YL6-20087-24038
4 vaccinations
6 coded responses
41 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 049 / ME
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Pfizer-BioNTech
- 2021-01-26
-
2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Good · Site: PainFree text: Mild sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
-
2021-02-19
Dose 2 — Pfizer-BioNTech
-
2021-02-19
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tirednessAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-22
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Good · Joint painsFree text: Pain in both hands jointsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-02-25
- 2021-03-01
- 2021-03-05
- 2021-03-12
- 2021-03-21
- 2021-03-26
- 2021-04-02
- 2021-05-22
- 2021-08-20
-
2021-09-25
Dose 3 — Pfizer-BioNTech
- 2021-10-02
- 2021-10-09
- 2021-10-16
- 2021-10-23
- 2021-10-30
-
2021-11-06
Survey response — day 42, dose 3MedDRA: Proctalgia — Feeling: GoodFree text: Over the last several months I've woken up from anal pain to be only relieved by a bowel movement. I looked it up to find restless anal syndrome side effect of covid or vaccine. I recently had a colonoscopy with next one 10 yrs.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-25
Survey response — 3 months, dose 3MedDRA: Proctalgia, Sleep disorder, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have experienced anal pain that wakes me up at night over the last 8 or 9 months. The only relief is time and bowel movement. I had a colonoscopy with normal results. Recently learned about covid related restless anal syndrome. · Healthcare visit (other): ColonoscopyMedDRA releases: 2024-11 · check-in free text available
-
2021-12-25
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-28
-
2021-12-28
Call successfulParticipant prefers to complete VAERS report online
- 2022-03-27
-
2022-04-01
Dose 4 — Moderna
- 2022-04-15
- 2022-04-22
-
2022-04-29
Survey response — day 28, dose 4MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to work or attend schoolFree text: Cold symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
-
2022-05-13
Survey response — day 42, dose 4MedDRA: Abdominal pain — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Andominal pain with referral to a gastroenterologyMedDRA releases: 2024-11 · check-in free text available
-
2022-05-13
Report sent to call center — day 42, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-17
- 2022-05-17
- 2022-07-01
- 2022-09-30
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Pfizer-BioNTech | |
| 2 | 2021-02-19 | Pfizer-BioNTech | |
| 3 | 2021-09-25 | Pfizer-BioNTech | No |
| 4 | 2022-04-01 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-25 | Successful 2021-12-28 |
Participant prefers to complete VAERS report online |
| 2022-05-13 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Mild sore throat
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Pain in both hands joints
Release 10 — day 42, dose 3
Symptoms: Over the last several months I've woken up from anal pain to be only relieved by a bowel movement. I looked it up to find restless anal syndrome side effect of covid or vaccine. I recently had a colonoscopy with next one 10 yrs.
Release 10 — 3 months, dose 3
Symptoms: I have experienced anal pain that wakes me up at night over the last 8 or 9 months. The only relief is time and bowel movement. I had a colonoscopy with normal results. Recently learned about covid related restless anal syndrome.
Healthcare visit (other): Colonoscopy
Release 11 — day 28, dose 4
Symptoms: Cold symptoms
Release 11 — day 42, dose 4
Symptoms: Andominal pain with referral to a gastroenterology
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 | Unevaluable event | · | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Proctalgia | · | · | ✓ |
| SD | Sleep disorder | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release