YU4-45916-86052
4 vaccinations
7 coded responses
37 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 933 / CA
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-24
Registered in v-safe
-
2021-02-24
Dose 1 — Pfizer-BioNTech
-
2021-02-24
Survey response — day 0, dose 1MedDRA: Nasopharyngitis — Feeling: Good · Site: PainFree text: ColdMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
-
2021-03-17
Dose 2 — Pfizer-BioNTech
- 2021-03-17
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-20
- 2021-03-21
- 2021-03-22
-
2021-03-23
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral swelling, Tenderness — Feeling: Good · HeadacheFree text: Small tender bump on the front of my lower right legMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-15
- 2021-04-23
- 2021-04-29
- 2021-06-16
- 2021-09-17
-
2021-10-31
Dose 3 — Pfizer-BioNTech
-
2021-11-11
Survey response — day 7, dose 3MedDRA: Adverse reaction — Feeling: GoodFree text: I did have symptoms on the day of shot and few days afterMedDRA releases: 2024-11 · check-in free text available
-
2021-11-14
Survey response — day 14, dose 3MedDRA: Asthma, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Two days after receiving my booster I have had trouble with my asthma. · Healthcare visit (other): Seen primary doctorMedDRA releases: 2024-11 · check-in free text available
-
2021-11-14
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-16
- 2021-11-21
- 2021-11-30
- 2021-12-06
-
2021-12-14
Survey response — day 42, dose 3MedDRA: Asthma, Cough, Dyspnoea, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My Asthma has been a problem since I got my booster shot. I am back on a nebulizer for the cough and shortness of breath. My pulmonologist is running tests. He is not sure if my asthma flare up could be related to the booster.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-30
Survey response — 3 months, dose 3MedDRA: Asthma, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: My asthma got worse due to covid.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-01
-
2022-07-13
Dose 4 — Moderna
-
2022-07-23
Survey response — day 7, dose 4MedDRA: Dysgeusia, Immediate post-injection reaction — Feeling: GoodFree text: When I received the Moderna shot immediately my tongue had a metallic taste.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-07
- 2022-08-12
- 2022-10-12
- 2023-01-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Pfizer-BioNTech | |
| 2 | 2021-03-17 | Pfizer-BioNTech | |
| 3 | 2021-10-31 | Pfizer-BioNTech | No |
| 4 | 2022-07-13 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-14 | Unsuccessful |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Cold
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Small tender bump on the front of my lower right leg
Release 10 — day 7, dose 3
Systemic reaction (other): I did have symptoms on the day of shot and few days after
Release 10 — day 14, dose 3
Symptoms: Two days after receiving my booster I have had trouble with my asthma.
Healthcare visit (other): Seen primary doctor
Release 10 — day 42, dose 3
Symptoms: My Asthma has been a problem since I got my booster shot. I am back on a nebulizer for the cough and shortness of breath. My pulmonologist is running tests. He is not sure if my asthma flare up could be related to the booster.
Release 11 — 3 months, dose 3
Symptoms: My asthma got worse due to covid.
Release 12 — day 7, dose 4
Systemic reaction (other): When I received the Moderna shot immediately my tongue had a metallic taste.
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 | Asthma | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Dysgeusia | · | · | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release