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YKK-29022-82648

5 vaccinations 13 coded responses 51 check-ins 13 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
773 / TX
Registered
2021-04-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-15
    Registered in v-safe
  2. 2021-04-15
    Dose 1 — Pfizer-BioNTech
  3. 2021-04-15
    Survey response — day 0, dose 1
    MedDRA: Frequent bowel movements — Feeling: Good · Site: Pain
    Free text: Several bowl movements, not diarrhea.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-04-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Fever · Headache
    Free text: Sore gland on left throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  7. 2021-04-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-04-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-06
    Dose 2 — Pfizer-BioNTech
  12. 2021-05-06
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2021-05-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-05-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oropharyngeal pain — Feeling: Good · Headache
    Free text: Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-13
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-03
    Survey response — day 28, dose 2
    MedDRA: Fluid retention — Feeling: Fair
    Free text: Retaining water.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-05
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-15
    Dose 3 — Pfizer-BioNTech
  28. 2022-05-06
    Survey response — 12 months, dose 2
    MedDRA: Arthralgia, Dizziness, Ear infection fungal, Ear pain, Eczema, Fatigue, Headache, Joint swelling — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Episodes of eczema on face/ears, dizziness, headaches, swollen joints/pain, tired. Repeating every 2 to 2 1/2 weeks for the last 7 months. Ear infection/fungus for the last 3 weeks with severes pain at times.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-07-28
    Dose 4 — Pfizer-BioNTech
  30. 2022-07-29
    Survey response — days 1–6 daily, dose 4
    MedDRA: Body temperature decreased, Joint swelling, Peripheral swelling — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains
    Free text: Swollen ankles & legs. BTW I'm subnormal/ normal temperature is 96.0
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-07-30
    Survey response — days 1–6 daily, dose 4
    MedDRA: Hypertension, Peripheral swelling — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Swelling in legs & feet. Blood pressure high.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-07-31
    Survey response — days 1–6 daily, dose 4
    MedDRA: Dizziness, Dysstasia, Gait disturbance — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Dizziness, wobbly when standing & walking. . Carefully walking.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-08-01
    Survey response — days 1–6 daily, dose 4
    MedDRA: Balance disorder, Body temperature decreased, Dizziness — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: My normal temperature is 96.0. Slightly elevated at 97.8. Dizzy, wobly standing up & walking.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-08-02
    Survey response — days 1–6 daily, dose 4
    MedDRA: Dizziness — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Free text: Less Dizzy today.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-08-03
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  36. 2022-08-04
    Health check-in — day 7, dose 4
    Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Diarrhea
    Adult check-in
  37. 2022-08-11
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-08-18
    Health check-in — day 21, dose 4
    Feeling: Fair
    Adult check-in
  39. 2022-08-25
    Survey response — day 28, dose 4
    MedDRA: Malaise, Nasopharyngitis, Pain, Pyrexia, SARS-CoV-2 test negative, Sinus pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: On 08-18-22 Became sick with fever in the evening. Cold symptoms, sinus pain, body aches. Took Covid test, was negative.
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-09-01
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-09-08
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-10-06
    Dose 5 — Pfizer-BioNTech
  43. 2022-10-06
    Health check-in — day 0, dose 5
    Feeling: Good · None
    Adult check-in
  44. 2022-10-07
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  45. 2022-10-08
    Survey response — days 1–6 daily, dose 5
    MedDRA: Night sweats — Feeling: Good
    Free text: Night sweats.
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-10-09
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  47. 2022-10-10
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  48. 2022-10-11
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  49. 2022-10-12
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  50. 2022-10-13
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  51. 2022-10-20
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  52. 2022-10-27
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  53. 2022-11-03
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  54. 2022-11-10
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  55. 2022-11-17
    Survey response — day 42, dose 5
    MedDRA: Arthralgia, Neuropathy peripheral, Office visit — 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 professional
    Free text: Symptoms: Painful joints & neuropathy. · Healthcare visit (other): Appointment with a Neurologist
    MedDRA releases: 2024-11 · check-in free text available
  56. 2022-11-17
    Report sent to call center — day 42, dose 5
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  57. 2022-11-18
  58. 2023-01-05
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  59. 2023-04-06
    Health check-in — 6 months, dose 5
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-15Pfizer-BioNTech
22021-05-06Pfizer-BioNTech
32021-11-15Pfizer-BioNTech No
42022-07-28Pfizer-BioNTech No
52022-10-06Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2022-11-17 Unsuccessful

Free text

Release 7 — day 0, dose 1

2021-04-15

Systemic reaction (other): Several bowl movements, not diarrhea.

Release 7 — days 1–6 daily, dose 1

2021-04-17

Systemic reaction (other): Sore gland on left throat

Release 8 — days 1–6 daily, dose 2

2021-05-08

Systemic reaction (other): Sore throat

Release 8 — day 28, dose 2

2021-06-03

Symptoms: Retaining water.

Release 11 — 12 months, dose 2

2022-05-06

Symptoms: Episodes of eczema on face/ears, dizziness, headaches, swollen joints/pain, tired. Repeating every 2 to 2 1/2 weeks for the last 7 months. Ear infection/fungus for the last 3 weeks with severes pain at times.

Release 12 — days 1–6 daily, dose 4

2022-07-29

Systemic reaction (other): Swollen ankles & legs. BTW I'm subnormal/ normal temperature is 96.0

2022-07-30

Systemic reaction (other): Swelling in legs & feet. Blood pressure high.

2022-07-31

Systemic reaction (other): Dizziness, wobbly when standing & walking. . Carefully walking.

2022-08-01

Systemic reaction (other): My normal temperature is 96.0. Slightly elevated at 97.8. Dizzy, wobly standing up & walking.

2022-08-02

Systemic reaction (other): Less Dizzy today.

Release 12 — day 28, dose 4

2022-08-25

Symptoms: On 08-18-22 Became sick with fever in the evening. Cold symptoms, sinus pain, body aches. Took Covid test, was negative.

Release 12 — days 1–6 daily, dose 5

2022-10-08

Systemic reaction (other): Night sweats.

Release 12 — day 42, dose 5

2022-11-17

Symptoms: Painful joints & neuropathy.
Healthcare visit (other): Appointment with a Neurologist

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDArthralgia · · ✓
SDDizziness · · ✓
SDEar infection fungal · · ✓
SDEar pain · · ✓
SDEczema · · ✓
SDFatigue · · ✓
SDFluid retention ✓ ✓ ✓
SDHeadache · · ✓
SDJoint swelling · · ✓
SDMalaise · · ✓
SDNasopharyngitis · · ✓
SDNeuropathy peripheral · · ✓
SDPain · · ✓
SDPyrexia · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSinus pain · · ✓
SROBalance disorder · · ✓
SROBody temperature decreased · · ✓
SRODizziness · · ✓
SRODysstasia · · ✓
SROFrequent bowel movements ✓ ✓ ✓
SROGait disturbance · · ✓
SROHypertension · · ✓
SROJoint swelling · · ✓
SROLymph node pain ✓ ✓ ✓
SRONight sweats · · ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPeripheral swelling · · ✓

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