YV6-32783-03045
4 vaccinations
8 coded responses
37 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 945 / CA
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
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2021-01-26
Dose 1 — Pfizer-BioNTech
- 2021-01-26
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2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Feeling cold — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Felt very cold but no chills and felt like I had to lie down from 4pm yesterday until I went to bed. Feel much better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Palpitations — Feeling: GoodFree text: One episode of palpitations and feeling faint. Lasted about 10 secs.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-02-02
- 2021-02-09
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2021-02-16
Survey response — day 21, dose 1MedDRA: Arthralgia, Peripheral coldness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have 2 symptoms Ive not had in past but may or may not be related. The day I received the vaccine I was very cold especially hands and feet. This has been occurring once or twice a wk. Second I have R knee joint pain for the last week, no injurMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Dose 2 — Pfizer-BioNTech
- 2021-02-23
- 2021-02-24
- 2021-03-11
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2021-03-19
Survey response — day 28, dose 2MedDRA: Dyspnoea, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Last evening a little SOB. Very achy today relieved w Motrin. Just didnt feel like getting out of bed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-31
- 2021-05-19
- 2021-08-19
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2021-10-05
Dose 3 — Pfizer-BioNTech
- 2021-10-05
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2021-10-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-08
- 2021-10-09
- 2021-10-10
- 2021-10-11
- 2021-10-12
- 2021-10-19
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2021-10-27
Survey response — day 21, dose 3MedDRA: Influenza, SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Have flu symptoms since 10/19. Had my flu shot 10/13. COVID and street tests neg. · Healthcare visit (other): Went in for COVID and step testsMedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Report sent to call center — day 21, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-29
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-02
- 2021-11-09
- 2021-11-18
- 2022-01-05
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2022-04-05
Survey response — 6 months, dose 3MedDRA: Influenza, Nasopharyngitis, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Flu and cold and congestionMedDRA releases: 2024-11 · check-in free text available
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2022-05-17
Dose 4 — Pfizer-BioNTech
- 2022-05-21
- 2022-05-22
- 2022-05-25
- 2022-06-09
- 2022-06-21
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2022-11-15
Survey response — 6 months, dose 4MedDRA: COVID-19, Chills, Heart rate increased, Pain, Pyrexia, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Tested positive for COVID at the end of Aug 2022. Had extreme body aches fever chills for three days. Also since having Covid have had bouts of rapid heart rate to 140.MedDRA releases: 2024-11 · check-in free text available
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2023-05-17
Survey response — 12 months, dose 4MedDRA: Office visit, Supraventricular tachycardia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-05-17
Report sent to call center — 12 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2023-05-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Pfizer-BioNTech | |
| 2 | 2021-02-17 | Pfizer-BioNTech | |
| 3 | 2021-10-05 | Pfizer-BioNTech | No |
| 4 | 2022-05-17 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-27 | Successful 2021-10-29 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2023-05-17 | Successful 2023-05-18 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Felt very cold but no chills and felt like I had to lie down from 4pm yesterday until I went to bed. Feel much better today.
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): One episode of palpitations and feeling faint. Lasted about 10 secs.
Release 4 — day 21, dose 1
Symptoms: I have 2 symptoms Ive not had in past but may or may not be related. The day I received the vaccine I was very cold especially hands and feet. This has been occurring once or twice a wk. Second I have R knee joint pain for the last week, no injur
Release 5 — day 28, dose 2
Symptoms: Last evening a little SOB. Very achy today relieved w Motrin. Just didnt feel like getting out of bed.
Release 10 — day 21, dose 3
Symptoms: Have flu symptoms since 10/19. Had my flu shot 10/13. COVID and street tests neg.
Healthcare visit (other): Went in for COVID and step tests
Release 11 — 6 months, dose 3
Symptoms: Flu and cold and congestion
Release 12 — 6 months, dose 4
Symptoms: Tested positive for COVID at the end of Aug 2022. Had extreme body aches fever chills for three days. Also since having Covid have had bouts of rapid heart rate to 140.
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 | SARS-CoV-2 test | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Peripheral coldness | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Supraventricular tachycardia | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release