free-text entries 3 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
128 / NY
Registered
2021-03-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-17
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-10
    Registered in v-safe
  3. 2021-03-10
    Dose 2 — Pfizer-BioNTech
  4. 2021-03-10
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  5. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Myasthenia gravis, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness
    Free text: I have had Myasthenia Gravis for a few years. Symptoms had remitted to my new baseline prior to this dose. I am having a mild return of MG symptoms but tolerable without treatment so far. Mild intermittent dizziness also this morning that has resolved.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Eyelid ptosis — Feeling: Good · Site: Pain, Swelling · Muscle or body aches
    Free text: Mild ptosis early morning lasting approx 10min which resolved without need for medication. History of Myasthenia Gravis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Hyperhidrosis, Myasthenia gravis, Pre-existing disease — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Alternating chills and sweats throughout last night but no fever. Myasthenia Gravis symptoms have returned but may be unrelated to the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  10. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-17
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-31
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-14
    Survey response — day 35, dose 2
    MedDRA: Dysarthria, Eyelid ptosis, Fatigue, Myasthenia gravis, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Flare of pre-existing Myasthenia Gravis...increased ptosis, fatigue, slurred speech
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-09
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-09-08
    Survey response — 6 months, dose 2
    MedDRA: Allergic respiratory symptom, Anal incontinence, Dermatitis allergic, Dermatitis contact, Foaming at mouth, Hospitalisation, Hypersensitivity, Myasthenia gravis, Pre-existing disease, Unresponsive to stimuli, Urticaria, Wheezing — 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 · Hospitalization
    Free text: Symptoms: Hypersensitivity reactions to a variety of stimuli not previously allergic to including skin reactions to adhesives, hives & wheezing with no known trigger, severe reaction to plasmapheresis (unresponsive, foaming at mouth, loss of bowels), MG flare · Healthcare visit (other): Hospital admission and transfer to larger facility by ambulance
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-09-08
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  20. 2021-09-11
    Call successful
    Participant prefers to complete VAERS report online
  21. 2021-11-03
    Dose 3 — Pfizer-BioNTech
  22. 2021-11-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Myasthenia gravis, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Mild increased Myasthenia Gravis symptoms
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  24. 2021-11-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Urticaria — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Hives on right upper chest not related to exposure to known allergen. No changes to soaps, detergents or clothing
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-11-07
    Report sent to call center — days 1–6 daily, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  26. 2021-11-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Myasthenia gravis, Pre-existing disease — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Mild Myasthenia Gravis flare
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  28. 2021-11-09
  29. 2021-11-11
    Health check-in — day 7, dose 3
    Feeling: Good · Headache, Rash, not including the immediate area around the injection site
    Adult check-in
  30. 2021-11-16
  31. 2021-11-16
  32. 2021-11-17
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-24
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-12-01
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-12-08
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-15
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-02-02
    Survey response — 3 months, dose 3
    MedDRA: Chronic spontaneous urticaria, Sjogren's syndrome — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Diagnosed with Autoimmune Urticaria and Sjogrens
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-02-02
    Report sent to call center — 3 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  39. 2022-02-03
  40. 2022-02-04
  41. 2022-05-04
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  42. 2022-11-03
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-17Pfizer-BioNTech
22021-03-10Pfizer-BioNTech
32021-11-03Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-09-08 Successful
2021-09-11
Participant prefers to complete VAERS report online
2021-11-07 Unsuccessful
2022-02-02 Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): I have had Myasthenia Gravis for a few years. Symptoms had remitted to my new baseline prior to this dose. I am having a mild return of MG symptoms but tolerable without treatment so far. Mild intermittent dizziness also this morning that has resolved.

2021-03-12

Systemic reaction (other): Mild ptosis early morning lasting approx 10min which resolved without need for medication. History of Myasthenia Gravis

2021-03-14

Systemic reaction (other): Alternating chills and sweats throughout last night but no fever. Myasthenia Gravis symptoms have returned but may be unrelated to the vaccine.

Release 7 — day 35, dose 2

2021-04-14

Symptoms: Flare of pre-existing Myasthenia Gravis...increased ptosis, fatigue, slurred speech

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: Hypersensitivity reactions to a variety of stimuli not previously allergic to including skin reactions to adhesives, hives & wheezing with no known trigger, severe reaction to plasmapheresis (unresponsive, foaming at mouth, loss of bowels), MG flare cut off by CDC
Healthcare visit (other): Hospital admission and transfer to larger facility by ambulance

Release 10 — days 1–6 daily, dose 3

2021-11-05

Systemic reaction (other): Mild increased Myasthenia Gravis symptoms

2021-11-07

Systemic reaction (other): Hives on right upper chest not related to exposure to known allergen. No changes to soaps, detergents or clothing

2021-11-08

Systemic reaction (other): Mild Myasthenia Gravis flare

Release 11 — 3 months, dose 3

2022-02-02

Symptoms: Diagnosed with Autoimmune Urticaria and Sjogrens

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
HCVOHospitalisation · · ✓
SDAllergic respiratory symptom · · ✓
SDAnal incontinence · · ✓
SDChronic spontaneous urticaria · · ✓
SDDermatitis allergic · · ✓
SDDermatitis contact · · ✓
SDDysarthria ✓ ✓ ✓
SDEyelid ptosis ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFoaming at mouth · · ✓
SDHypersensitivity · · ✓
SDMyasthenia gravis ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDSjogren's syndrome · · ✓
SDUnresponsive to stimuli · · ✓
SDUrticaria · · ✓
SDWheezing · · ✓
SROChills ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROEyelid ptosis ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROMyasthenia gravis ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROUrticaria · · ✓

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