YH4-33983-03793
3 vaccinations
5 coded responses
36 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 840 / UT
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-18
Registered in v-safe
-
2021-02-18
Dose 1 — Pfizer-BioNTech
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-27
- 2021-03-04
- 2021-03-11
-
2021-03-15
Dose 2 — Pfizer-BioNTech
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
-
2021-06-16
Survey response — 3 months, dose 2MedDRA: Influenza, Injection site pain, Nasopharyngitis, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Cold/flu with fever for a few days and congestion for two weeks beginning May 11, 2021. Negative Covid test.Occasional ache ongoing since vaccination in injection area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-13
Survey response — 6 months, dose 2MedDRA: Ear infection, Nasopharyngitis, Office visit, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Head cold. (2 Negative Covid tests.) Ear infection discovered by Primary Care physician during wellness exam. Prescribed Z-pac. · Healthcare visit (other): Regular office visitMedDRA releases: 2024-11 · check-in free text available
-
2021-09-13
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-16
-
2021-10-04
Dose 3 — Pfizer-BioNTech
- 2021-10-05
- 2021-10-07
- 2021-10-08
-
2021-10-09
Survey response — days 1–6 daily, dose 3MedDRA: Diarrhoea — Feeling: Good · DiarrheaFree text: Diarrhea has been occasional since shot on Monday. May not be related at all.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-10
- 2021-10-12
-
2021-10-18
Survey response — day 14, dose 3MedDRA: Cough — Feeling: GoodFree text: Mild coughMedDRA releases: 2024-11 · check-in free text available
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-11-15
-
2022-01-03
Survey response — 3 months, dose 3MedDRA: Dizziness — Feeling: GoodFree text: Dizziness for the past 24 hours.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-04
- 2022-10-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Pfizer-BioNTech | |
| 2 | 2021-03-15 | Pfizer-BioNTech | |
| 3 | 2021-10-04 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-13 | Unsuccessful |
Free text
Release 9 — 3 months, dose 2
Symptoms: Cold/flu with fever for a few days and congestion for two weeks beginning May 11, 2021. Negative Covid test.Occasional ache ongoing since vaccination in injection area.
Release 9 — 6 months, dose 2
Symptoms: Head cold. (2 Negative Covid tests.) Ear infection discovered by Primary Care physician during wellness exam. Prescribed Z-pac.
Healthcare visit (other): Regular office visit
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Diarrhea has been occasional since shot on Monday. May not be related at all.
Release 10 — day 14, dose 3
Symptoms: Mild cough
Release 10 — 3 months, dose 3
Symptoms: Dizziness for the past 24 hours.
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 | Cough | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Influenza | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release