YPE-19343-69261
5 vaccinations
17 coded responses
54 check-ins
16 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 100 / NY
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-30
Registered in v-safe
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2021-01-30
Dose 1 — Pfizer-BioNTech
- 2021-01-30
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2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Eye pruritus — Feeling: Good · Site: PainFree text: Itching in & around my eyeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Eye pruritus — Feeling: GoodFree text: Itching around one eyeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: GoodFree text: lower back acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
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2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Eyelids pruritus — Feeling: GoodFree text: Itchy eye lidsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal pain — Feeling: GoodFree text: Annoying pain between my shoulder bladesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-13
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2021-02-20
Dose 2 — Pfizer-BioNTech
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: GoodFree text: A little shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Eye pruritus — Feeling: Good · Site: ItchingFree text: Itchy eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — day 7, dose 2MedDRA: Somnolence — Feeling: GoodFree text: I have been unusually sleepy the past 2 days. Not tired- but feeling like I need to sleep. Unusual for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-13
- 2021-03-20
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2021-03-27
Survey response — day 35, dose 2MedDRA: Fatigue — Feeling: FairFree text: Unusual FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
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2021-05-22
Survey response — 3 months, dose 2MedDRA: Dry skin, Pruritus — Feeling: GoodFree text: Very dry skin and itching. I plan to see a dermatologist about getting some relief.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-21
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2021-11-04
Dose 3 — Pfizer-BioNTech
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2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Eye pruritus — Feeling: Good · Site: PainFree text: Itching around eyesMedDRA releases: 2024-11 · check-in free text available
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2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Pruritus — Feeling: GoodFree text: Itching around the eyesMedDRA releases: 2024-11 · check-in free text available
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2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Pruritus — Feeling: Good · HeadacheFree text: Itching has worsened around my eyesMedDRA releases: 2024-11 · check-in free text available
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2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Micturition urgency, Pruritus — Feeling: GoodFree text: Less itching around the eyes today. Urinary urgency(new)MedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
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2022-02-03
Survey response — 3 months, dose 3MedDRA: Respiratory symptom — Feeling: GoodFree text: Developed upper respiratory symptoms in December 2021. Had PCR test which came back negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
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2022-06-14
Dose 4 — Pfizer-BioNTech
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2022-06-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-06-16
- 2022-06-17
- 2022-06-18
- 2022-06-19
- 2022-06-20
- 2022-06-21
- 2022-06-28
- 2022-07-05
- 2022-07-12
- 2022-07-19
- 2022-07-26
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2022-11-04
Dose 5 — Pfizer-BioNTech
- 2022-12-13
- 2022-12-13
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2022-12-16
Survey response — day 42, dose 5MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: FairFree text: I have a sore throat and head coldMedDRA releases: 2024-11 · check-in free text available
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2023-02-03
Survey response — 3 months, dose 5MedDRA: Cough, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-02-03
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2023-02-06
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2023-02-06
Call successfulNot applicable - Accidental Reporting
- 2023-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Pfizer-BioNTech | |
| 2 | 2021-02-20 | Pfizer-BioNTech | |
| 3 | 2021-11-04 | Pfizer-BioNTech | No |
| 4 | 2022-06-14 | Pfizer-BioNTech | No |
| 5 | 2022-11-04 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-02-03 | Successful 2023-02-06 |
Not applicable - Accidental Reporting |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Itching in & around my eye
Systemic reaction (other): Itching around one eye
Systemic reaction (other): lower back ache
Systemic reaction (other): Itchy eye lids
Systemic reaction (other): Annoying pain between my shoulder blades
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): A little shortness of breath
Systemic reaction (other): Itchy eyes
Release 4 — day 7, dose 2
Systemic reaction (other): I have been unusually sleepy the past 2 days. Not tired- but feeling like I need to sleep. Unusual for me.
Release 6 — day 35, dose 2
Symptoms: Unusual Fatigue
Release 8 — 3 months, dose 2
Symptoms: Very dry skin and itching. I plan to see a dermatologist about getting some relief.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Itching around eyes
Systemic reaction (other): Itching around the eyes
Systemic reaction (other): Itching has worsened around my eyes
Systemic reaction (other): Less itching around the eyes today. Urinary urgency(new)
Release 11 — 3 months, dose 3
Symptoms: Developed upper respiratory symptoms in December 2021. Had PCR test which came back negative.
Release 12 — day 42, dose 5
Symptoms: I have a sore throat and head cold
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 | SARS-CoV-2 test | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dry skin | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Eye pruritus | ✓ | ✓ | ✓ |
| SRO | Eyelids pruritus | ✓ | ✓ | ✓ |
| SRO | Micturition urgency | · | · | ✓ |
| SRO | Musculoskeletal pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release