YGY-22129-54888
5 vaccinations
9 coded responses
49 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 488 / MI
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Pfizer-BioNTech
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Pfizer-BioNTech
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-05-13
- 2021-08-12
-
2021-09-27
Dose 3 — Pfizer-BioNTech
-
2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Itching · NauseaAdult check-in
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-11
- 2021-10-18
- 2021-10-25
-
2021-11-01
Survey response — day 35, dose 3MedDRA: Constipation — Feeling: GoodFree text: Constipation. Don't think it has anything to do with the shot, but gotta be honest.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-08
Survey response — day 42, dose 3MedDRA: Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: FairFree text: Sore throat, congestion, mild headache.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-28
Survey response — 3 months, dose 3MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: A bad common cold. PCR tested negative for Covid-19.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-28
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-30
-
2022-01-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-03-28
Survey response — 6 months, dose 3MedDRA: Abdominal pain upper, Nausea — Feeling: GoodFree text: Stomach pain, nausea. Unknown cause, intermittent.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-08
Dose 4 — Pfizer-BioNTech
- 2022-04-15
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
-
2022-07-08
Survey response — 3 months, dose 4MedDRA: Haemorrhage, Office visit, Self-medication — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Blood in system after taking NSAIDs. Not high doses. Never happened before. · Healthcare visit (other): Primary Dr in person visitMedDRA releases: 2024-11 · check-in free text available
-
2022-07-08
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-07-11
- 2022-07-11
- 2022-10-07
-
2022-10-10
Dose 5 — Pfizer-BioNTech
-
2022-10-11
Survey response — days 1–6 daily, dose 5MedDRA: Physiotherapy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: May be from physical therapy yesterdayMedDRA releases: 2024-11 · check-in free text available
-
2022-10-12
Survey response — days 1–6 daily, dose 5MedDRA: Surgery — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Probably from recovery from surgeryMedDRA releases: 2024-11 · check-in free text available
- 2022-10-13
- 2022-10-14
-
2023-01-09
Survey response — 3 months, dose 5MedDRA: Loss of consciousness, Office visit, Oropharyngeal pain — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-01-09
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2023-01-10
- 2023-01-10
-
2023-04-10
Survey response — 6 months, dose 5MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Pfizer-BioNTech | |
| 2 | 2021-02-11 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-04-08 | Pfizer-BioNTech | No |
| 5 | 2022-10-10 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-28 | Successful 2022-01-05 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-07-08 | Unsuccessful | |
| 2023-01-09 | Unsuccessful |
Free text
Release 10 — day 35, dose 3
Symptoms: Constipation. Don't think it has anything to do with the shot, but gotta be honest.
Release 10 — day 42, dose 3
Symptoms: Sore throat, congestion, mild headache.
Release 10 — 3 months, dose 3
Symptoms: A bad common cold. PCR tested negative for Covid-19.
Release 11 — 6 months, dose 3
Symptoms: Stomach pain, nausea. Unknown cause, intermittent.
Release 12 — 3 months, dose 4
Symptoms: Blood in system after taking NSAIDs. Not high doses. Never happened before.
Healthcare visit (other): Primary Dr in person visit
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): May be from physical therapy yesterday
Systemic reaction (other): Probably from recovery from surgery
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 | Abdominal pain upper | · | · | ✓ |
| SD | Constipation | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Haemorrhage | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Loss of consciousness | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Physiotherapy | · | · | ✓ |
| SRO | Surgery | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release