YGM-13025-99508

3 vaccinations 10 coded responses 24 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 111 / NY
Registered: 2021-04-10

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-10
Registered in v-safe
2021-04-10
Dose 1 — Pfizer-BioNTech
2021-04-10
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · None · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased — Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: random fast heartbeating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-17
Survey response — day 7, dose 1
MedDRA: Throat irritation — Feeling: Fair

Free text: Itchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-01
Survey response — day 21, dose 1
MedDRA: Discomfort, Headache, Inflammation — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Headaches to the point that my entire nasal cavity feels pressure. I also cannot hear on the right ear, and I have some inflammation on the right ear canal. The headache has lasted three days and fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Dose 2 — Pfizer-BioNTech
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Deafness unilateral, Ear pain, Influenza like illness, Migraine, Nasal congestion, Pain, Pain in extremity, Rhinorrhoea — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Free text: Severe migraine for the past 3 days, shooting pain down the left arm, earache on both ears, unable to hear on the right ear, flu-like symptoms such as stuffy nose, runny nose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Deafness unilateral, Tinnitus — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: ringing in the ear, deafness in right ear,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Deafness, Ear pain — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work

Free text: ear ache and partial deafness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — days 1–6 daily, dose 2
MedDRA: Ear infection — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Unable to hear from right ear and severe ear infection on both

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 7, dose 2
MedDRA: Ear infection — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: still struggling with a bad ear infection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 14, dose 2
MedDRA: Ear infection, Ear pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ear ache and infection they wont go away

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-03
Survey response — day 28, dose 2
MedDRA: Chest pain, Pain in extremity — Feeling: Fair

Free text: Sharp pain down the arm and across the chest from the vaccination site on the left arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-22
Dose 3 — Pfizer-BioNTech
2022-04-15
Call 1 — Left Voicemail
2022-05-06
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-22
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-10	Pfizer-BioNTech
2	2021-05-06	Pfizer-BioNTech
3	2021-12-22	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-09	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-12

Systemic reaction (other): random fast heartbeating

Release 7 — day 7, dose 1

2021-04-17

Systemic reaction (other): Itchy throat

Release 8 — day 21, dose 1

2021-05-01

Symptoms: Headaches to the point that my entire nasal cavity feels pressure. I also cannot hear on the right ear, and I have some inflammation on the right ear canal. The headache has lasted three days and fever.

Release 8 — days 1–6 daily, dose 2

2021-05-08

Systemic reaction (other): Severe migraine for the past 3 days, shooting pain down the left arm, earache on both ears, unable to hear on the right ear, flu-like symptoms such as stuffy nose, runny nose.

2021-05-09

Systemic reaction (other): ringing in the ear, deafness in right ear,

2021-05-10

Systemic reaction (other): ear ache and partial deafness.

2021-05-11

Systemic reaction (other): Unable to hear from right ear and severe ear infection on both

Release 8 — day 7, dose 2

2021-05-13

Systemic reaction (other): still struggling with a bad ear infection.

Release 8 — day 14, dose 2

2021-05-20

Symptoms: Ear ache and infection they wont go away

Release 8 — day 28, dose 2

2021-06-03

Symptoms: Sharp pain down the arm and across the chest from the vaccination site on the left arm.

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	Chest pain	✓	✓	✓
SD	Discomfort	✓	✓	✓
SD	Ear infection	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Deafness	✓	✓	✓
SRO	Deafness unilateral	✓	✓	✓
SRO	Ear infection	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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