YF6-22754-65975
3 vaccinations
5 coded responses
35 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 123 / NY
- Registered
- 2021-02-21
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-02-21
Registered in v-safe
-
2021-02-21
Dose 1 — Pfizer-BioNTech
- 2021-02-21
-
2021-02-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-07
-
2021-03-21
Dose 2 — Pfizer-BioNTech
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-04-04
- 2021-04-11
- 2021-04-18
-
2021-04-25
Survey response — day 35, dose 2MedDRA: Abscess — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Abscess toothMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-25
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-02
- 2021-09-19
-
2021-09-29
Dose 3 — Pfizer-BioNTech
-
2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-13
-
2021-10-20
Survey response — day 21, dose 3MedDRA: Arthralgia — Feeling: GoodFree text: Bilateral hip pain/ache started shortly after Pfizer booster shot. Only recently became aware joint pain may be associated with COVID vaccines.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Survey response — day 28, dose 3MedDRA: Abdominal pain, Emergency care — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Abdominal pain x4 days. Went to ER last night had multiple test ( blood, urine, ultra sound) with no definitive findings.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
- 2021-11-11
-
2022-01-01
Survey response — 3 months, dose 3MedDRA: Arthralgia — Feeling: Fair · 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: Ongoing left shoulder pain since booster shot in September, received all 3 shots in left arm. Appointment with orthopedist January 5, 2022.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-01
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-01-11
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-03-30
Survey response — 6 months, dose 3MedDRA: Endodontic procedure — Feeling: Good · 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: Had THREE root canals in a rowMedDRA releases: 2024-11 · check-in free text available
-
2022-03-30
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-05
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-21 | Pfizer-BioNTech | |
| 2 | 2021-03-21 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-25 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-01-01 | Successful 2022-01-11 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-03-30 | Successful 2022-04-05 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 7 — day 35, dose 2
Symptoms: Abscess tooth
Release 10 — day 21, dose 3
Symptoms: Bilateral hip pain/ache started shortly after Pfizer booster shot. Only recently became aware joint pain may be associated with COVID vaccines.
Release 10 — day 28, dose 3
Symptoms: Abdominal pain x4 days. Went to ER last night had multiple test ( blood, urine, ultra sound) with no definitive findings.
Release 10 — 3 months, dose 3
Symptoms: Ongoing left shoulder pain since booster shot in September, received all 3 shots in left arm. Appointment with orthopedist January 5, 2022.
Release 11 — 6 months, dose 3
Symptoms: Had THREE root canals in a row
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 | Abdominal pain | · | · | ✓ |
| SD | Abscess | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Endodontic procedure | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release