YMJ-69636-08313
5 vaccinations
6 coded responses
44 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 105 / NY
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Dose 1 — Pfizer-BioNTech
-
2020-12-30
Registered in v-safe
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-12
-
2021-01-19
Dose 2 — Pfizer-BioNTech
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-04-22
- 2021-07-20
-
2021-09-28
Dose 3 — Pfizer-BioNTech
- 2021-09-29
- 2021-09-30
- 2021-10-01
-
2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tirednessFree text: Im an RN and Ive worked too many shifts.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-03
- 2021-10-04
- 2021-10-05
-
2021-10-12
Survey response — day 14, dose 3MedDRA: Dizziness, Sinusitis — Feeling: GoodFree text: Sinus infection and had some dizziness last night at work- maybe I didn't drink enough.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-19
Survey response — day 21, dose 3MedDRA: Sinusitis — Feeling: FairFree text: Sinus infectionMedDRA releases: 2024-11 · check-in free text available
-
2021-10-26
Survey response — day 28, dose 3MedDRA: Office visit, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Persistent sinus infection. Now on second antibiotic and awaiting a bacterial nassl culture to see if the antibiotic is the appropriate one for the infection. · Healthcare visit (other): Went to my ENT.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-26
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-28
- 2021-11-01
-
2021-11-01
Callback requested for2:00PM ET
- 2021-11-02
- 2021-11-09
- 2021-12-28
- 2022-03-29
-
2022-05-09
Dose 4 — Pfizer-BioNTech
- 2022-05-26
- 2022-05-30
-
2022-06-06
Survey response — day 28, dose 4MedDRA: Malaise, SARS-CoV-2 test negative, Sinusitis, Upper-airway cough syndrome — Feeling: Poor · Be unable to work or attend schoolFree text: Viral sinus infection, with post nasal drip. I took Rapid Covid tests which were negative three days in a row while sick.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-13
- 2022-06-22
- 2022-08-10
- 2022-11-07
-
2022-11-22
Dose 5 — Pfizer-BioNTech
-
2023-05-09
Survey response — 12 months, dose 4MedDRA: Asthma, Sinusitis — 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 visitMedDRA releases: 2024-11
-
2023-05-09
Report sent to call center — 12 months, dose 4Be 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)
-
2023-05-10
Call successfulParticipant prefers to complete VAERS report online
-
2023-05-10
Call successfulParticipant prefers to complete VAERS report online
- 2023-05-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Pfizer-BioNTech | |
| 2 | 2021-01-19 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
| 4 | 2022-05-09 | Pfizer-BioNTech | No |
| 5 | 2022-11-22 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-26 | Successful 2023-05-10 |
Participant prefers to complete VAERS report online |
| 2023-05-09 | Successful 2023-05-10 |
Participant prefers to complete VAERS report online |
Free text
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Im an RN and Ive worked too many shifts.
Release 10 — day 14, dose 3
Symptoms: Sinus infection and had some dizziness last night at work- maybe I didn't drink enough.
Release 10 — day 21, dose 3
Symptoms: Sinus infection
Release 10 — day 28, dose 3
Symptoms: Persistent sinus infection. Now on second antibiotic and awaiting a bacterial nassl culture to see if the antibiotic is the appropriate one for the infection.
Healthcare visit (other): Went to my ENT.
Release 11 — day 28, dose 4
Symptoms: Viral sinus infection, with post nasal drip. I took Rapid Covid tests which were negative three days in a row while sick.
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 | Asthma | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release