YGX-21440-54380

3 vaccinations 6 coded responses 36 check-ins 6 free-text entries 2 call cases

Sex: —
Age at first dose: 31-35
ZIP prefix: 641 / MO
Registered: 2021-03-19

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Pfizer-BioNTech
2021-03-19
Survey response — day 0, dose 1
MedDRA: Anaphylactic reaction, Immediate post-injection reaction, Medical observation, Urticaria — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Muscle or body aches, Rash, not including the immediate area around the injection site

Free text: I had a very mild anaphylaxis and hives reaction about 10-15 minutes after the injection, and was treated with 50mg benadryl at the vaccine clinic.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches

Adult check-in
2021-04-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Pfizer-BioNTech
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · 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 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit — Feeling: Poor · Joint pains, 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

Free text: Chiropractor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
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)
2021-04-15
Health check-in — day 7, dose 2
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-29
Survey response — day 21, dose 2
MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Continued exacerbation of low back pain and ovary pain, even though I'm not on my cycle. Has been pretty consistent since shot #1 (almost 40 days). 7-8/10 on the pain scale. · Healthcare visit (other): Chiropractor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 21, 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)
2021-05-06
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-15
Dose 3 — Pfizer-BioNTech
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-22
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-29
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-05
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-12
Survey response — day 28, dose 3
MedDRA: Brain fog — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe brain fog for about the last week.

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-26
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-16
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-01
Call 1 — Left Voicemail
2022-06-15
Survey response — 6 months, dose 3
MedDRA: Brain fog, Cough, Fatigue, Headache, Pain, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, congestion, body aches, headache, fatigue, brain fog

MedDRA releases: 2024-11 · check-in free text available
2022-12-17
Survey response — 12 months, dose 3
MedDRA: COVID-19, Chest pain, Cough, Fatigue, Headache, Pain, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: COVID infection in June 2022; fever, cough, head and body aches, chest pain, fatigue

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Pfizer-BioNTech
2	2021-04-08	Pfizer-BioNTech
3	2021-12-15	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-14	Unsuccessful
2021-04-29	Unsuccessful

Free text

Release 5 — day 0, dose 1

2021-03-19

Systemic reaction (other): I had a very mild anaphylaxis and hives reaction about 10-15 minutes after the injection, and was treated with 50mg benadryl at the vaccine clinic.

Release 7 — days 1–6 daily, dose 2

2021-04-14

Healthcare visit (other): Chiropractor

Release 8 — day 21, dose 2

2021-04-29

Symptoms: Continued exacerbation of low back pain and ovary pain, even though I'm not on my cycle. Has been pretty consistent since shot #1 (almost 40 days). 7-8/10 on the pain scale.

Healthcare visit (other): Chiropractor

Release 10 — day 28, dose 3

2022-01-12

Symptoms: Severe brain fog for about the last week.

Release 12 — 6 months, dose 3

2022-06-15

Symptoms: Cough, congestion, body aches, headache, fatigue, brain fog

Release 12 — 12 months, dose 3

2022-12-17

Symptoms: COVID infection in June 2022; fever, cough, head and body aches, chest pain, fatigue

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	Office visit	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Chest pain	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Anaphylactic reaction	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Medical observation	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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