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YPW-23654-27011

5 vaccinations 18 coded responses 58 check-ins 18 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
982 / WA
Registered
2021-03-07
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-03-06
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-07
    Registered in v-safe
  3. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest pain — Feeling: Poor · Site: Pain · Be unable to do your normal daily activities
    Free text: Chest pain - not vaccine related.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Headache · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Systemic reaction (other): Ive been in the hospital - nothing related to the vaccine. I dont seem to have side effects from it. · Healthcare visit (other): Not vaccine related. Chest pain from before the vaccine which got worse yesterday. No cause has been found.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-09
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-03-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: These are not due to the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness
    Free text: Not vaccine related.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Headache
    Free text: Not vaccine related.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-13
    Survey response — day 7, dose 1
    MedDRA: Pain — Feeling: Fair · Fatigue or tiredness
    Free text: Pain, but not vaccine related.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-23
    Dose 2 — Pfizer-BioNTech
  13. 2021-03-23
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  15. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  16. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  17. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  18. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  19. 2021-03-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest pain — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Chest pain - not related to vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-30
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-13
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-09-21
    Survey response — 6 months, dose 2
    MedDRA: Nausea, Paranasal sinus hypersecretion — Feeling: Good
    Free text: A week of feeling mildly nauseous after a flu shot. Seemed to be from a sinus drainage issue.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-10-06
    Dose 3 — Pfizer-BioNTech
  29. 2021-10-06
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  30. 2021-10-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  31. 2021-10-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  32. 2021-10-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  33. 2021-10-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Oropharyngeal pain — Feeling: Fair
    Free text: Sore throat
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-10-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-10-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-10-13
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-10-20
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-10-27
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-03
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-10
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-11-17
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-06
    Call successful
    Does not wish to fill out VAERS report
  43. 2022-01-05
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-04-06
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-04-26
    Dose 4 — Moderna
  46. 2022-04-26
    Survey response — day 0, dose 4
    MedDRA: Nausea, Sinus disorder — Feeling: Fair · Nausea
    Free text: Nausea due to pollen and sinus issues.
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-04-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  48. 2022-04-28
    Survey response — days 1–6 daily, dose 4
    MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Pain in my right calf.
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-04-29
    Survey response — days 1–6 daily, dose 4
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Pain in my right calf.
    MedDRA releases: 2024-11 · check-in free text available
  50. 2022-04-30
    Survey response — days 1–6 daily, dose 4
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Pain in right calf.
    MedDRA releases: 2024-11 · check-in free text available
  51. 2022-05-01
    Survey response — days 1–6 daily, dose 4
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Pain in my right calf.
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-05-02
    Survey response — days 1–6 daily, dose 4
    MedDRA: Pain in extremity — Feeling: Good · Muscle or body aches
    Free text: Pain in right calf.
    MedDRA releases: 2024-11 · check-in free text available
  53. 2022-05-03
    Survey response — day 7, dose 4
    MedDRA: Pain in extremity — Feeling: Good · Muscle or body aches
    Free text: Pain in my right calf.
    MedDRA releases: 2024-11 · check-in free text available
  54. 2022-05-10
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-05-17
    Survey response — day 21, dose 4
    MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I seem to be more tired than usual.
    MedDRA releases: 2024-11 · check-in free text available
  56. 2022-05-24
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-05-31
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  58. 2022-06-07
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  59. 2022-07-26
    Survey response — 3 months, dose 4
    MedDRA: Medical counselling, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Sharp pains in my left leg, but just for one day. I decided to wait until the following day before seeking care after taking with a nurse who said it was unlikely to be a DVT.
    MedDRA releases: 2024-11 · check-in free text available
  60. 2022-07-26
    Report sent to call center — 3 months, dose 4
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  61. 2022-07-27
    Call successful
    Does not wish to fill out VAERS report
  62. 2022-09-19
    Dose 5 — Pfizer-BioNTech
  63. 2022-10-10
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  64. 2022-10-17
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  65. 2022-10-24
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  66. 2022-10-31
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  67. 2022-12-19
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  68. 2023-03-20
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Pfizer-BioNTech
22021-03-23Pfizer-BioNTech
32021-10-06Pfizer-BioNTech No
42022-04-26Moderna No
52022-09-19Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-03-09 Successful
2021-12-06
Does not wish to fill out VAERS report
2022-07-26 Successful
2022-07-27
Does not wish to fill out VAERS report

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): Chest pain - not vaccine related.

2021-03-09

Systemic reaction (other): Ive been in the hospital - nothing related to the vaccine. I dont seem to have side effects from it.
Healthcare visit (other): Not vaccine related. Chest pain from before the vaccine which got worse yesterday. No cause has been found.

2021-03-10

Systemic reaction (other): These are not due to the vaccine.

2021-03-11

Systemic reaction (other): Not vaccine related.

2021-03-12

Systemic reaction (other): Not vaccine related.

Release 5 — day 7, dose 1

2021-03-13

Systemic reaction (other): Pain, but not vaccine related.

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): Chest pain - not related to vaccine

Release 9 — 6 months, dose 2

2021-09-21

Symptoms: A week of feeling mildly nauseous after a flu shot. Seemed to be from a sinus drainage issue.

Release 10 — days 1–6 daily, dose 3

2021-10-10

Systemic reaction (other): Sore throat

Release 11 — day 0, dose 4

2022-04-26

Systemic reaction (other): Nausea due to pollen and sinus issues.

Release 11 — days 1–6 daily, dose 4

2022-04-28

Systemic reaction (other): Pain in my right calf.

2022-04-29

Systemic reaction (other): Pain in my right calf.

2022-04-30

Systemic reaction (other): Pain in right calf.

2022-05-01

Systemic reaction (other): Pain in my right calf.

2022-05-02

Systemic reaction (other): Pain in right calf.

Release 11 — day 7, dose 4

2022-05-03

Systemic reaction (other): Pain in my right calf.

Release 11 — day 21, dose 4

2022-05-17

Symptoms: I seem to be more tired than usual.

Release 12 — 3 months, dose 4

2022-07-26

Symptoms: Sharp pains in my left leg, but just for one day. I decided to wait until the following day before seeking care after taking with a nurse who said it was unlikely to be a DVT.

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
HCVOUnevaluable event ✓ ✓ ✓
SDFatigue · · ✓
SDMedical counselling · · ✓
SDNausea · · ✓
SDPain in extremity · · ✓
SDParanasal sinus hypersecretion · · ✓
SROChest pain ✓ ✓ ✓
SRONausea · · ✓
SROOropharyngeal pain · · ✓
SROPain ✓ ✓ ✓
SROPain in extremity · · ✓
SROSinus disorder · · ✓
SROUnevaluable event ✓ ✓ ✓

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