YVC-20153-93434

4 vaccinations 8 coded responses 28 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 606 / IL
Registered: 2021-01-20

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-30
Dose 1 — Pfizer-BioNTech
2021-01-20
Registered in v-safe
2021-01-20
Dose 2 — Pfizer-BioNTech
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-01-28
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-02-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-17
Survey response — day 28, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shortness of breath. I feel short of breath just sitting down.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-07-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-26
Dose 3 — Pfizer-BioNTech
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue — Feeling: Good

Free text: Actually, even better than last check-in. I work nights so it is difficult to tell if fatigue was from work or vaccine. I think, maybe, part of my fatigue was from vaccine. The fatigue is totally gone now.

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-03
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-17
Survey response — day 21, dose 3
MedDRA: Impaired work ability, Nasopharyngitis, Rhinorrhoea, Sneezing, Upper-airway cough syndrome — Feeling: Fair · Be unable to work or attend school

Free text: I feel like I am coming down with a cold. Slightly runny nose and frequent sneezing. Also, some post nasal drip. I turned down working sn extra 4 hours today. Instead I will work my regular 8 hours: 2300 to 0730.

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Survey response — day 28, dose 3
MedDRA: Asthma, Condition aggravated, Dyspnoea, Pre-existing disease, Rhinorrhoea, Sneezing — Feeling: Fair

Free text: Shortness of breath. I have COPD and asthma and my medicine doesn't seem to be working as well as usuall. A few days ago I had sneezing and runny nose. That went away but now my SOB is making it hard to do shopping. I am still doing shopping.

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-26
Survey response — 3 months, dose 3
MedDRA: Headache, Lethargy, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing, Throat irritation, Upper-airway cough syndrome — Feeling: Poor · Be unable to work or attend school

Free text: Scratchy throat, sneezing, runny nose and post nasal drip. Lethargy and slight headache. Got tested for COVID on Thursday lastcweek due to two staff testing positive. I am negative. Was tested before these symptoms were this bad.

MedDRA releases: 2024-11 · check-in free text available
2022-03-27
Survey response — 6 months, dose 3
MedDRA: Aphasia, Asthenia, COVID-19, Memory impairment, Parosmia, Taste disorder — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Memory difficulties, word recall, just got my energy back, smell and taste is off with some foods but not all. I do not recall if you have contacted me between December 2021 and now. I got OMICRON. Dx 12/27/21. Had lingering symptoms through Feb

MedDRA releases: 2024-11 · check-in free text available
2022-07-12
Dose 4 — Pfizer-BioNTech
2022-09-29
Survey response — 12 months, dose 3
MedDRA: Adrenal disorder, Blood potassium decreased, Fatigue, Headache, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: My potassium is low, I have fatigue, I het mild headaches. My doctor is concerned that my adrenal glands are malfunctioning. I need more tests. · Healthcare visit (other): Saw PCP and potassium came back low twice. She has ordered more tests.

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-09-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-11
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-01-10
Survey response — 6 months, dose 4
MedDRA: Dyspnoea, Impaired work ability, Malaise, Nasopharyngitis, Self-medication, Unevaluable event — 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

MedDRA releases: 2024-11
2023-01-10
Report sent to call center — 6 months, dose 4
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)
2023-01-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Pfizer-BioNTech
2	2021-01-20	Pfizer-BioNTech
3	2021-09-26	Pfizer-BioNTech	No
4	2022-07-12	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-09-29	Successful 2022-09-30	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-10	Successful 2023-01-11	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 4 — day 28, dose 2

2021-02-17

Symptoms: Shortness of breath. I feel short of breath just sitting down.

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): Actually, even better than last check-in. I work nights so it is difficult to tell if fatigue was from work or vaccine. I think, maybe, part of my fatigue was from vaccine. The fatigue is totally gone now.

Release 10 — day 21, dose 3

2021-10-17

Symptoms: I feel like I am coming down with a cold. Slightly runny nose and frequent sneezing. Also, some post nasal drip. I turned down working sn extra 4 hours today. Instead I will work my regular 8 hours: 2300 to 0730.

Release 10 — day 28, dose 3

2021-10-24

Symptoms: Shortness of breath. I have COPD and asthma and my medicine doesn't seem to be working as well as usuall. A few days ago I had sneezing and runny nose. That went away but now my SOB is making it hard to do shopping. I am still doing shopping.

Release 10 — 3 months, dose 3

2021-12-26

Symptoms: Scratchy throat, sneezing, runny nose and post nasal drip. Lethargy and slight headache. Got tested for COVID on Thursday lastcweek due to two staff testing positive. I am negative. Was tested before these symptoms were this bad.

Release 11 — 6 months, dose 3

2022-03-27

Symptoms: Memory difficulties, word recall, just got my energy back, smell and taste is off with some foods but not all. I do not recall if you have contacted me between December 2021 and now. I got OMICRON. Dx 12/27/21. Had lingering symptoms through Feb

Release 12 — 12 months, dose 3

2022-09-29

Symptoms: My potassium is low, I have fatigue, I het mild headaches. My doctor is concerned that my adrenal glands are malfunctioning. I need more tests.

Healthcare visit (other): Saw PCP and potassium came back low twice. She has ordered more tests.

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	Blood potassium decreased	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Adrenal disorder	·	·	✓
SD	Aphasia	·	·	✓
SD	Asthenia	·	·	✓
SD	Asthma	·	·	✓
SD	Blood potassium decreased	·	·	✓
SD	Condition aggravated	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Impaired work ability	·	·	✓
SD	Lethargy	·	·	✓
SD	Malaise	·	·	✓
SD	Memory impairment	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Office visit	·	·	✓
SD	Parosmia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Self-medication	·	·	✓
SD	Sneezing	·	·	✓
SD	Taste disorder	·	·	✓
SD	Throat irritation	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Fatigue	·	·	✓

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