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
-
2021-05-13
Dose 1 — Pfizer-BioNTech
-
2021-06-03
Dose 2 — Pfizer-BioNTech
-
2021-06-09
Registered in v-safe
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2021-06-10
Survey response — day 7, dose 2MedDRA: Abdominal pain upper, Chills, Confusional state, Dizziness, Feeling drunk, Nausea, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree 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
-
2021-06-17
Survey response — day 14, dose 2MedDRA: 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 visitFree 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
-
2021-06-17
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-24
- 2021-06-25
- 2021-07-01
- 2021-07-08
- 2021-07-15
- 2021-09-02
- 2021-12-02
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2021-12-03
Dose 3 — Pfizer-BioNTech
-
2022-11-21
Dose 4 — Pfizer-BioNTechCo-administered: Flu
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2022-11-23
Survey response — days 1–6 daily, dose 4MedDRA: Feeling cold, Tremor — Feeling: GoodFree text: I felt shaky and cold for an hour the day after the shots.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-13 | Pfizer-BioNTech | |
| 2 | 2021-06-03 | Pfizer-BioNTech | |
| 3 | 2021-12-03 | Pfizer-BioNTech | No |
| 4 | 2022-11-21 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-17 | Unsuccessful |
Free text
Release 9 — day 7, dose 2
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Constipation | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Confusional state | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling cold | · | · | ✓ |
| SRO | Feeling drunk | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Tremor | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release