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YG2-18855-38771

5 vaccinations 18 coded responses 65 check-ins 18 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
018 / MA
Registered
2021-02-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-25
    Registered in v-safe
  2. 2021-02-25
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-25
    Survey response — day 0, dose 1
    MedDRA: Eye haemorrhage, Ocular hyperaemia — Feeling: Good
    Free text: Red burst blood vessel Left eye same side of body as shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain, Fatigue, Headache, Poor quality sleep — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Mild - moderate fatigue, mild backache, cross between mild- moderate headache and hangover like feeling. Didnt sleep well just feeling mild enough under par but fell back asleep after up hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  6. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  7. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  8. 2021-03-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness
    Free text: Mostly very mild fatigue but my history may make that more likely response.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  10. 2021-03-04
    Survey response — day 7, dose 1
    MedDRA: Adrenal insufficiency, Fatigue, Illness — Feeling: Fair · Fatigue or tiredness
    Free text: It should be noted that I suffer from adrenal insufficiency which under illness or even my body making antibody response might increase tiredness. Its manageable And temporary. I am exercising my full amount.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-18
    Dose 2 — Pfizer-BioNTech
  13. 2021-03-18
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-03-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injected limb mobility decreased — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: First day due to shot hurt to fully lift arm, better
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work
    Adult check-in
  16. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  17. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  18. 2021-03-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness
    Free text: Mostly mild, sometimes moderate fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy, Somnolence — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I may have mild swollen glands and simply needed more sleep so worked half a day. Overall fine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-25
    Survey response — day 7, dose 2
    MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tiredness
    Free text: Some mild tiredness but better. Note I have adrenal insufficiency and if had an illness might be tired longer than others but overall fit/ healthy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-17
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-09-16
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-27
    Dose 3 — Pfizer-BioNTech
  29. 2021-09-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  30. 2021-09-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Gastrointestinal disorder — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea, Diarrhea
    Free text: G.I. symptoms may be unrelated
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Hyperacusis, Pre-existing disease, Tinnitus — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Yesterday had rare flare tinnitus/ sensitive to sounds seemed louder
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-10-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  33. 2021-10-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  34. 2021-10-04
    Survey response — day 7, dose 3
    MedDRA: Epistaxis — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Nosebleed but may be coincidence
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-10-11
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  36. 2021-10-18
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-10-25
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-01
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-27
    Survey response — 3 months, dose 3
    MedDRA: Chills, Fatigue, Nasal congestion, Nasopharyngitis, Rhinorrhoea, Unevaluable event — Feeling: Fair
    Free text: Mild temp, shivers, stuffy: runny nose, very tired however Tested five days after symptoms and PCR was negative. Presumed simple cold. Worked remotely.
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-03-28
    Survey response — 6 months, dose 3
    MedDRA: Liver disorder, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Symptoms: Extremely unlikely related to the vaccine, but I had not reported that in January 2021 many months after all vaccines and booster, I developed some form of liver issue. I'm about to get a liver biopsy to help clarify. Maybe after infection. · Healthcare visit (other): Jan 10-14, Very unlikely related to vaccine
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-03-28
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    Hospitalization · 1 call case(s)
  43. 2022-03-29
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  44. 2022-04-16
    Dose 4 — Moderna
  45. 2022-04-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  46. 2022-04-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  47. 2022-04-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  48. 2022-04-20
    Survey response — days 1–6 daily, dose 4
    MedDRA: Dizziness, Vertigo — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Very mild a few times Vertigo type dizziness after working a full day yesterday.
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-04-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  50. 2022-04-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  51. 2022-04-23
    Health check-in — day 7, dose 4
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  52. 2022-04-30
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  53. 2022-05-07
    Survey response — day 21, dose 4
    MedDRA: Dysphonia, Fatigue, Rhinorrhoea — Feeling: Fair
    Free text: Runny nose, some hoarseness, fatigue but home test negative and think allergies.
    MedDRA releases: 2024-11 · check-in free text available
  54. 2022-05-16
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  55. 2022-05-21
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-05-28
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  57. 2022-07-18
    Survey response — 3 months, dose 4
    MedDRA: Gastrointestinal disorder — Feeling: Fair
    Free text: Unrelated digestive issues
    MedDRA releases: 2024-11 · check-in free text available
  58. 2022-10-07
    Dose 5 — Moderna
  59. 2022-10-07
    Health check-in — day 0, dose 5
    Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Abdominal pain
    Adult check-in
  60. 2022-10-08
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  61. 2022-10-09
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea
    Adult check-in
  62. 2022-10-10
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  63. 2022-10-11
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Nausea
    Adult check-in
  64. 2022-10-12
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  65. 2022-10-13
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  66. 2022-10-14
    Survey response — day 7, dose 5
    MedDRA: Breath sounds abnormal, Pre-existing disease, Wheezing — Feeling: Fair
    Free text: Almost definitely unrelated; While drinking a cold thick smoothie, probably inspired it and started wheezing last night. I very rarely get asthma but it was noisy breathing in and out which suggest not asthma. Happened over 25 years ago
    MedDRA releases: 2024-11 · check-in free text available
  67. 2022-10-21
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  68. 2022-10-28
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  69. 2022-11-06
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  70. 2022-11-12
    Health check-in — day 35, dose 5
    Feeling: Fair
    Adult check-in
  71. 2022-11-18
    Survey response — day 42, dose 5
    MedDRA: Dysphonia, Fatigue, Nasopharyngitis, Pre-existing disease, Rhinorrhoea, SARS-CoV-2 test negative, Throat irritation — Feeling: Fair
    Free text: Either allergies or mild cold. Runny nose, fatigue 1-2 days, hoarseness, mildly irritated throat ( nasal drip?). Mostly cleared up. Did home test for Covid, negative. I always double mask as high-risk.
    MedDRA releases: 2024-11 · check-in free text available
  72. 2023-01-06
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  73. 2023-04-07
    Health check-in — 6 months, dose 5
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-25Pfizer-BioNTech
22021-03-18Pfizer-BioNTech
32021-09-27Pfizer-BioNTech No
42022-04-16Moderna No
52022-10-07Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-03-28 Successful
2022-03-29
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 4 — day 0, dose 1

