YKL-12053-54755
4 vaccinations
5 coded responses
9 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 220 / VA
- Registered
- 2021-10-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Dose 1 — Pfizer-BioNTech
-
2021-04-13
Dose 2 — Pfizer-BioNTech
-
2021-10-10
Registered in v-safe
-
2021-11-19
Dose 3 — Pfizer-BioNTech
-
2022-04-11
Dose 4 — Pfizer-BioNTech
-
2022-04-19
Survey response — day 7, dose 4MedDRA: Herpes virus infection — Feeling: Good · Site: Pain · Muscle or body aches, DiarrheaFree text: Herpes breakoutMedDRA releases: 2024-11 · check-in free text available
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2022-04-25
Survey response — day 14, dose 4MedDRA: Pre-existing disease, Sensory disturbance, Tremor — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sudden sensation of paralysis at neck, down arms, then chest, tongue, then legs,face. Feel I can't move arms, but I can. Has happened about 8 times.Feel I can't talk, or breath/catch breath, but I can. Fingers shaky then ok. I have Cervical Stenosis.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-02
- 2022-05-09
- 2022-05-16
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2022-05-23
Survey response — day 42, dose 4MedDRA: Cough, Pain, Sciatica, Sneezing — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cough, sneeze, sciatic pain, left ar. Pain.MedDRA releases: 2024-11 · check-in free text available
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2022-05-23
Report sent to call center — day 42, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-24
- 2022-07-11
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2022-10-10
Survey response — 6 months, dose 4MedDRA: Arthralgia, COVID-19, Cough, Headache, Musculoskeletal pain, Neck pain, Pain in extremity, Respiratory tract congestion, Sneezing — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Chest congestion, left buttock thigh pain, shoulder neck pain, headaches, cough, sneezing, covidMedDRA releases: 2024-11 · check-in free text available
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2022-10-10
Report sent to call center — 6 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 prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-10-11
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-10-11
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-04-11
Survey response — 12 months, dose 4MedDRA: Arthralgia, Back pain, Energy increased, Oropharyngeal pain, Pre-existing disease, Sneezing, Therapeutic response unexpected, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Pfizer-BioNTech | No |
| 2 | 2021-04-13 | Pfizer-BioNTech | No |
| 3 | 2021-11-19 | Pfizer-BioNTech | No |
| 4 | 2022-04-11 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-23 | Successful 2022-10-11 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-10-10 | Successful 2022-10-11 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 11 — day 7, dose 4
Systemic reaction (other): Herpes breakout
Release 11 — day 14, dose 4
Symptoms: Sudden sensation of paralysis at neck, down arms, then chest, tongue, then legs,face. Feel I can't move arms, but I can. Has happened about 8 times.Feel I can't talk, or breath/catch breath, but I can. Fingers shaky then ok. I have Cervical Stenosis. cut off by CDC
Release 11 — day 42, dose 4
Symptoms: Cough, sneeze, sciatic pain, left ar. Pain.
Release 12 — 6 months, dose 4
Symptoms: Chest congestion, left buttock thigh pain, shoulder neck pain, headaches, cough, sneezing, covid
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 | Arthralgia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Energy increased | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Musculoskeletal pain | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sciatica | · | · | ✓ |
| SD | Sensory disturbance | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Therapeutic response unexpected | · | · | ✓ |
| SD | Tremor | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Herpes virus infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release