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YVQ-15984-88184

5 vaccinations 6 coded responses 28 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
600 / IL
Registered
2021-03-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-25
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-03
    Registered in v-safe
  3. 2021-03-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site erythema, Injection site scab, Limb discomfort, Pain in extremity — Feeling: Good · Site: Redness · Fatigue or tiredness
    Free text: My arm initially was heavy and tender . Today 3/3 I noticed arm has 5/ 8in bright red oval redness with a dry yellowish scab present and increased tenderness. Temp is 97.8. Have appt with my Dr. 3/4.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-04
    Survey response — day 7, dose 1
    MedDRA: Injection site erythema, Injection site scab, Office visit — Feeling: Good · Site: Pain, Redness · Fatigue or tiredness
    Free text: Seen by my Dr for bright red half inch scabbed area at injection site. Prescribed antibiotic and topical antibiotic. Will see dermatologist to evaluate in sm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-18
    Dose 2 — Pfizer-BioNTech
  7. 2021-03-18
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Vaccination site pain, Vaccination site vesicles — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Free text: With first dose I had open sore at vaccine site on 4 th day with blisters . Saw my PCP and was put on Duricef bacitracin and hydrocortisone topical. No fever then or rash just very sore arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Headache, Fatigue or tiredness
    Adult check-in
  10. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  11. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  12. 2021-03-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  13. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  14. 2021-03-25
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-08
    Survey response — day 21, dose 2
    MedDRA: Body temperature increased, Diarrhoea, Fatigue, Vomiting — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Vomiting , diarrhea and temp 100.5 yesterday. Feeling better today. Just tired and temp 97.6 to 99.5.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-17
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-09-16
    Survey response — 6 months, dose 2
    MedDRA: Arthritis, Exostosis, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Bone spur right ankle and arthritis of same foot · Healthcare visit (other): Seen at dr office
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-09-16
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-09-20
  24. 2021-09-20
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  25. 2021-10-28
    Dose 3 — Pfizer-BioNTech
  26. 2022-03-18
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-04-01
    Dose 4 — Pfizer-BioNTech
  28. 2022-04-22
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-04-29
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-05-06
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-05-13
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-07-01
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-09-16
    Dose 5 — Pfizer-BioNTech
  34. 2022-09-30
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-11-02
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  36. 2022-12-16
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  37. 2023-03-17
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-25Pfizer-BioNTech
22021-03-18Pfizer-BioNTech
32021-10-28Pfizer-BioNTech No
42022-04-01Pfizer-BioNTech No
52022-09-16Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-09-16 Successful
2021-09-20
 Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): My arm initially was heavy and tender . Today 3/3 I noticed arm has 5/ 8in bright red oval redness with a dry yellowish scab present and increased tenderness. Temp is 97.8. Have appt with my Dr. 3/4.

Release 5 — day 7, dose 1

2021-03-04

Systemic reaction (other): Seen by my Dr for bright red half inch scabbed area at injection site. Prescribed antibiotic and topical antibiotic. Will see dermatologist to evaluate in sm

Release 5 — day 0, dose 2

2021-03-18

Systemic reaction (other): No

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): With first dose I had open sore at vaccine site on 4 th day with blisters . Saw my PCP and was put on Duricef bacitracin and hydrocortisone topical. No fever then or rash just very sore arm

Release 7 — day 21, dose 2

2021-04-08

Symptoms: Vomiting , diarrhea and temp 100.5 yesterday. Feeling better today. Just tired and temp 97.6 to 99.5.

Release 9 — 6 months, dose 2

2021-09-16

Symptoms: Bone spur right ankle and arthritis of same foot
Healthcare visit (other): Seen at dr office

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
HCVOOffice visit · · ✓
SDArthritis · · ✓
SDBody temperature increased ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDExostosis · · ✓
SDFatigue ✓ ✓ ✓
SDVomiting ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site scab ✓ ✓ ✓
SROLimb discomfort ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROOffice visit ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROVaccination site pain ✓ ✓ ✓
SROVaccination site vesicles ✓ ✓ ✓

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

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