2021-02-25

Systemic reaction (other): Red burst blood vessel Left eye same side of body as shot

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): Mild - moderate fatigue, mild backache, cross between mild- moderate headache and hangover like feeling. Didnt sleep well just feeling mild enough under par but fell back asleep after up hours.

2021-03-02

Systemic reaction (other): Mostly very mild fatigue but my history may make that more likely response.

Release 5 — day 7, dose 1

2021-03-04

Systemic reaction (other): It should be noted that I suffer from adrenal insufficiency which under illness or even my body making antibody response might increase tiredness. Its manageable And temporary. I am exercising my full amount.

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): First day due to shot hurt to fully lift arm, better

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): Mostly mild, sometimes moderate fatigue

2021-03-24

Systemic reaction (other): I may have mild swollen glands and simply needed more sleep so worked half a day. Overall fine.

Release 6 — day 7, dose 2

2021-03-25

Systemic reaction (other): Some mild tiredness but better. Note I have adrenal insufficiency and if had an illness might be tired longer than others but overall fit/ healthy.

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): G.I. symptoms may be unrelated

2021-10-01

Systemic reaction (other): Yesterday had rare flare tinnitus/ sensitive to sounds seemed louder

Release 9 — day 7, dose 3

2021-10-04

Systemic reaction (other): Nosebleed but may be coincidence

Release 10 — 3 months, dose 3

2021-12-27

Symptoms: Mild temp, shivers, stuffy: runny nose, very tired however Tested five days after symptoms and PCR was negative. Presumed simple cold. Worked remotely.

Release 11 — 6 months, dose 3

2022-03-28

Symptoms: Extremely unlikely related to the vaccine, but I had not reported that in January 2021 many months after all vaccines and booster, I developed some form of liver issue. I'm about to get a liver biopsy to help clarify. Maybe after infection.
Healthcare visit (other): Jan 10-14, Very unlikely related to vaccine

Release 11 — days 1–6 daily, dose 4

2022-04-20

Systemic reaction (other): Very mild a few times Vertigo type dizziness after working a full day yesterday.

Release 11 — day 21, dose 4

2022-05-07

Symptoms: Runny nose, some hoarseness, fatigue but home test negative and think allergies.

Release 12 — 3 months, dose 4

2022-07-18

Symptoms: Unrelated digestive issues

Release 12 — day 7, dose 5

2022-10-14

Systemic reaction (other): Almost definitely unrelated; While drinking a cold thick smoothie, probably inspired it and started wheezing last night. I very rarely get asthma but it was noisy breathing in and out which suggest not asthma. Happened over 25 years ago

Release 12 — day 42, dose 5

2022-11-18

Symptoms: Either allergies or mild cold. Runny nose, fatigue 1-2 days, hoarseness, mildly irritated throat ( nasal drip?). Mostly cleared up. Did home test for Covid, negative. I always double mask as high-risk.

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 · · ✓
SDChills · · ✓
SDDysphonia · · ✓
SDFatigue · · ✓
SDGastrointestinal disorder · · ✓
SDLiver disorder · · ✓
SDNasal congestion · · ✓
SDNasopharyngitis · · ✓
SDPre-existing disease · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDThroat irritation · · ✓
SDUnevaluable event · · ✓
SROAdrenal insufficiency ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROBreath sounds abnormal · · ✓
SRODizziness · · ✓
SROEpistaxis · · ✓
SROEye haemorrhage ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROGastrointestinal disorder · · ✓
SROHeadache ✓ ✓ ✓
SROHyperacusis · · ✓
SROIllness ✓ ✓ ✓
SROInjected limb mobility decreased ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROOcular hyperaemia · · ✓
SROPoor quality sleep ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓
SROTinnitus · · ✓
SROVertigo · · ✓
SROWheezing · · ✓

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