YSY-15723-15097
4 vaccinations
11 coded responses
35 check-ins
11 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 754 / TX
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-03
Dose 1 — Pfizer-BioNTech
- 2021-03-03
-
2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Arm just sire like flue shot doesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Just sore like flu shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
-
2021-03-24
Dose 2 — Pfizer-BioNTech
-
2021-03-24
Survey response — day 0, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Just slight sore arm. That's all.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
-
2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Slight soreness in armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
-
2021-04-07
Survey response — day 14, dose 2MedDRA: Office visit, Pre-existing disease, Systemic lupus erythematosus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Lupus Flare up not related to · Healthcare visit (other): Follow up appointment re:routine app. for pain control for Lipus,Fibro, & severe OA.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-06-23
- 2021-09-22
- 2022-02-06
-
2022-03-24
Dose 3 — Pfizer-BioNTech
- 2022-03-24
-
2022-10-21
Dose 4 — Moderna
-
2022-10-22
Survey response — days 1–6 daily, dose 4MedDRA: Pre-existing disease, Systemic lupus erythematosus — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · 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: Systemic reaction (other): Above caused by Lupus · Healthcare visit (other): Had several falls and laryngitis before boosterMedDRA releases: 2024-11 · check-in free text available
-
2022-10-22
Report sent to call center — days 1–6 daily, 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)
-
2022-10-23
Survey response — days 1–6 daily, dose 4MedDRA: Fibromyalgia, Osteoarthritis, Systemic lupus erythematosus — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Lupus, Severe OA, FibromyalgiaMedDRA releases: 2024-11 · check-in free text available
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2022-10-24
Survey response — days 1–6 daily, dose 4MedDRA: Fibromyalgia, Osteoarthritis, Systemic lupus erythematosus — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lupus, Fibromyalgia, Severe OAMedDRA releases: 2024-11 · check-in free text available
-
2022-10-25
Survey response — days 1–6 daily, dose 4MedDRA: Fibromyalgia, Osteoarthritis, Systemic lupus erythematosus — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Fibromyalgia, Lupus, Severe OAMedDRA releases: 2024-11 · check-in free text available
-
2022-10-26
Survey response — days 1–6 daily, dose 4MedDRA: Arthritis, Fibromyalgia, Systemic lupus erythematosus — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lupus, Fibromyalgia, Severe Arthritis isMedDRA releases: 2024-11 · check-in free text available
- 2022-10-26
- 2022-10-26
-
2022-10-28
Survey response — day 7, dose 4MedDRA: Fibromyalgia, Osteoarthritis, Pre-existing disease, Systemic lupus erythematosus — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lupus Fibromyalgia , severe Osteoarthritis I have chronic painMedDRA releases: 2024-11 · check-in free text available
- 2022-11-04
- 2022-11-13
- 2022-11-18
- 2022-12-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Pfizer-BioNTech | |
| 2 | 2021-03-24 | Pfizer-BioNTech | |
| 3 | 2022-03-24 | Pfizer-BioNTech | No |
| 4 | 2022-10-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-07 | Unsuccessful | |
| 2022-10-22 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Arm just sire like flue shot does
Systemic reaction (other): Just sore like flu shot
Release 6 — day 0, dose 2
Systemic reaction (other): Just slight sore arm. That's all.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Slight soreness in arm
Release 7 — day 14, dose 2
Symptoms: Lupus Flare up not related to
Healthcare visit (other): Follow up appointment re:routine app. for pain control for Lipus,Fibro, & severe OA.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Above caused by Lupus
Healthcare visit (other): Had several falls and laryngitis before booster
Systemic reaction (other): Lupus, Severe OA, Fibromyalgia
Systemic reaction (other): Lupus, Fibromyalgia, Severe OA
Systemic reaction (other): Fibromyalgia, Lupus, Severe OA
Systemic reaction (other): Lupus, Fibromyalgia, Severe Arthritis is
Release 12 — day 7, dose 4
Systemic reaction (other): Lupus Fibromyalgia , severe Osteoarthritis I have chronic pain
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 | Pre-existing disease | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Systemic lupus erythematosus | ✓ | ✓ | ✓ |
| SRO | Arthritis | · | · | ✓ |
| SRO | Fibromyalgia | · | · | ✓ |
| SRO | Osteoarthritis | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Systemic lupus erythematosus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release