YMY-26846-53025
4 vaccinations
12 coded responses
44 check-ins
11 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 221 / VA
- Registered
- 2021-02-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Dose 1 — Pfizer-BioNTech
-
2021-02-28
Registered in v-safe
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
-
2021-03-18
Dose 2 — Pfizer-BioNTech
-
2021-03-18
Survey response — day 0, dose 2MedDRA: Dysgeusia, Immediate post-injection reaction — Feeling: GoodFree text: For 2 hours after the vaccination I had a metallic taste in my mouth.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia — Feeling: Good · Site: Pain, Redness · Fatigue or tirednessFree text: For s real hours after the vaccination I had a metallic taste in my mouth.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-06-17
-
2021-09-14
Dose 3 — Pfizer-BioNTech
-
2021-09-16
Survey response — 6 months, dose 2MedDRA: Body temperature increased, Chills, Fatigue — Feeling: FairFree text: Chills, low grade temperature and fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-02
-
2021-10-05
Survey response — day 21, dose 3MedDRA: Atrial fibrillation, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: I have Atrial Fibrillation diagnosed March 2019. I am well controlled on Sotalol. Since diagnosis I experienced one breakthrough episode lasting 2 minutes in March 2020. This Sunday, I had a 5 hour episode of A-Fib with Rapid Ventricular Response. · Healthcare visit (other): When speaking with cardiology nurse practitioner was told with any further episode of A-fib with Rapid Ventricular Response to report to ER. Making Appt with electrophysiologist.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-05
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-10-12
-
2021-10-19
Survey response — day 35, dose 3MedDRA: Atrial fibrillation, Emergency care, Heart rate increased, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: I had. 5 hour episode of atrial fibrillation with rapid ventricular rate. Treated in Emergency Room. · Healthcare visit (other): I have a follow/up with cardiologist & electrophysiologist.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-19
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-10-21
- 2021-10-21
-
2021-10-21
Call successfulCompleted over the phone
-
2021-10-21
Call successfulCompleted over the phone
- 2021-10-26
- 2021-12-14
-
2022-03-16
Survey response — 6 months, dose 3MedDRA: Obstructive pancreatitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Acute biliary Pancreatitis diagnosed 04/15/2022MedDRA releases: 2024-11 · check-in free text available
-
2022-03-29
Dose 4 — Moderna
-
2022-03-30
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-03-31
- 2022-04-01
- 2022-04-02
- 2022-04-03
- 2022-04-05
- 2022-04-12
-
2022-04-19
Survey response — day 21, dose 4MedDRA: Atrial fibrillation, Intensive care — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: April 13, 2022 experience Atrial Fibrillation with Rapid Ventricular Response. · Healthcare visit (other): Treated with IV medication & A-Fib converted to normal sinus rhythm after 10 hours. I responded to IV medication with a very low blood pressure & was monitored in the ICU for about 20 hours, then discharged.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-19
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-04-20
Call successfulCompleted over the phone
-
2022-04-26
Survey response — day 28, dose 4MedDRA: Influenza — 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 visitFree text: I was diagnosed with Influenza Type B on April 25, 2022. Started on Tamaflu on April 26, 2022.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-26
Report sent to call center — day 28, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-27
Call successfulReported to VAERS during previous contact from GDIT
-
2022-05-03
Survey response — day 35, dose 4MedDRA: Influenza, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Monday April 25th I was diagnosed with Influenza Type B. I have completed a course of Tamiflu. I am feeling much better. I now have very mild cold symptoms.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-10
-
2022-07-01
