YLB-15323-20147
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 280 / NC
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 1 — Pfizer-BioNTech
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2021-03-23
Survey response — day 0, dose 1MedDRA: Paraesthesia, Pruritus — Feeling: GoodFree text: Felt a little itchy on my face and head, starting about 10 minutes after shot. Felt a little prickly on my face close to mouth, but not in mouth, throat or tongue. Lasted a couple of hours and stopped. Very mild, feel fine now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
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2021-03-30
Survey response — day 7, dose 1MedDRA: Office visit, Urinary tract infection — Feeling: Fair · Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Symptoms like I might have a urinary tract infection, Im sure not related to vaccine. · Healthcare visit (other): Primary doctor visit for urine testMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-06
Survey response — day 14, dose 1MedDRA: Office visit, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Got a urinary tract infection · Healthcare visit (other): Office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-14
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2021-04-20
Dose 2 — Pfizer-BioNTech
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2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-22
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
-
2021-05-05
Survey response — day 14, dose 2MedDRA: Condition aggravated, Pre-existing disease, Sciatica — Feeling: Good · Be unable to do your normal daily activitiesFree text: Increased sciatic nerve pain and restless legs. I already have these conditions, they just seem to really be flared up right now. Probably not related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-05-20
- 2021-06-01
- 2021-06-17
- 2021-07-20
- 2021-10-19
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2022-04-22
Survey response — 12 months, dose 2MedDRA: Diverticulitis, Infection, Pain, Unevaluable event — Feeling: Good · Be unable to work or attend school, 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: Symptoms: Diverticulitis with infection and severe pain · Healthcare visit (other): RadiologyMedDRA releases: 2024-11 · check-in free text available
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2022-04-22
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Pfizer-BioNTech | |
| 2 | 2021-04-20 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-30 | Unsuccessful | |
| 2021-04-06 | Unsuccessful | |
| 2022-04-22 | Unsuccessful |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Felt a little itchy on my face and head, starting about 10 minutes after shot. Felt a little prickly on my face close to mouth, but not in mouth, throat or tongue. Lasted a couple of hours and stopped. Very mild, feel fine now.
Release 6 — day 7, dose 1
Systemic reaction (other): Symptoms like I might have a urinary tract infection, Im sure not related to vaccine.
Healthcare visit (other): Primary doctor visit for urine test
Release 7 — day 14, dose 1
Release 8 — day 14, dose 2
Symptoms: Increased sciatic nerve pain and restless legs. I already have these conditions, they just seem to really be flared up right now. Probably not related.
Release 11 — 12 months, dose 2
Symptoms: Diverticulitis with infection and severe pain
Healthcare visit (other): Radiology
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 | Office visit | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Diverticulitis | · | · | ✓ |
| SD | Infection | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sciatica | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Urinary tract infection | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release