YSU-20133-03544
5 vaccinations
10 coded responses
62 check-ins
10 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 040 / ME
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
A9W-13188-57189
Adult relative or friend · Male · 2022-09-23
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Pfizer-BioNTech
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-21
-
2021-01-28
Dose 2 — Pfizer-BioNTech
-
2021-01-28
Survey response — day 0, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body achesFree text: I expect the arm pain to get worse by bedtime.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-04-29
- 2021-07-29
-
2021-09-29
Dose 3 — Pfizer-BioNTech
-
2021-09-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Hordeolum, Ocular hyperaemia, Periorbital swelling — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Lt eye redness puffiness, ? StyeMedDRA releases: 2024-11 · check-in free text available
-
2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Eye inflammation — Feeling: FairFree text: Still have inflammation of Lt eye areaMedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Cough — Feeling: Fair · Fatigue or tirednessFree text: Occasional dry coughMedDRA releases: 2024-11 · check-in free text available
-
2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: Cough — Feeling: FairFree text: Dry cough continuesMedDRA releases: 2024-11 · check-in free text available
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2021-10-06
Survey response — day 7, dose 3MedDRA: Cough, SARS-CoV-2 test, SARS-CoV-2 test positive — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Cough deepening. Tested Binax positive at work · Healthcare visit (other): Sent home before starting work, PCP sent swab for PCRMedDRA releases: 2024-11 · check-in free text available
-
2021-10-06
Report sent to call center — day 7, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
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2021-10-13
Survey response — day 14, dose 3MedDRA: Ageusia, Anosmia, Cough, Fatigue, Headache, Respiratory tract congestion, Rhinorrhoea — 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 · Outpatient clinic or urgent care clinic visitFree text: Cough, congestion, runny nose, fatigue, headache, loss of taste and smellMedDRA releases: 2024-11 · check-in free text available
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2021-10-13
Report sent to call center — day 14, dose 3Be 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)
- 2021-10-20
- 2021-10-27
- 2021-11-03
- 2021-11-08
- 2021-11-08
- 2021-11-10
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2021-12-29
Survey response — 3 months, dose 3MedDRA: Arthritis, Inflammation, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Inflammation of Sacroiliac Joint, not related to the vaccine. · Healthcare visit (other): In person visitMedDRA releases: 2024-11 · check-in free text available
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2021-12-29
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)
- 2022-01-03
- 2022-03-30
-
2022-04-26
Dose 4 — Pfizer-BioNTech
- 2022-04-26
-
2022-04-27
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2022-04-28
Survey response — days 1–6 daily, dose 4MedDRA: Feeling hot — Feeling: Good · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: Felt overheatedMedDRA releases: 2024-11 · check-in free text available
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2022-04-29
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-06-07
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2022-07-26
Survey response — 3 months, dose 4MedDRA: Pain, Physiotherapy, Rotator cuff repair, Rotator cuff syndrome — Feeling: Fair · 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: Recently (7/8/22) had surgery for a torn rotator cuff. It's a painful recovery and some days are better than others. Today is a really painful day after PT.MedDRA releases: 2024-11 · check-in free text available
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2022-07-26
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-27
- 2022-07-27
- 2022-07-27
- 2022-07-27
-
2022-07-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-07-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-07-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-07-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-23
Dose 5 — Pfizer-BioNTech
- 2022-09-23
-
2022-09-24
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-09-25
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
-
2022-09-26
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-12-25
- 2023-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Pfizer-BioNTech | |
| 2 | 2021-01-28 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
| 4 | 2022-04-26 | Pfizer-BioNTech | No |
| 5 | 2022-09-23 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-06 | Successful 2022-07-27 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2021-10-13 | Successful 2022-07-27 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2021-12-29 | Successful 2022-07-27 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-07-26 | Successful 2022-07-27 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 2 — day 0, dose 2
Systemic reaction (other): I expect the arm pain to get worse by bedtime.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Lt eye redness puffiness, ? Stye
Systemic reaction (other): Still have inflammation of Lt eye area
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Occasional dry cough
Systemic reaction (other): Dry cough continues
Release 10 — day 7, dose 3
Systemic reaction (other): Cough deepening. Tested Binax positive at work
Healthcare visit (other): Sent home before starting work, PCP sent swab for PCR
Release 10 — day 14, dose 3
Symptoms: Cough, congestion, runny nose, fatigue, headache, loss of taste and smell
Release 10 — 3 months, dose 3
Symptoms: Inflammation of Sacroiliac Joint, not related to the vaccine.
Healthcare visit (other): In person visit
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Felt overheated
Release 12 — 3 months, dose 4
Symptoms: Recently (7/8/22) had surgery for a torn rotator cuff. It's a painful recovery and some days are better than others. Today is a really painful day after PT.
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 | SARS-CoV-2 test | · | · | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Physiotherapy | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Rotator cuff repair | · | · | ✓ |
| SD | Rotator cuff syndrome | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Eye inflammation | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Hordeolum | · | · | ✓ |
| SRO | Ocular hyperaemia | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Periorbital swelling | · | · | ✓ |
| SRO | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release