YNC-17946-90506
4 vaccinations
14 coded responses
49 check-ins
13 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 301 / GA
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Registered dependents
EY6-15537-26096
Child or adolescent in my care · Male · 2021-11-04
5T6-12410-79626
Child or adolescent in my care · Male · 2022-07-08
Timeline
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2021-03-17
Dose 1 — Pfizer-BioNTech
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2021-03-18
Registered in v-safe
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2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Memory impairment — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: ForgetfulnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: Good · Fatigue or tirednessFree text: I noticed a small bruise at the injection site today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
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2021-04-14
Dose 2 — Pfizer-BioNTech
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2021-04-14
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Memory impairment — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: ForgetfulnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-17
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2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body achesAdult check-in
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
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2021-05-19
Survey response — day 35, dose 2MedDRA: Weight increased — Feeling: GoodFree text: I keep gaining weight despite no changes in diet or excercize.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
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2021-07-15
Survey response — 3 months, dose 2MedDRA: Neck pain, Sinus pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Today my sinuses hurt and so does my neckMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-13
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2021-11-05
Dose 3 — Pfizer-BioNTech
- 2021-11-05
- 2021-11-06
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2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Thirst — Feeling: Good · Site: PainFree text: EXTREMELY thirstyMedDRA releases: 2024-11 · check-in free text available
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2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea, Abdominal painAdult check-in
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2021-11-11
Survey response — days 1–6 daily, dose 3MedDRA: Back pain, Thirst — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Still VERY thirsty and my upper back hurts from it.MedDRA releases: 2024-11 · check-in free text available
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2021-11-11
Report sent to call center — days 1–6 daily, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-11-12
Survey response — day 7, dose 3MedDRA: Thirst — Feeling: Fair · Muscle or body achesFree text: Still very thirstyMedDRA releases: 2024-11 · check-in free text available
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2021-11-12
Call successfulParticipant prefers to complete VAERS report online
- 2021-11-19
- 2021-11-26
- 2021-12-10
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2021-12-17
Survey response — day 42, dose 3MedDRA: Nasopharyngitis — Feeling: PoorFree text: I caught a cold, we know where it came from and nobody involved has tested positive for COVID-19.MedDRA releases: 2024-11 · check-in free text available
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2022-02-04
Survey response — 3 months, dose 3MedDRA: Surgery, Umbilical hernia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Umbilical hernia got bad enough for surgery.MedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Survey response — 6 months, dose 3MedDRA: Influenza — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I got the flu.MedDRA releases: 2024-11 · check-in free text available
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2022-09-20
Dose 4 — Other-Unknown
- 2022-09-21
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2022-09-22
Survey response — days 1–6 daily, dose 4MedDRA: Injection site bruising, Injection site pain — Feeling: Fair · Site: Pain · NauseaFree text: Injection site pain is from the bruise and kiddos hitting it accidentally.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-23
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-10-04
- 2022-10-11
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2022-10-19
Survey response — day 28, dose 4MedDRA: Unevaluable event — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Started Wellbutrin.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-25
- 2022-11-01
- 2022-12-21
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2023-03-21
Survey response — 6 months, dose 4MedDRA: Exposure to SARS-CoV-2, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Pfizer-BioNTech | |
| 2 | 2021-04-14 | Pfizer-BioNTech | |
| 3 | 2021-11-05 | Pfizer-BioNTech | No |
| 4 | 2022-09-20 | Other-Unknown | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-11 | Successful 2021-11-12 |
Participant prefers to complete VAERS report online |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Forgetfulness
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I noticed a small bruise at the injection site today.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Forgetfulness
Release 8 — day 35, dose 2
Symptoms: I keep gaining weight despite no changes in diet or excercize.
Release 9 — 3 months, dose 2
Symptoms: Today my sinuses hurt and so does my neck
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): EXTREMELY thirsty
Systemic reaction (other): Still VERY thirsty and my upper back hurts from it.
Release 10 — day 7, dose 3
Systemic reaction (other): Still very thirsty
Release 10 — day 42, dose 3
Symptoms: I caught a cold, we know where it came from and nobody involved has tested positive for COVID-19.
Release 11 — 3 months, dose 3
Symptoms: Umbilical hernia got bad enough for surgery.
Release 11 — 6 months, dose 3
Symptoms: I got the flu.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Injection site pain is from the bruise and kiddos hitting it accidentally.
Release 12 — day 28, dose 4
Symptoms: Started Wellbutrin.
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 | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Neck pain | ✓ | · | ✓ |
| SD | Sinus pain | ✓ | · | ✓ |
| SD | Surgery | · | · | ✓ |
| SD | Umbilical hernia | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Weight increased | ✓ | ✓ | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Memory impairment | ✓ | ✓ | ✓ |
| SRO | Thirst | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release