YKS-25967-59511
3 vaccinations
3 coded responses
5 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 967 / HI
- Registered
- 2021-04-25
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Registered dependents
MHZ-15943-29310
Child or adolescent in my care · Female · 2021-11-21
YGX-25460-67714
Child or adolescent in my care · Female · 2021-11-21
Timeline
-
2021-03-13
Dose 1 — Pfizer-BioNTech
-
2021-04-15
Dose 2 — Pfizer-BioNTech
-
2021-04-25
Registered in v-safe
-
2021-04-25
Survey response — day 7, dose 2MedDRA: Cough, Dyspnoea, Headache, Productive cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache · Be unable to workFree text: Same day as 2nd shot, experienced shortness of breath doing some light house chores and slight headache. Coughing and phlegm, runny nose, upper respiratory congestion, maybe started a few days before 2nd shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-16
Survey response — day 28, dose 2MedDRA: Cough — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Bad ongoing coughing! About a month now! I have been irresponsible not responding cause did not know how to respond to the vaccination questions, or what to say the last few weeks because the coughing had started around April 7th on KauaiMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-16
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-29
-
2021-11-20
Dose 3 — Pfizer-BioNTech
-
2021-11-21
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Chills, Headache, Musculoskeletal pain, Musculoskeletal stiffness, Nausea, Pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activitiesFree text: Felt like vomit few hours after shot, qlso before bed at 1130pm. Woke up with stiff neck and pain in upper right near shoulder blade. Chills and joint pain, bodyache, headaches bad this morningMedDRA releases: 2024-11 · check-in free text available
-
2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2022-05-04
-
2022-05-04
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Pfizer-BioNTech | |
| 2 | 2021-04-15 | Pfizer-BioNTech | |
| 3 | 2021-11-20 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-16 | Successful 2022-05-04 |
Not applicable - Accidental Reporting |
Free text
Release 7 — day 7, dose 2
Systemic reaction (other): Same day as 2nd shot, experienced shortness of breath doing some light house chores and slight headache. Coughing and phlegm, runny nose, upper respiratory congestion, maybe started a few days before 2nd shot.
Release 8 — day 28, dose 2
Symptoms: Bad ongoing coughing! About a month now! I have been irresponsible not responding cause did not know how to respond to the vaccination questions, or what to say the last few weeks because the coughing had started around April 7th on Kauai
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Felt like vomit few hours after shot, qlso before bed at 1130pm. Woke up with stiff neck and pain in upper right near shoulder blade. Chills and joint pain, bodyache, headaches bad this morning
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 | Cough | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal pain | · | · | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Productive cough | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release