YMZ-11511-94202

5 vaccinations 9 coded responses 50 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 775 / TX
Registered: 2021-02-06

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

2021-02-05
Dose 1 — Pfizer-BioNTech
2021-02-06
Registered in v-safe
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Pfizer-BioNTech
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Fever · Muscle or body aches

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · None

Adult check-in
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 — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-31
Survey response — 3 months, dose 2
MedDRA: Hot flush — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hot flashes that are new. My lab work doesnt account for them. About 10 times a day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Dose 3 — Pfizer-BioNTech
Co-administered: Shingles
2022-02-26
Survey response — 12 months, dose 2
MedDRA: Renal failure, Renal function test abnormal — Feeling: Good · Be unable to work or attend school

Free text: My kidney lab results shoe I am in kidney failure

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-11
Call 2 — Left Voicemail
2022-05-23
Dose 4 — Pfizer-BioNTech
2022-05-23
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-05-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-25
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: None

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2022-05-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-28
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-05-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-30
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-06
Survey response — day 14, dose 4
MedDRA: Headache, Pyrexia, SARS-CoV-2 test positive, Sinusitis — Feeling: Fair · 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 visit

Free text: Fever, headache, sinusitis Positive (+) Covid test

MedDRA releases: 2024-11 · check-in free text available
2022-06-06
Report sent to call center — day 14, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-07
Call 3 — Left Voicemail
2022-06-07
Call 2 — Left Voicemail
2022-06-13
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-20
Survey response — day 28, dose 4
MedDRA: Productive cough, Secretion discharge — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough with extreme mucous.

MedDRA releases: 2024-11 · check-in free text available
2022-06-27
Survey response — day 35, dose 4
MedDRA: Ear discomfort, Hypoacusis, Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Completely stopped up ears and sore throat. Difficulty hearing.

MedDRA releases: 2024-11 · check-in free text available
2022-06-27
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-29
Call 3 — Left Voicemail
2022-06-29
Call 2 — Left Voicemail
2022-07-04
Survey response — day 42, dose 4
MedDRA: Cough, Ear infection, Office visit, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Continuous cough, bilateral ear infections, and a resultant sinus infections · Healthcare visit (other): ENT visit with hearing tests, antibiotic treatment

MedDRA releases: 2024-11 · check-in free text available
2022-07-04
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-06
Call X — Left Voicemail
2022-07-06
Call X — Left Voicemail
2022-07-06
Call 3 — Left Voicemail
2022-07-06
Call 2 — Left Voicemail
2022-08-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-12
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-12
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-14
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-10-15
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Swelling · Headache, Muscle or body aches

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-17
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-18
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-19
Health check-in — day 7, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-27
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-11-02
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-09
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-16
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-23
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-13
Survey response — 3 months, dose 5
MedDRA: COVID-19, Kidney fibrosis, Renal disorder — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-01-13
Report sent to call center — 3 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2023-01-16
Call 1 — Left Voicemail
2023-01-16
Call 1 — Left Voicemail
2023-01-16
Call 1 — Left Voicemail
2023-01-16
Call 1 — Left Voicemail
2023-01-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Pfizer-BioNTech
2	2021-02-26	Pfizer-BioNTech
3	2021-10-26	Pfizer-BioNTech	Shingles
4	2022-05-23	Pfizer-BioNTech	No
5	2022-10-12	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-05-31	Unsuccessful
2022-06-06	Unsuccessful
2022-06-27	Unsuccessful
2022-07-04	Unsuccessful
2023-01-13	Unsuccessful

Free text

Release 8 — 3 months, dose 2

2021-05-31

Symptoms: Hot flashes that are new. My lab work doesnt account for them. About 10 times a day

Release 11 — 12 months, dose 2

2022-02-26

Symptoms: My kidney lab results shoe I am in kidney failure

Release 11 — days 1–6 daily, dose 4

2022-05-25

Systemic reaction (other): None

2022-05-28

Systemic reaction (other): No

Release 11 — day 14, dose 4

2022-06-06

Symptoms: Fever, headache, sinusitis Positive (+) Covid test

Release 12 — day 28, dose 4

2022-06-20

Symptoms: Cough with extreme mucous.

Release 12 — day 35, dose 4

2022-06-27

Symptoms: Completely stopped up ears and sore throat. Difficulty hearing.

Release 12 — day 42, dose 4

2022-07-04

Symptoms: Continuous cough, bilateral ear infections, and a resultant sinus infections

Healthcare visit (other): ENT visit with hearing tests, antibiotic treatment

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	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Ear discomfort	·	·	✓
SD	Ear infection	·	·	✓
SD	Headache	·	·	✓
SD	Hot flush	✓	✓	✓
SD	Hypoacusis	·	·	✓
SD	Kidney fibrosis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	·	·	✓
SD	Renal disorder	·	·	✓
SD	Renal failure	·	·	✓
SD	Renal function test abnormal	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Sinusitis	·	·	✓
SRO	No adverse event	·	·	✓

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