YUC-35108-51210
2 vaccinations
8 coded responses
16 check-ins
8 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 400 / KY
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-08
Dose 1 — Pfizer-BioNTech
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2021-03-10
Registered in v-safe
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2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-03-11
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2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
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2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Redness · Fever · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Neurological symptom, Throat tightness, Unevaluable event — Feeling: Good · Site: Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Symptoms when i got vaccine. I have nuerological right side problem. The shot went thru my whole right side intensely. Throat tighten drank water to loosen. Will the second booster be worst? · Healthcare visit (other): Wrote my Dr that primary about itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-15
Survey response — day 7, dose 1MedDRA: Skin discolouration — Feeling: Fair · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Spots on legs and other areasMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — day 14, dose 1MedDRA: Dyspepsia — Feeling: Poor · 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: Digestive problems burning in stomach to colon. No spicy food. May not be relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-29
Dose 2 — Pfizer-BioNTech
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2021-04-05
Survey response — day 7, dose 2MedDRA: Adverse reaction — Feeling: Good · Headache, Fatigue or tirednessFree text: The day of the shot 3/29/2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — day 14, dose 2MedDRA: Fatigue, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Very tired · Healthcare visit (other): Going this week to officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-19
Survey response — day 21, dose 2MedDRA: Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Rash on breastRash on sides and butt Rash is in new locationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-26
Survey response — day 28, dose 2MedDRA: Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Rash is more intense of some kind · Healthcare visit (other): Dr visit. Need DermologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-04
- 2021-05-10
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2021-06-30
Survey response — 3 months, dose 2MedDRA: Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Still rash around breast Dermologist said she has seen it on other women That is all · Healthcare visit (other): DermologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-30
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-02
Call successfulParticipant prefers to complete VAERS report online
- 2021-09-27
- 2022-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Pfizer-BioNTech | |
| 2 | 2021-03-29 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-14 | Successful | Participant prefers to complete VAERS report online |
| 2021-03-24 | Successful | Participant prefers to complete VAERS report online |
| 2021-04-12 | Successful | Participant prefers to complete VAERS report online |
| 2021-04-19 | Successful | Participant prefers to complete VAERS report online |
| 2021-04-26 | Successful | Participant prefers to complete VAERS report online |
| 2021-06-30 | Successful 2021-07-02 |
Participant prefers to complete VAERS report online |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Symptoms when i got vaccine. I have nuerological right side problem. The shot went thru my whole right side intensely. Throat tighten drank water to loosen. Will the second booster be worst?
Healthcare visit (other): Wrote my Dr that primary about it
Release 5 — day 7, dose 1
Systemic reaction (other): Spots on legs and other areas
Release 6 — day 14, dose 1
Symptoms: Digestive problems burning in stomach to colon. No spicy food. May not be related
Release 6 — day 7, dose 2
Systemic reaction (other): The day of the shot 3/29/2021
Release 7 — day 14, dose 2
Release 7 — day 21, dose 2
Symptoms: Rash on breastRash on sides and butt Rash is in new locations
Release 8 — day 28, dose 2
Symptoms: Rash is more intense of some kind
Healthcare visit (other): Dr visit. Need Dermologist
Release 9 — 3 months, dose 2
Symptoms: Still rash around breast Dermologist said she has seen it on other women That is all
Healthcare visit (other): Dermologist
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 | Dyspepsia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Neurological symptom | ✓ | ✓ | ✓ |
| SRO | Skin discolouration | ✓ | ✓ | ✓ |
| SRO | Throat tightness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release