YTV-30662-31388

3 vaccinations 8 coded responses 24 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 359 / AL
Registered: 2021-01-26

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Pfizer-BioNTech
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Survey response — day 14, dose 1
MedDRA: Injection site pain — Feeling: Good

Free text: Pain around my injection site. Hurt a lot through the night - has happened 3 times. Today while driving it started hurting again but didnt last long.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Dose 2 — Pfizer-BioNTech
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Breast pain, Pain — Feeling: Good · Site: Pain · Headache

Free text: Throbbing pain in far right side of right breast.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-23
Survey response — day 35, dose 2
MedDRA: Diarrhoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-17
Survey response — 6 months, dose 2
MedDRA: Fatigue, Humidity intolerance, Irritable bowel syndrome, Malaise, Pre-existing disease, Temperature intolerance — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have IBS-D and it has been particularly troublesome this year. I have also been very sensitive to heat and humidity and have felt sick and fatigued when exposed to them.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-29
Dose 3 — Pfizer-BioNTech
2021-09-30
Survey response — day 28, dose 3
MedDRA: Dizziness, Heart rate irregular, Insomnia, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Light headed feeling - irregular heartbeat, trouble sleeping. · Healthcare visit (other): Made appointments but date has not arrived yet.

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — day 28, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-03
Survey response — day 35, dose 3
MedDRA: Dreamy state, Fatigue, Heart rate irregular, Insomnia, Temperature intolerance, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Trouble sleeping, fatigue, dreamy feeling, intolerance to heat, irregular heartbeat. · Healthcare visit (other): Dr appt pending

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Report sent to call center — day 35, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-05
Call 1 — Left Voicemail
2021-10-10
Survey response — day 42, dose 3
MedDRA: Herpes zoster — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Shingles

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-12
Call 1 — Left Voicemail
2021-11-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-27
Survey response — 6 months, dose 3
MedDRA: Anxiety, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Anxiety · Healthcare visit (other): PCP

MedDRA releases: 2024-11 · check-in free text available
2022-02-27
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-17
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Pfizer-BioNTech
2	2021-02-16	Pfizer-BioNTech
3	2021-08-29	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-30	Successful	Does not wish to fill out VAERS report
2021-10-03	Successful	Does not wish to fill out VAERS report
2021-10-10	Successful	Does not wish to fill out VAERS report
2022-02-27	Successful 2022-03-17	Does not wish to fill out VAERS report

Free text

Release 3 — day 14, dose 1

2021-02-09

Symptoms: Pain around my injection site. Hurt a lot through the night - has happened 3 times. Today while driving it started hurting again but didnt last long.

Release 4 — days 1–6 daily, dose 2

2021-02-22

Systemic reaction (other): Throbbing pain in far right side of right breast.

Release 6 — day 35, dose 2

2021-03-23

Symptoms: Diarrhea and fatigue

Release 9 — 6 months, dose 2

2021-08-17

Symptoms: I have IBS-D and it has been particularly troublesome this year. I have also been very sensitive to heat and humidity and have felt sick and fatigued when exposed to them.

Release 9 — day 28, dose 3

2021-09-30

Symptoms: Light headed feeling - irregular heartbeat, trouble sleeping.

Healthcare visit (other): Made appointments but date has not arrived yet.

Release 9 — day 35, dose 3

2021-10-03

Symptoms: Trouble sleeping, fatigue, dreamy feeling, intolerance to heat, irregular heartbeat.

Healthcare visit (other): Dr appt pending

Release 10 — day 42, dose 3

2021-10-10

Symptoms: Shingles

Release 11 — 6 months, dose 3

2022-02-27

Symptoms: Anxiety

Healthcare visit (other): PCP

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	Unevaluable event	·	·	✓
SD	Anxiety	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Dreamy state	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Heart rate irregular	·	·	✓
SD	Herpes zoster	·	·	✓
SD	Humidity intolerance	✓	·	✓
SD	Injection site pain	✓	✓	✓
SD	Insomnia	·	·	✓
SD	Irritable bowel syndrome	✓	·	✓
SD	Malaise	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Temperature intolerance	✓	·	✓
SRO	Breast pain	✓	✓	✓
SRO	Pain	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release