YR2-28036-03917
2 vaccinations
4 coded responses
16 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 064 / CT
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Registered in v-safe
-
2021-03-04
Dose 1 — Pfizer-BioNTech
-
2021-03-04
Health check-in — day 0, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-05
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Food poisoning, Office visit — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Vomiting · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Yes this was him from the vaccine I have food poisoning. · Healthcare visit (other): The doctor said my symptoms was from food poisoning and not the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-07
- 2021-03-09
-
2021-03-11
Survey response — day 7, dose 1MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Survey response — day 21, dose 1MedDRA: Adverse reaction, Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I got the same symptoms last night , back as I had on March 5th. I know then I thought I had food poisoning but now to get the same symptoms back I am feeling that its from vaccine. · Healthcare visit (other): I am waiting for the doctor to call meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-31
Dose 2 — Pfizer-BioNTech
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-02
- 2021-04-09
- 2021-04-14
-
2021-04-22
Survey response — day 21, dose 2MedDRA: Dizziness — Feeling: FairFree text: After laying in bed, I get lightheaded when getting up. This has been happening each morning for at least a week. Just havent felt 100% since the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-07-02
- 2022-02-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Pfizer-BioNTech | |
| 2 | 2021-03-31 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-06 | Unsuccessful | |
| 2021-03-26 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Yes this was him from the vaccine I have food poisoning.
Healthcare visit (other): The doctor said my symptoms was from food poisoning and not the vaccine
Release 5 — day 7, dose 1
Systemic reaction (other): No
Release 6 — day 21, dose 1
Symptoms: I got the same symptoms last night , back as I had on March 5th. I know then I thought I had food poisoning but now to get the same symptoms back I am feeling that its from vaccine.
Healthcare visit (other): I am waiting for the doctor to call me
Release 7 — day 21, dose 2
Symptoms: After laying in bed, I get lightheaded when getting up. This has been happening each morning for at least a week. Just havent felt 100% since the vaccine.
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 | Office visit | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SRO | Food poisoning | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release