YSC-12141-73596
4 vaccinations
8 coded responses
18 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 981 / WA
- Registered
- 2021-11-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-24
Dose 1 — Pfizer-BioNTech
-
2021-05-15
Dose 2 — Pfizer-BioNTech
-
2021-11-29
Registered in v-safe
-
2021-11-29
Dose 3 — Pfizer-BioNTech
-
2021-11-29
Survey response — day 0, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
-
2021-11-30
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Injection site is soreMedDRA releases: 2024-11 · check-in free text available
-
2021-12-01
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: FairFree text: Point of injection is sore and aches a little bit.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-02
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity — Feeling: GoodFree text: My arm remains sore and aches but less so - very mildMedDRA releases: 2024-11 · check-in free text available
-
2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Migraine, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I have a migraine today. I do not believe it is related to the injection (I get them all the time)MedDRA releases: 2024-11 · check-in free text available
-
2021-12-05
Survey response — days 1–6 daily, dose 3MedDRA: Migraine — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: I have had a migraine for 3 days. I do not believe it is related to the injectionMedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-01-10
- 2022-03-02
-
2022-04-16
Dose 4 — Pfizer-BioNTech
-
2022-05-15
Survey response — day 28, dose 4MedDRA: Influenza, Lower respiratory tract infection, Nasopharyngitis, Pneumonia, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, 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: I tested positive for COVID on April 19 2022. I initially had a head cold which became a chest cold. It then turned into 10 days of flu followed by 14 days of mild pneumonia. I'm feeling better but not completely wellMedDRA releases: 2024-11 · check-in free text available
-
2022-05-15
Report sent to call center — day 28, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-17
- 2022-05-23
- 2022-05-29
- 2022-06-16
- 2022-06-17
-
2022-06-17
Callback requested for10:00AM ET
-
2022-06-17
Call successfulCompleted over the phone
- 2022-07-16
-
2022-10-15
Survey response — 6 months, dose 4MedDRA: Pain — Feeling: FairFree text: AchesMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-24 | Pfizer-BioNTech | No |
| 2 | 2021-05-15 | Pfizer-BioNTech | No |
| 3 | 2021-11-29 | Pfizer-BioNTech | No |
| 4 | 2022-04-16 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-15 | Successful 2022-06-17 |
Completed over the phone |
Free text
Release 10 — day 0, dose 3
Systemic reaction (other): None
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Injection site is sore
Systemic reaction (other): Point of injection is sore and aches a little bit.
Systemic reaction (other): My arm remains sore and aches but less so - very mild
Systemic reaction (other): I have a migraine today. I do not believe it is related to the injection (I get them all the time)
Systemic reaction (other): I have had a migraine for 3 days. I do not believe it is related to the injection
Release 11 — day 28, dose 4
Symptoms: I tested positive for COVID on April 19 2022. I initially had a head cold which became a chest cold. It then turned into 10 days of flu followed by 14 days of mild pneumonia. I'm feeling better but not completely well
Release 12 — 6 months, dose 4
Symptoms: Aches
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 | Influenza | · | · | ✓ |
| SD | Lower respiratory tract infection | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Migraine | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release