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YN5-17059-28905

4 vaccinations 3 coded responses 10 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
912 / CA
Registered
2021-06-09
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-13
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-03
    Dose 2 — Pfizer-BioNTech
  3. 2021-06-09
    Registered in v-safe
  4. 2021-06-10
    Survey response — day 7, dose 2
    MedDRA: Abdominal pain upper, Chills, Confusional state, Dizziness, Feeling drunk, Nausea, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Fever body pain chills stomach cramps nausea dizziness confusion the first night 6/3/2021 after the 2nd dose, same symptoms but lighter on 2nd night, 3rd day on feelings of confusion, I felt like Im driving drunk.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-17
    Survey response — day 14, dose 2
    MedDRA: Abdominal pain upper, Constipation — 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 visit
    Free text: Stomach cramps and pain since the first dose on 5/13 along with constipation, the painful cramps went away but the constipation is there:((((
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-06-17
    Report sent to call center — day 14, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-06-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-06-25
  9. 2021-07-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-07-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-07-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-09-02
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-12-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-12-03
    Dose 3 — Pfizer-BioNTech
  15. 2022-11-21
    Dose 4 — Pfizer-BioNTech
    Co-administered: Flu
  16. 2022-11-23
    Survey response — days 1–6 daily, dose 4
    MedDRA: Feeling cold, Tremor — Feeling: Good
    Free text: I felt shaky and cold for an hour the day after the shots.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-11-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-13Pfizer-BioNTech
22021-06-03Pfizer-BioNTech
32021-12-03Pfizer-BioNTech No
42022-11-21Pfizer-BioNTech Flu

Call center

ReportedOutcomeVAERS-related outcome
2021-06-17 Unsuccessful

Free text

Release 9 — day 7, dose 2

2021-06-10

Systemic reaction (other): Fever body pain chills stomach cramps nausea dizziness confusion the first night 6/3/2021 after the 2nd dose, same symptoms but lighter on 2nd night, 3rd day on feelings of confusion, I felt like Im driving drunk.

Release 9 — day 14, dose 2

2021-06-17

Symptoms: Stomach cramps and pain since the first dose on 5/13 along with constipation, the painful cramps went away but the constipation is there:((((

Release 12 — days 1–6 daily, dose 4

2022-11-23

Systemic reaction (other): I felt shaky and cold for an hour the day after the shots.

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

FieldPreferred term2021-092023-042024-11
SDAbdominal pain upper ✓ ✓ ✓
SDConstipation ✓ ✓ ✓
SROAbdominal pain upper ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROConfusional state ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFeeling cold · · ✓
SROFeeling drunk ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROTremor · · ✓

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