YL5-19779-69450
3 vaccinations
4 coded responses
16 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 786 / TX
- Registered
- 2021-10-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Pfizer-BioNTech
-
2021-03-26
Dose 2 — Pfizer-BioNTech
-
2021-10-18
Registered in v-safe
-
2021-10-18
Dose 3 — Pfizer-BioNTech
- 2021-10-18
-
2021-10-19
Survey response — days 1–6 daily, dose 3MedDRA: Feeling cold, Pyrexia — Feeling: Fair · Fever · Chills, Fatigue or tirednessFree text: Only started feeling cold this morning and feverish this afternoon but nothing bad.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-20
- 2021-10-21
-
2021-10-22
Survey response — days 1–6 daily, dose 3MedDRA: Back pain — Feeling: Fair · Muscle or body achesFree text: Just bad lower backache for past several days.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-23
Survey response — days 1–6 daily, dose 3MedDRA: Back disorder — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Lower back still a problem but I'm sure not related to vaccineMedDRA releases: 2024-11 · check-in free text available
- 2021-10-24
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
-
2021-11-29
Survey response — day 42, dose 3MedDRA: Abdominal pain upper, Diarrhoea, Emergency care, Gastrointestinal disorder, Muscle spasms, Unevaluable event, Vomiting — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: A week ago Friday, stomach cramps and diarrhea. Last Tuesday, same type of cramps, diarrhea and vomiting, went to ER, got checked and Iv. Thought possible food poisoning. , Stomach still not 100%. Made appt with gastroenterologist next month.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-29
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-12-01
-
2021-12-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-17
- 2022-04-18
- 2022-10-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Pfizer-BioNTech | No |
| 2 | 2021-03-26 | Pfizer-BioNTech | No |
| 3 | 2021-10-18 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-29 | Successful 2021-12-01 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Only started feeling cold this morning and feverish this afternoon but nothing bad.
Systemic reaction (other): Just bad lower backache for past several days.
Systemic reaction (other): Lower back still a problem but I'm sure not related to vaccine
Release 10 — day 42, dose 3
Symptoms: A week ago Friday, stomach cramps and diarrhea. Last Tuesday, same type of cramps, diarrhea and vomiting, went to ER, got checked and Iv. Thought possible food poisoning. , Stomach still not 100%. Made appt with gastroenterologist next month.
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 | Abdominal pain upper | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Back disorder | · | · | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Feeling cold | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release