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YGU-41001-09413

2 vaccinations 7 coded responses 20 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
802 / CO
Registered
2021-03-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
FJ7-87724-09414 Child or adolescent in my care · Male · 2021-11-06

Timeline

  1. 2021-03-23
    Registered in v-safe
  2. 2021-03-23
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-23
    Health check-in — day 0, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  4. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dry skin, Eczema — Feeling: Good · Fatigue or tiredness
    Free text: Dry skin/eczema since getting the vaccine. At first I thought it was just dry skin but its gotten a little worse each day even with the use of lotion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-30
    Survey response — day 7, dose 1
    MedDRA: Eczema — Feeling: Good · Nausea
    Free text: Eczema
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-13
    Survey response — day 21, dose 1
    MedDRA: Diarrhoea, Nausea — Feeling: Good
    Free text: Nausea and loose stools
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-14
    Dose 2 — Pfizer-BioNTech
  14. 2021-04-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Muscle strain — Feeling: Good · Nausea
    Free text: Lower left back pain. Might be a pulled muscle, Im not sure
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-21
    Survey response — day 7, dose 2
    MedDRA: Back pain, Medical counselling, Skin discolouration — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Strange marks on left leg going up calf/knee/thigh, left lower back pain · Healthcare visit (other): Emailed to ask what I should do - no response yet
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-21
    Report sent to call center — day 7, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-04-28
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-19
    Survey response — day 35, dose 2
    MedDRA: Pain in jaw — Feeling: Fair
    Free text: Left side of jaw pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-05-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-07-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-10-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-03-02
  25. 2022-04-14
    Survey response — 12 months, dose 2
    MedDRA: Pre-existing disease, Respiratory tract congestion — Feeling: Good
    Free text: Lots of congestion for a few weeks now. Might be allergies but I've never had them this bad or this long before
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-23Pfizer-BioNTech
22021-04-14Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-04-21 Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): Dry skin/eczema since getting the vaccine. At first I thought it was just dry skin but its gotten a little worse each day even with the use of lotion

Release 6 — day 7, dose 1

2021-03-30

Systemic reaction (other): Eczema

Release 7 — day 21, dose 1

2021-04-13

Symptoms: Nausea and loose stools

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Lower left back pain. Might be a pulled muscle, Im not sure

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): Strange marks on left leg going up calf/knee/thigh, left lower back pain
Healthcare visit (other): Emailed to ask what I should do - no response yet

Release 8 — day 35, dose 2

2021-05-19

Symptoms: Left side of jaw pain

Release 11 — 12 months, dose 2

2022-04-14

Symptoms: Lots of congestion for a few weeks now. Might be allergies but I've never had them this bad or this long before

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
HCVOMedical counselling ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPain in jaw ✓ ✓ ✓
SDPre-existing disease · · ✓
SDRespiratory tract congestion · · ✓
SROBack pain ✓ ✓ ✓
SRODry skin ✓ ✓ ✓
SROEczema ✓ ✓ ✓
SROMuscle strain ✓ ✓ ✓
SROSkin discolouration ✓ ✓ ✓

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

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