YMR-20512-01645
5 vaccinations
7 coded responses
57 check-ins
7 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 937 / CA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Pfizer-BioNTech
- 2021-01-15
- 2021-01-16
-
2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Chills, HeadacheAdult check-in
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-30
-
2021-02-05
Dose 2 — Pfizer-BioNTech
- 2021-02-05
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
-
2021-03-05
Survey response — day 28, dose 2MedDRA: Pain in extremity, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Left arm stil hurts from #1 Pfizer Vaccine received on 1/15/21. Feels like bursitis. Have call into doctor. · Healthcare visit (other): Scheduled Tele appt.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-14
Survey response — day 35, dose 2MedDRA: Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Left deltoid/ arm painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-14
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-20
Survey response — day 42, dose 2MedDRA: Injection site pain — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Left deltoid pain continues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-20
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-07
Survey response — 3 months, dose 2MedDRA: Bursitis, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Bursitis in left arm deltoid area. · Healthcare visit (other): Physical TherapyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-17
- 2021-06-25
- 2021-06-28
-
2021-07-01
Call successfulCompleted over the phone
- 2021-08-07
-
2021-08-18
Dose 3 — Pfizer-BioNTech
- 2021-08-20
-
2021-08-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Headache, Muscle or body aches, DiarrheaAdult check-in
- 2021-08-23
- 2021-08-24
- 2021-08-25
- 2021-09-01
- 2021-09-08
- 2021-09-16
- 2021-09-22
- 2021-09-29
- 2021-11-17
- 2022-02-16
-
2022-04-19
Dose 4 — Pfizer-BioNTech
- 2022-04-20
- 2022-04-21
- 2022-04-22
- 2022-04-23
-
2022-04-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Chills, Fatigue or tirednessAdult check-in
- 2022-04-25
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-31
-
2022-07-19
Survey response — 3 months, dose 4MedDRA: Chills, Medical counselling, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Covid symptoms: runny nose, sore throat, chills. Negative Covid test on 5/28 in Spain. Positive Covid test three days after arriving home. Contacted physician. Received Rx for Paxlovid.MedDRA releases: 2024-11 · check-in free text available
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2022-07-19
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-07-20
- 2022-07-20
- 2022-07-20
- 2022-07-20
- 2022-07-20
-
2022-07-20
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-22
Dose 5 — Pfizer-BioNTech
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-09-28
-
2022-09-29
Survey response — day 7, dose 5MedDRA: Hyperhidrosis — Feeling: Fair · Fever · Chills, HeadacheFree text: SweatyMedDRA releases: 2024-11 · check-in free text available
-
2022-10-06
Survey response — day 14, dose 5MedDRA: Chills, Diarrhoea, Hyperhidrosis, Oropharyngeal pain, Pyrexia — Feeling: GoodFree text: Sore throat, loose stools, feverish feel, chills and sweats.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-12-22
- 2023-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Pfizer-BioNTech | |
| 2 | 2021-02-05 | Pfizer-BioNTech | |
| 3 | 2021-08-18 | Pfizer-BioNTech | No |
| 4 | 2022-04-19 | Pfizer-BioNTech | No |
| 5 | 2022-09-22 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-05 | Successful | Completed over the phone |
| 2021-03-14 | Successful | Completed over the phone |
| 2021-03-20 | Successful | Completed over the phone |
| 2021-05-07 | Successful 2021-07-01 |
Completed over the phone |
| 2022-07-19 | Successful 2022-07-20 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 5 — day 28, dose 2
Symptoms: Left arm stil hurts from #1 Pfizer Vaccine received on 1/15/21. Feels like bursitis. Have call into doctor.
Healthcare visit (other): Scheduled Tele appt.
Release 5 — day 35, dose 2
Symptoms: Left deltoid/ arm pain
Release 6 — day 42, dose 2
Symptoms: Left deltoid pain continues.
Release 8 — 3 months, dose 2
Release 12 — 3 months, dose 4
Symptoms: Covid symptoms: runny nose, sore throat, chills. Negative Covid test on 5/28 in Spain. Positive Covid test three days after arriving home. Contacted physician. Received Rx for Paxlovid.
Release 12 — day 7, dose 5
Systemic reaction (other): Sweaty
Release 12 — day 14, dose 5
Symptoms: Sore throat, loose stools, feverish feel, chills and sweats.
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 | Physiotherapy | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Bursitis | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release