YMC-11150-04914

6 vaccinations 20 coded responses 62 check-ins 16 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 926 / CA
Registered: 2021-01-24

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

2021-01-24
Registered in v-safe
2021-01-24
Dose 1 — Pfizer-BioNTech
2021-01-24
Health check-in — day 0, dose 1
Feeling: Good · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

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 — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-14
Dose 2 — Pfizer-BioNTech
2021-02-14
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-23
Survey response — day 7, dose 2
MedDRA: Diarrhoea — Feeling: Good · Diarrhea

Free text: Night before last I had terrible issues with diarrhea. It was extreme but yesterday it subsided and today seems better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-07
Survey response — day 21, dose 2
MedDRA: Neuralgia, Pain in extremity — Feeling: Good

Free text: Nerve pain radiating down my leg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — day 28, dose 2
MedDRA: Diarrhoea, Rash — Feeling: Good

Free text: Diarrhea, small rashes on different areas of the body.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-16
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: Ive had more herpes breakouts than I used to have.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-27
Dose 3 — Pfizer-BioNTech
2021-08-27
Health check-in — day 0, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-08-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-08-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-08-30
Survey response — days 1–6 daily, dose 3
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain, Redness, Swelling

Free text: Nerve tingling in the back of my legs

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Survey response — days 1–6 daily, dose 3
MedDRA: Paraesthesia — Feeling: Good · Site: Itching · Headache

Free text: Tingling in the back of both thighs

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fever · Headache

Adult check-in
2021-09-02
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness exertional — Feeling: Good · Site: Itching · Be unable to do your normal daily activities

Free text: A little dizziness when doing house work

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Survey response — day 7, dose 3
MedDRA: Headache — Feeling: Fair · Headache

Free text: Have had a headache for over 24 hours

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-10
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-09-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-03-31
Dose 4 — Moderna
2022-03-31
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-04-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-04-02
Survey response — days 1–6 daily, dose 4
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-04-03
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: Swelling · Headache

Free text: Runny nose, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-04-04
Survey response — days 1–6 daily, dose 4
MedDRA: Rhinorrhoea — Feeling: Fair · Headache

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-04-05
Survey response — days 1–6 daily, dose 4
MedDRA: Rhinorrhoea — Feeling: Good · Headache

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-07
Survey response — day 7, dose 4
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Runny nose, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Survey response — day 14, dose 4
MedDRA: Herpes virus infection, Herpes zoster, Injection site bruising — Feeling: Fair

Free text: #NAME?

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-29
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-05
Survey response — day 35, dose 4
MedDRA: Pre-existing disease — Feeling: Fair

Free text: Allergies

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Survey response — day 42, dose 4
MedDRA: Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sinusitis

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-30
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-07
Dose 5 — Moderna
2022-09-29
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-03-23
Dose 6 — Moderna
2023-03-31
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in
2023-03-31
Survey response — day 7, dose 6
MedDRA: No adverse event — Feeling: Good

MedDRA releases: 2024-11
2023-04-06
Survey response — day 14, dose 6
MedDRA: Rhinorrhoea — Feeling: Good

MedDRA releases: 2024-11
2023-04-13
Health check-in — day 21, dose 6
Feeling: Good

Adult check-in
2023-04-20
Survey response — day 28, dose 6
MedDRA: Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-04-20
Report sent to call center — day 28, dose 6
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2023-04-21
Call successful
Does not wish to fill out VAERS report
2023-04-27
Health check-in — day 35, dose 6
Feeling: Good

Adult check-in
2023-05-04
Health check-in — day 42, dose 6
Feeling: Good

Adult check-in
2023-06-22
Survey response — 3 months, dose 6
MedDRA: Sinus disorder — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-24	Pfizer-BioNTech
2	2021-02-14	Pfizer-BioNTech
3	2021-08-27	Pfizer-BioNTech	No
4	2022-03-31	Moderna	No
5	2022-09-07	Moderna	No
6	2023-03-23	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-05-12	Successful 2022-05-13	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-20	Successful 2023-04-21	Does not wish to fill out VAERS report

Free text

Release 4 — day 7, dose 2

2021-02-23

Systemic reaction (other): Night before last I had terrible issues with diarrhea. It was extreme but yesterday it subsided and today seems better

Release 5 — day 21, dose 2

2021-03-07

Symptoms: Nerve pain radiating down my leg.

Release 5 — day 28, dose 2

2021-03-14

Symptoms: Diarrhea, small rashes on different areas of the body.

Release 8 — 3 months, dose 2

2021-05-16

Symptoms: Ive had more herpes breakouts than I used to have.

Release 9 — days 1–6 daily, dose 3

2021-08-30

Systemic reaction (other): Nerve tingling in the back of my legs

2021-08-31

Systemic reaction (other): Tingling in the back of both thighs

2021-09-02

Systemic reaction (other): A little dizziness when doing house work

Release 9 — day 7, dose 3

2021-09-03

Systemic reaction (other): Have had a headache for over 24 hours

Release 11 — days 1–6 daily, dose 4

2022-04-02

Systemic reaction (other): Runny nose

2022-04-03

Systemic reaction (other): Runny nose, sore throat

2022-04-04

Systemic reaction (other): Runny nose

2022-04-05

Systemic reaction (other): Runny nose

Release 11 — day 7, dose 4

2022-04-07

Systemic reaction (other): Runny nose, sore throat

Release 11 — day 14, dose 4

2022-04-14

Symptoms: #NAME?

Release 11 — day 35, dose 4

2022-05-05

Symptoms: Allergies

Release 11 — day 42, dose 4

2022-05-12

Symptoms: Sinusitis

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	Condition aggravated	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Herpes virus infection	·	·	✓
SD	Herpes zoster	·	·	✓
SD	Injection site bruising	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Neuralgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus disorder	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness exertional	✓	·	✓
SRO	Headache	✓	·	✓
SRO	No adverse event	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Paraesthesia	✓	·	✓
SRO	Rhinorrhoea	·	·	✓

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