YNQ-20144-95280
4 vaccinations
5 coded responses
36 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 934 / CA
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Dose 1 — Pfizer-BioNTech
-
2021-02-05
Registered in v-safe
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-13
- 2021-02-18
-
2021-02-23
Dose 2 — Pfizer-BioNTech
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good · Site: Pain · Headache, Joint painsFree text: mild pain and swollen axillary noted more on injection arm (R) right than on left (l)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-11
- 2021-03-16
- 2021-03-23
- 2021-04-03
- 2021-04-07
- 2021-05-25
- 2021-08-24
-
2021-09-29
Dose 3 — Pfizer-BioNTech
- 2021-09-29
-
2021-09-30
Survey response — days 1–6 daily, dose 3MedDRA: Paraesthesia oral, Taste disorder — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: mild taste/tongue sensationMedDRA releases: 2024-11 · check-in free text available
- 2021-10-01
- 2021-10-03
- 2021-10-04
- 2021-10-06
-
2021-10-13
Survey response — day 14, dose 3MedDRA: Cough, Headache, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Sensitivity to weather change — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Started yesterday with change in colder weather. I'm hoping it is simple cold with associated sore throat, mild cough, stuffy head, mild headache. NO FEVER and PO-2 is 95 Called my internist. Have Zithromax only if his order (splenectomy 2010)MedDRA releases: 2024-11 · check-in free text available
-
2021-10-20
Survey response — day 21, dose 3MedDRA: Respiratory syncytial virus infection, SARS-CoV-2 test negative — 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: tested positive for RSV infection, negative for Covid 19, clear chest xrayMedDRA releases: 2024-11 · check-in free text available
-
2021-10-20
Report sent to call center — day 21, dose 3Be 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)
- 2021-10-25
-
2021-10-26
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-10-31
- 2021-11-03
- 2021-11-10
- 2021-12-30
- 2022-03-30
-
2022-09-30
Survey response — 12 months, dose 3MedDRA: Decreased appetite, Dizziness, Loss of personal independence in daily activities, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Interestingly, just this week I have experienced very vague symptoms of light-headedness and have limited my activities for 4 days. No fever, yes loss of appetite, negative self covid test.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-20
Dose 4 — ModernaCo-administered: Flu
- 2022-11-19
- 2022-11-26
- 2022-12-01
- 2023-01-19
- 2023-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Pfizer-BioNTech | |
| 2 | 2021-02-23 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
| 4 | 2022-10-20 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-20 | Successful 2021-10-26 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): mild pain and swollen axillary noted more on injection arm (R) right than on left (l)
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): mild taste/tongue sensation
Release 10 — day 14, dose 3
Symptoms: Started yesterday with change in colder weather. I'm hoping it is simple cold with associated sore throat, mild cough, stuffy head, mild headache. NO FEVER and PO-2 is 95 Called my internist. Have Zithromax only if his order (splenectomy 2010)
Release 10 — day 21, dose 3
Symptoms: tested positive for RSV infection, negative for Covid 19, clear chest xray
Release 12 — 12 months, dose 3
Symptoms: Interestingly, just this week I have experienced very vague symptoms of light-headedness and have limited my activities for 4 days. No fever, yes loss of appetite, negative self covid test.
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 | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sensitivity to weather change | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | · | · | ✓ |
| SRO | Taste disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release