YHC-33618-61487
5 vaccinations
3 coded responses
59 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 871 / NM
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Pfizer-BioNTech
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
-
2021-02-11
Dose 2 — Pfizer-BioNTech
- 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
Survey response — day 28, dose 2MedDRA: Fatigue, Insomnia — Feeling: GoodFree text: Not sleeping well at night, so feeling tired during the day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-25
- 2021-05-13
- 2021-08-12
-
2021-09-27
Dose 3 — Pfizer-BioNTech
- 2021-09-29
- 2021-09-30
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
-
2021-10-11
Survey response — day 14, dose 3MedDRA: Balance disorder — Feeling: FairFree text: Balance is occasionally unsteady. Seems associated with eye movemment occasionally. No burning. No nystagmus. Clear vision. Good focus. No issues when sitting. No other neuro symptoms noted. Will keep track. Not seeking medical assessment nowMedDRA releases: 2024-11 · check-in free text available
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-12-27
- 2022-03-28
-
2022-04-02
Dose 4 — Moderna
- 2022-04-14
- 2022-04-16
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-07-02
- 2022-10-01
-
2022-10-06
Dose 5 — ModernaCo-administered: Flu
- 2022-10-06
- 2022-10-07
-
2022-10-08
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-05
- 2022-11-12
-
2022-11-17
Survey response — day 42, dose 5MedDRA: Chest pain, Decreased appetite, Fatigue, Headache, Heart rate increased — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Onset of sharp substernal pain, headache, rapid heart rate, lasting about 1 1/2 hours. Exhaustion, decreased appetite,MedDRA releases: 2024-11 · check-in free text available
-
2022-11-17
Report sent to call center — day 42, dose 5Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-11-18
Call successfulCompleted over the phone
- 2023-01-05
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Pfizer-BioNTech | |
| 2 | 2021-02-11 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-04-02 | Moderna | No |
| 5 | 2022-10-06 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-17 | Successful 2022-11-18 |
Completed over the phone |
Free text
Release 5 — day 28, dose 2
Symptoms: Not sleeping well at night, so feeling tired during the day.
Release 10 — day 14, dose 3
Symptoms: Balance is occasionally unsteady. Seems associated with eye movemment occasionally. No burning. No nystagmus. Clear vision. Good focus. No issues when sitting. No other neuro symptoms noted. Will keep track. Not seeking medical assessment now
Release 12 — day 42, dose 5
Symptoms: Onset of sharp substernal pain, headache, rapid heart rate, lasting about 1 1/2 hours. Exhaustion, decreased appetite,
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 | Balance disorder | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release