YSJ-92423-66647
5 vaccinations
9 coded responses
59 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 908 / CA
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Dose 1 — Pfizer-BioNTech
-
2021-03-27
Registered in v-safe
-
2021-03-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-28
- 2021-03-29
- 2021-03-30
-
2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: GoodFree text: my back has been hurting a little the last couple of days, but don't really think it's from the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-04
- 2021-04-10
-
2021-04-16
Dose 2 — Pfizer-BioNTech
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-19
- 2021-04-20
- 2021-04-21
-
2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Chills, Fatigue or tirednessFree text: just feeling a little off today; a little foggyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-04-30
- 2021-05-09
- 2021-05-16
- 2021-05-21
- 2021-05-28
- 2021-07-16
-
2021-10-18
Survey response — 6 months, dose 2MedDRA: Arthralgia, Back pain, Dizziness — Feeling: GoodFree text: Intermittent back and hip pain; occasional dizziness.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-03
Dose 3 — Pfizer-BioNTech
-
2021-12-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-12-05
Survey response — days 1–6 daily, dose 3MedDRA: Influenza like illness, Nausea — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: was a little nauseous off and on last night (24 hrs post booster)m just a little flu-ish feeling.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-08
-
2021-12-09
Survey response — days 1–6 daily, dose 3MedDRA: Pain — Feeling: Good · Muscle or body achesFree text: the achiness is pretty normal at this point.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2021-12-17
- 2021-12-27
- 2022-01-03
- 2022-01-09
- 2022-01-14
-
2022-03-04
Survey response — 3 months, dose 3MedDRA: Back pain, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Middle back pain. · Healthcare visit (other): chiropractor; orthopedist appt scheduled for next weekMedDRA releases: 2024-11 · check-in free text available
-
2022-03-04
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-07
-
2022-05-19
Dose 4 — Pfizer-BioNTech
- 2022-05-19
-
2022-05-20
Survey response — days 1–6 daily, dose 4MedDRA: Abnormal sensation in eye — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessFree text: I don't think I actually have a fever, but my eyes have that feverish feeling.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-21
-
2022-05-22
Survey response — days 1–6 daily, dose 4MedDRA: Pain in extremity, Tenderness — Feeling: Good · Site: PainFree text: arm pain gets less and less each day. only sore to the touch the last 2 days.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-24
- 2022-05-25
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-06-25
- 2022-06-30
- 2022-08-18
-
2022-09-28
Dose 5 — Pfizer-BioNTech
- 2022-09-28
- 2022-09-29
- 2022-10-01
- 2022-10-02
- 2022-10-03
-
2022-10-04
Survey response — days 1–6 daily, dose 5MedDRA: Pruritus — Feeling: Good · HeadacheFree text: felt a little itchy last night (not at site of injection). it subsided by bedtime.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-05
- 2022-10-12
- 2022-10-20
- 2022-10-27
- 2022-11-02
- 2022-11-10
- 2022-12-28
- 2023-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Pfizer-BioNTech | |
| 2 | 2021-04-16 | Pfizer-BioNTech | |
| 3 | 2021-12-03 | Pfizer-BioNTech | No |
| 4 | 2022-05-19 | Pfizer-BioNTech | No |
| 5 | 2022-09-28 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-04 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): my back has been hurting a little the last couple of days, but don't really think it's from the vaccine.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): just feeling a little off today; a little foggy
Release 10 — 6 months, dose 2
Symptoms: Intermittent back and hip pain; occasional dizziness.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): was a little nauseous off and on last night (24 hrs post booster)m just a little flu-ish feeling.
Systemic reaction (other): the achiness is pretty normal at this point.
Release 11 — 3 months, dose 3
Symptoms: Middle back pain.
Healthcare visit (other): chiropractor; orthopedist appt scheduled for next week
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I don't think I actually have a fever, but my eyes have that feverish feeling.
Systemic reaction (other): arm pain gets less and less each day. only sore to the touch the last 2 days.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): felt a little itchy last night (not at site of injection). it subsided by bedtime.
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 | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SRO | Abnormal sensation in eye | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release