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YUL-33386-42039

3 vaccinations 5 coded responses 15 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
986 / WA
Registered
2021-05-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-19
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-10
    Dose 2 — Pfizer-BioNTech
  3. 2021-05-16
    Registered in v-safe
  4. 2021-05-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Acupuncture, Headache, Office visit — Feeling: Good · Site: Pain · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Just signed up today. Since Wednesday, I have had sharp headaches in a single point. They last for a few minutes up to a half hour or so. This occurred several times per day from Wed to Fri. Shot was on Monday. · Healthcare visit (other): Acupuncture
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-16
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-05-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-05-31
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-06-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-06-14
    Survey response — day 35, dose 2
    MedDRA: Headache, Menstruation irregular — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Early menstrual cycle with far worse PMS symptoms than usual. More headaches.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-06-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-08-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-12-03
    Dose 3 — Moderna
  13. 2021-12-13
    Survey response — day 7, dose 3
    MedDRA: Chest pain — Feeling: Fair
    Free text: Chest pain
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-12-17
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-12-24
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-12-31
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-01-07
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  18. 2022-03-06
    Survey response — 3 months, dose 3
    MedDRA: Chest pain — Feeling: Good
    Free text: Chest pain
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-05-11
    Call successful
    Not applicable - Accidental Reporting
  20. 2022-06-03
    Survey response — 6 months, dose 3
    MedDRA: Chest pain, Pericarditis — Feeling: Good · 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 visit
    Free text: Diagnosed with pericardiasis. Chest pain started approx 2 weeks after December booster vaccination.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-06-03
    Report sent to call center — 6 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  22. 2022-06-06
    Call successful
    Participant prefers to complete VAERS report online
  23. 2022-12-05
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-19Pfizer-BioNTech
22021-05-10Pfizer-BioNTech
32021-12-03Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-05-16 Successful
2022-05-11
Not applicable - Accidental Reporting
2022-06-03 Successful
2022-06-06
Participant prefers to complete VAERS report online

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-16

Systemic reaction (other): Just signed up today. Since Wednesday, I have had sharp headaches in a single point. They last for a few minutes up to a half hour or so. This occurred several times per day from Wed to Fri. Shot was on Monday.
Healthcare visit (other): Acupuncture

Release 9 — day 35, dose 2

2021-06-14

Symptoms: Early menstrual cycle with far worse PMS symptoms than usual. More headaches.

Release 10 — day 7, dose 3

2021-12-13

Systemic reaction (other): Chest pain

Release 11 — 3 months, dose 3

2022-03-06

Symptoms: Chest pain

Release 11 — 6 months, dose 3

2022-06-03

Symptoms: Diagnosed with pericardiasis. Chest pain started approx 2 weeks after December booster vaccination.

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

FieldPreferred term2021-092023-042024-11
HCVOAcupuncture ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
SDChest pain · · ✓
SDHeadache ✓ ✓ ✓
SDMenstruation irregular ✓ ✓ ✓
SDPericarditis · · ✓
SROChest pain · · ✓
SROHeadache ✓ ✓ ✓

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