YLB-24482-67812

3 vaccinations 4 coded responses 37 check-ins 4 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 922 / CA
Registered: 2021-01-26

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Pfizer-BioNTech
2021-01-26
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-28
Dose 2 — Pfizer-BioNTech
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-06
Survey response — day 35, dose 2
MedDRA: Fatigue, Nausea — Feeling: Fair

Free text: Tired. Nausea. It may be allergy related. Or caregiver burn out.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-29
Survey response — 6 months, dose 2
MedDRA: Heart rate increased, Heart rate irregular, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Accelerated irregular heart beats · Healthcare visit (other): Primary care doctor, cardiologist and electrocardiologist Wore heart monitor for 11 days and received diagnosis.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-29
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-27
Dose 3 — Pfizer-BioNTech
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-04
Survey response — day 7, dose 3
MedDRA: Cough — Feeling: Good · Fatigue or tiredness

Free text: Intermittent dry cough

MedDRA releases: 2024-11 · check-in free text available
2021-10-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-16
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-27
Survey response — 12 months, dose 3
MedDRA: Heart rate irregular, Office visit, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Heart- irregular heartbeat. Testing for AFib. Echocardiogram and wearing a heart monitor for a month beginning sept 1,2023. Awaiting results Oct 5,2022. Then, Covid -19 tested positive for 10 days. · Healthcare visit (other): Electro cardiologist

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-28
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Pfizer-BioNTech
2	2021-02-28	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-29	Successful 2021-12-16	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-09-27	Successful 2022-09-28	Does not wish to fill out VAERS report

Free text

Release 7 — day 35, dose 2

2021-04-06

Symptoms: Tired. Nausea. It may be allergy related. Or caregiver burn out.

Release 9 — 6 months, dose 2

2021-08-29

Symptoms: Accelerated irregular heart beats

Healthcare visit (other): Primary care doctor, cardiologist and electrocardiologist Wore heart monitor for 11 days and received diagnosis.

Release 9 — day 7, dose 3

2021-10-04

Systemic reaction (other): Intermittent dry cough

Release 12 — 12 months, dose 3

2022-09-27

Symptoms: Heart- irregular heartbeat. Testing for AFib. Echocardiogram and wearing a heart monitor for a month beginning sept 1,2023. Awaiting results Oct 5,2022. Then, Covid -19 tested positive for 10 days.

Healthcare visit (other): Electro cardiologist

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	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Heart rate increased	✓	·	✓
SD	Heart rate irregular	✓	·	✓
SD	Nausea	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Cough	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release