YV4-41150-24508
5 vaccinations
10 coded responses
58 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 064 / CT
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Dose 1 — Pfizer-BioNTech
-
2021-01-22
Registered in v-safe
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Myalgia, Pre-existing disease — Feeling: Good · Fatigue or tirednessFree text: I have prior ongoing joint and muscle pain unrelated to vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-24
-
2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Addison's disease, Dehydration, Emergency care, Pre-existing disease, Vertigo — Feeling: Poor · Nausea, Vomiting · Be unable to do your normal daily activitiesFree text: Vertigo. Primary care sent me to ER FOR HYDRATION. I HAVE ADDISONS DISEASE TO COMPLICATE ISSUES.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-27
-
2021-01-28
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Good · Joint painsFree text: A more for meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
-
2021-02-11
Dose 2 — Pfizer-BioNTech
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Urinary tract infection — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: UTIMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Health check-in — day 7, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
-
2021-03-25
Survey response — day 42, dose 2MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Very achy jointsI have been monitoring this for a few weeks. It is my autoimmune typical problems.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-13
Survey response — 3 months, dose 2MedDRA: Arthralgia, Joint swelling — Feeling: Good · Be unable to do your normal daily activitiesFree text: Joint pain and occasional swelling- bilaterallyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-12
-
2021-09-24
Dose 3 — Pfizer-BioNTech
- 2021-09-30
- 2021-10-01
- 2021-10-08
- 2021-10-15
- 2021-10-23
- 2021-10-29
- 2021-11-05
- 2021-12-24
-
2022-03-26
Survey response — 6 months, dose 3MedDRA: Coronary arterial stent insertion, Coronary artery occlusion — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: 2 coronary stents put in this week to remove blockageMedDRA releases: 2024-11 · check-in free text available
-
2022-03-26
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-03-29
-
2022-04-22
Dose 4 — Pfizer-BioNTech
- 2022-04-22
- 2022-04-23
-
2022-04-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Muscle or body achesAdult check-in
-
2022-04-25
Survey response — days 1–6 daily, dose 4MedDRA: Back pain — Feeling: Good · Joint painsFree text: Back acheMedDRA releases: 2024-11 · check-in free text available
-
2022-04-26
Health check-in — days 1–6 daily, dose 4Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2022-04-27
- 2022-04-28
- 2022-04-29
- 2022-05-06
- 2022-05-14
- 2022-05-20
- 2022-05-28
- 2022-06-03
- 2022-07-22
-
2022-09-16
Dose 5 — Moderna
-
2022-09-18
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-09-19
-
2022-09-20
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-09-21
-
2022-09-22
Health check-in — days 1–6 daily, dose 5Feeling: Good · Headache, Muscle or body achesAdult check-in
- 2022-09-23
- 2022-09-30
- 2022-10-07
-
2022-10-14
Survey response — day 28, dose 5MedDRA: Arthralgia — Feeling: FairFree text: Terrible joint pain.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
- 2022-10-28
-
2022-12-16
Survey response — 3 months, dose 5MedDRA: Asthma, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Asthma was more troublesome · Healthcare visit (other): Also saw drMedDRA releases: 2024-11 · check-in free text available
-
2022-12-16
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-19
- 2022-12-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Pfizer-BioNTech | |
| 2 | 2021-02-11 | Pfizer-BioNTech | |
| 3 | 2021-09-24 | Pfizer-BioNTech | No |
| 4 | 2022-04-22 | Pfizer-BioNTech | No |
| 5 | 2022-09-16 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-26 | Unsuccessful | |
| 2022-12-16 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I have prior ongoing joint and muscle pain unrelated to vaccine
Systemic reaction (other): Vertigo. Primary care sent me to ER FOR HYDRATION. I HAVE ADDISONS DISEASE TO COMPLICATE ISSUES.
Release 2 — day 7, dose 1
Systemic reaction (other): A more for me
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): UTI
Release 6 — day 42, dose 2
Symptoms: Very achy jointsI have been monitoring this for a few weeks. It is my autoimmune typical problems.
Release 8 — 3 months, dose 2
Symptoms: Joint pain and occasional swelling- bilaterally
Release 11 — 6 months, dose 3
Symptoms: 2 coronary stents put in this week to remove blockage
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Back ache
Release 12 — day 28, dose 5
Symptoms: Terrible joint pain.
Release 12 — 3 months, dose 5
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Coronary arterial stent insertion | · | · | ✓ |
| SD | Coronary artery occlusion | · | · | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Addison's disease | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Dehydration | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Urinary tract infection | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release