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
-
2021-04-19
Dose 1 — Pfizer-BioNTech
-
2021-05-10
Dose 2 — Pfizer-BioNTech
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2021-05-16
Registered in v-safe
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2021-05-16
Survey response — days 1–6 daily, dose 2MedDRA: Acupuncture, Headache, Office visit — Feeling: Good · Site: Pain · Get care from a doctor or other healthcare professionalFree 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): AcupunctureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-16
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-18
- 2021-05-31
- 2021-06-08
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2021-06-14
Survey response — day 35, dose 2MedDRA: Headache, Menstruation irregular — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
- 2021-06-21
- 2021-08-11
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2021-12-03
Dose 3 — Moderna
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2021-12-13
Survey response — day 7, dose 3MedDRA: Chest pain — Feeling: FairFree text: Chest painMedDRA releases: 2024-11 · check-in free text available
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-01-07
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2022-03-06
Survey response — 3 months, dose 3MedDRA: Chest pain — Feeling: GoodFree text: Chest painMedDRA releases: 2024-11 · check-in free text available
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2022-05-11
Call successfulNot applicable - Accidental Reporting
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2022-06-03
Survey response — 6 months, dose 3MedDRA: 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 visitFree text: Diagnosed with pericardiasis. Chest pain started approx 2 weeks after December booster vaccination.MedDRA releases: 2024-11 · check-in free text available
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2022-06-03
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-06-06
Call successfulParticipant prefers to complete VAERS report online
- 2022-12-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-19 | Pfizer-BioNTech | |
| 2 | 2021-05-10 | Pfizer-BioNTech | |
| 3 | 2021-12-03 | Moderna | No |
Call center
| Reported | Outcome | VAERS-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
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
Symptoms: Early menstrual cycle with far worse PMS symptoms than usual. More headaches.
Release 10 — day 7, dose 3
Systemic reaction (other): Chest pain
Release 11 — 3 months, dose 3
Symptoms: Chest pain
Release 11 — 6 months, dose 3
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Acupuncture | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | ✓ | ✓ | ✓ |
| SD | Pericarditis | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release