YSR-24495-07105
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 380 / TN
- Registered
- 2021-08-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-20
Dose 1 — Pfizer-BioNTech
-
2021-08-21
Registered in v-safe
-
2021-08-21
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-08-22
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Pain — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Under arm and side of body are extremely sore.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-23
- 2021-08-24
- 2021-08-25
- 2021-08-26
- 2021-08-27
-
2021-09-03
Survey response — day 14, dose 1MedDRA: Abdominal pain lower, Office visit, Ovarian cyst — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I had IMMENSE pain in my lower left abdomen yesterday that caused me to seek medical care. I was told I have an ovarian cyst. I dont personally believe it has anything to do with the vaccine, but Ive never had pain like that before! · Healthcare visit (other): Apt with OBGYNMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-03
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-09
Call successfulCompleted over the phone
-
2021-09-10
Dose 2 — Pfizer-BioNTech
- 2021-09-10
-
2021-09-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-09-12
- 2021-09-13
- 2021-09-14
- 2021-09-15
- 2021-09-16
- 2021-09-17
- 2021-09-24
-
2021-10-01
Survey response — day 21, dose 2MedDRA: Oropharyngeal pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Severe sore throat today.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-01
Report sent to call center — day 21, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-06
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-10-22
-
2021-12-10
Survey response — 3 months, dose 2MedDRA: Attention deficit hyperactivity disorder, Brain fog — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Brain Fog/ ADHD Like symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-03-11
Survey response — 6 months, dose 2MedDRA: SARS-CoV-2 test negative, Sinusitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diagnosed with two sinus infections in the last month. Tested negative for covid both times. On second round of antibiotics and feeling much better now.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-11
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-14
Call successfulOther
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-20 | Pfizer-BioNTech | No |
| 2 | 2021-09-10 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-03 | Successful 2021-09-09 |
Completed over the phone |
| 2021-10-01 | Successful 2021-10-06 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-03-11 | Successful 2022-03-14 |
Other |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Under arm and side of body are extremely sore.
Release 9 — day 14, dose 1
Symptoms: I had IMMENSE pain in my lower left abdomen yesterday that caused me to seek medical care. I was told I have an ovarian cyst. I dont personally believe it has anything to do with the vaccine, but Ive never had pain like that before!
Healthcare visit (other): Apt with OBGYN
Release 9 — day 21, dose 2
Symptoms: Severe sore throat today.
Release 10 — 3 months, dose 2
Symptoms: Brain Fog/ ADHD Like symptoms
Release 11 — 6 months, dose 2
Symptoms: Diagnosed with two sinus infections in the last month. Tested negative for covid both times. On second round of antibiotics and feeling much better now.
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 | Abdominal pain lower | ✓ | · | ✓ |
| SD | Attention deficit hyperactivity disorder | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Ovarian cyst | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Axillary pain | ✓ | · | ✓ |
| SRO | Pain | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release