Survey response — 3 months, dose 4MedDRA: Arrhythmia, Atrial fibrillation, Emergency care — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: On May 20, 2022 I had a six hour episode of Atrial Fibrillation with Rapid Ventricular Response. · Healthcare visit (other): Treated in local Emergency room & was admitted to a nearby hospital. The hospital admission was cancelled when I reverted to normal sinus rhythm.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-01
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-07-05
- 2022-07-05
- 2022-07-05
- 2022-07-05
- 2022-07-05
-
2022-07-05
Call successfulReported to VAERS during previous contact from GDIT
-
2022-09-27
Survey response — 6 months, dose 4MedDRA: Atrial fibrillation — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: August 24th experienced A-Fib with Rapid Ventricular Response for 10 hoursMedDRA releases: 2024-11 · check-in free text available
-
2022-09-27
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-09-28
-
2022-09-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-03-29
Survey response — 12 months, dose 4MedDRA: Atrial fibrillation, Cardiac pacemaker insertion, High frequency ablation — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Pfizer-BioNTech | |
| 2 | 2021-03-18 | Pfizer-BioNTech | |
| 3 | 2021-09-14 | Pfizer-BioNTech | No |
| 4 | 2022-03-29 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-05 | Successful 2021-10-21 |
Completed over the phone |
| 2021-10-19 | Successful 2021-10-21 |
Completed over the phone |
| 2022-04-19 | Successful 2022-04-20 |
Completed over the phone |
| 2022-04-26 | Successful 2022-04-27 |
Reported to VAERS during previous contact from GDIT |
| 2022-07-01 | Successful 2022-07-05 |
Reported to VAERS during previous contact from GDIT |
| 2022-09-27 | Successful 2022-09-28 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 5 — day 0, dose 2
Systemic reaction (other): For 2 hours after the vaccination I had a metallic taste in my mouth.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): For s real hours after the vaccination I had a metallic taste in my mouth.
Release 9 — 6 months, dose 2
Symptoms: Chills, low grade temperature and fatigue.
Release 10 — day 21, dose 3
Symptoms: I have Atrial Fibrillation diagnosed March 2019. I am well controlled on Sotalol. Since diagnosis I experienced one breakthrough episode lasting 2 minutes in March 2020. This Sunday, I had a 5 hour episode of A-Fib with Rapid Ventricular Response.
Healthcare visit (other): When speaking with cardiology nurse practitioner was told with any further episode of A-fib with Rapid Ventricular Response to report to ER. Making Appt with electrophysiologist.
Release 10 — day 35, dose 3
Symptoms: I had. 5 hour episode of atrial fibrillation with rapid ventricular rate. Treated in Emergency Room.
Healthcare visit (other): I have a follow/up with cardiologist & electrophysiologist.
Release 11 — 6 months, dose 3
Symptoms: Acute biliary Pancreatitis diagnosed 04/15/2022
Release 11 — day 21, dose 4
Symptoms: April 13, 2022 experience Atrial Fibrillation with Rapid Ventricular Response.
Healthcare visit (other): Treated with IV medication & A-Fib converted to normal sinus rhythm after 10 hours. I responded to IV medication with a very low blood pressure & was monitored in the ICU for about 20 hours, then discharged.
Release 11 — day 28, dose 4
Symptoms: I was diagnosed with Influenza Type B on April 25, 2022. Started on Tamaflu on April 26, 2022.
Release 11 — day 35, dose 4
Symptoms: Monday April 25th I was diagnosed with Influenza Type B. I have completed a course of Tamiflu. I am feeling much better. I now have very mild cold symptoms.
Release 12 — 3 months, dose 4
Symptoms: On May 20, 2022 I had a six hour episode of Atrial Fibrillation with Rapid Ventricular Response.
Healthcare visit (other): Treated in local Emergency room & was admitted to a nearby hospital. The hospital admission was cancelled when I reverted to normal sinus rhythm.
Release 12 — 6 months, dose 4
Symptoms: August 24th experienced A-Fib with Rapid Ventricular Response for 10 hours
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 | Arrhythmia | · | · | ✓ |
| HCVO | Atrial fibrillation | · | · | ✓ |
| HCVO | Emergency care | · | · | ✓ |
| HCVO | Intensive care | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Cardiac pacemaker insertion | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | High frequency ablation | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Obstructive pancreatitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release