YJU-21645-72995
3 vaccinations
5 coded responses
32 check-ins
5 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 281 / NC
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Registered in v-safe
-
2021-02-27
Dose 1 — Pfizer-BioNTech
- 2021-02-27
- 2021-03-01
-
2021-03-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-15
-
2021-03-20
Dose 2 — Pfizer-BioNTech
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
-
2021-03-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Fatigue or tirednessAdult check-in
- 2021-03-27
- 2021-04-08
- 2021-04-12
- 2021-04-17
- 2021-04-24
- 2021-05-01
-
2021-06-21
Survey response — 3 months, dose 2MedDRA: Abdominal distension, Dyspnoea, Plantar fasciitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Increased SOB and abdominal distention. Also, plantar fasciitis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-21
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-28
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-09-18
Survey response — 6 months, dose 2MedDRA: Emergency care, Office visit, Tibia fracture — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Stress fracture in distal tibia · Healthcare visit (other): ER then followed by and treated by orthopedic specialistMedDRA releases: 2024-11 · check-in free text available
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2021-09-18
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-21
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-09-28
Dose 3 — Pfizer-BioNTech
- 2021-10-08
- 2021-10-12
- 2021-10-19
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2021-10-28
Survey response — day 28, dose 3MedDRA: Pain, Pyrexia, Sinus congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Low grade fever Sinus congestion AchyMedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-02
Call successfulDoes not wish to fill out VAERS report
- 2021-11-04
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2021-11-09
Survey response — day 42, dose 3MedDRA: Fatigue, Sinus congestion — Feeling: FairFree text: Tired Sinus congestionMedDRA releases: 2024-11 · check-in free text available
- 2021-12-28
- 2022-03-29
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2022-09-30
Survey response — 12 months, dose 3MedDRA: Dyspnoea, Emergency care, Hospitalisation, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Increase shortness of breath. Fever. · Healthcare visit (other): Sent home on treatment protocol upon initial er visit then returned to er few days later increased sob. Ct chest done and I think iv decadron given. Returned to er August 1st with increased sob and was then hospitalized 4 days and sent home.MedDRA releases: 2024-11 · check-in free text available
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2022-09-30
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
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2022-10-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Pfizer-BioNTech | |
| 2 | 2021-03-20 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-21 | Successful 2021-06-28 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-09-18 | Successful 2021-09-21 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-10-28 | Successful 2021-11-02 |
Does not wish to fill out VAERS report |
| 2022-09-30 | Successful 2022-10-05 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 9 — 3 months, dose 2
Symptoms: Increased SOB and abdominal distention. Also, plantar fasciitis.
Release 9 — 6 months, dose 2
Symptoms: Stress fracture in distal tibia
Healthcare visit (other): ER then followed by and treated by orthopedic specialist
Release 10 — day 28, dose 3
Symptoms: Low grade fever Sinus congestion Achy
Release 10 — day 42, dose 3
Symptoms: Tired Sinus congestion
Release 12 — 12 months, dose 3
Symptoms: Increase shortness of breath. Fever.
Healthcare visit (other): Sent home on treatment protocol upon initial er visit then returned to er few days later increased sob. Ct chest done and I think iv decadron given. Returned to er August 1st with increased sob and was then hospitalized 4 days and sent home.
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 | Dyspnoea | · | · | ✓ |
| HCVO | Emergency care | · | · | ✓ |
| HCVO | Hospitalisation | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Abdominal distension | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Plantar fasciitis | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Tibia fracture | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release