YG9-30562-01046
1 vaccination
6 coded responses
8 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 028 / RI
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-10
Registered in v-safe
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2021-04-10
Dose 1 — Pfizer-BioNTech
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2021-04-10
Survey response — day 0, dose 1MedDRA: Chest discomfort, Injection site paraesthesia — Feeling: FairFree text: Slight tingling in injection side (right) hand, and small tightness in chest, but feels more anxious tightness and I can talk and breatheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Headache, Insomnia, Nausea — Feeling: Fair · Headache, Fatigue or tiredness, NauseaFree text: Nausea and fatigue might be due to not sleeping the night before and had a headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-13
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2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Ear discomfort, Ear infection, Headache, Office visit, Paranasal sinus discomfort, Sinusitis — Feeling: Fair · Headache · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Ear infection and sinus infectionassume this is unrelated to vaccine-but timing was odd. · Healthcare visit (other): Went to dr because headache and sinus and ear pressure/was diagnosed with sinus infection and ear infectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-15
Survey response — days 1–6 daily, dose 1MedDRA: Ear infection, Sinusitis — Feeling: Fair · Headache · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have a sinus and ear infection-I assume it is unrelated to the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-16
Survey response — days 1–6 daily, dose 1MedDRA: Ear infection, Sinusitis — Feeling: Fair · Headache · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Have an ear infection and sinus infection but on an aniMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-17
Survey response — day 7, dose 1MedDRA: Ear infection, Headache — Feeling: Fair · HeadacheFree text: Ear infection and headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2022-02-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-14 | Unsuccessful | |
| 2021-04-15 | Unsuccessful | |
| 2021-04-16 | Unsuccessful |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Slight tingling in injection side (right) hand, and small tightness in chest, but feels more anxious tightness and I can talk and breathe
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Nausea and fatigue might be due to not sleeping the night before and had a headache
Systemic reaction (other): Ear infection and sinus infectionassume this is unrelated to vaccine-but timing was odd.
Healthcare visit (other): Went to dr because headache and sinus and ear pressure/was diagnosed with sinus infection and ear infection
Systemic reaction (other): I have a sinus and ear infection-I assume it is unrelated to the vaccine
Systemic reaction (other): Have an ear infection and sinus infection but on an ani
Release 7 — day 7, dose 1
Systemic reaction (other): Ear infection and headache
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 | Ear discomfort | ✓ | ✓ | ✓ |
| HCVO | Ear infection | ✓ | ✓ | ✓ |
| HCVO | Headache | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| HCVO | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Ear infection | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site paraesthesia | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Sinusitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release