YW2-82366-92426
4 vaccinations
11 coded responses
54 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 16-20
- ZIP prefix
- 921 / CA
- Registered
- 2021-05-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-04
Registered in v-safe
-
2021-05-04
Dose 1 — Pfizer-BioNTech
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-18
- 2021-05-25
-
2021-05-28
Dose 2 — Pfizer-BioNTech
-
2021-05-28
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Fair · HeadacheFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-05-30
- 2021-05-31
- 2021-06-01
- 2021-06-02
- 2021-06-03
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-06-25
- 2021-07-02
- 2021-07-09
-
2021-08-27
Survey response — 3 months, dose 2MedDRA: Abnormal menstrual clots, Heavy menstrual bleeding, Menstrual disorder, Telemedicine — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Had 1 abnormal period with heavy bleeding and large clots · Healthcare visit (other): Had a telehealth and referral for GYN appointment and an ultrasound is scheduledMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-27
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-31
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-26
-
2021-12-17
Dose 3 — Pfizer-BioNTech
- 2021-12-17
-
2021-12-18
Survey response — days 1–6 daily, dose 3MedDRA: Chest pain, Dizziness, Oral contraception — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Feeling faint& mild chest pain. These symptoms did not occur with the first 2 injections and the one difference is that did not stop OCP for 3rd shot but did for 1st&2ndMedDRA releases: 2024-11 · check-in free text available
-
2021-12-19
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-20
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-12-21
-
2021-12-22
Survey response — days 1–6 daily, dose 3MedDRA: Nasal congestion, Rhinorrhoea, Sinus congestion, Sneezing — Feeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sinus and nasal congestion, sneezing, stuffy/runny noseMedDRA releases: 2024-11 · check-in free text available
-
2021-12-23
Survey response — days 1–6 daily, dose 3MedDRA: Nasal congestion, Rhinorrhoea, Sinus congestion, Sneezing — Feeling: Fair · Fatigue or tirednessFree text: Sinus congestion, runny/stuffy nose, sneezingMedDRA releases: 2024-11 · check-in free text available
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2021-12-26
Survey response — day 7, dose 3MedDRA: Loss of consciousness, Pre-existing disease — Feeling: Fair · Chills, Fatigue or tiredness, NauseaFree text: Passed out. (It has happened before due to dehydration, low blood sugar, and orthostatic hypotension)MedDRA releases: 2024-11 · check-in free text available
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2021-12-31
Survey response — day 14, dose 3MedDRA: Pre-existing disease — Feeling: GoodFree text: Had 2 menstrual cycles this month but that has happened prior to Covid vaccines tooMedDRA releases: 2024-11 · check-in free text available
- 2022-01-07
-
2022-01-14
Survey response — day 28, dose 3MedDRA: Menstruation irregular — Feeling: GoodFree text: 2 menstrual cycles in one month but that's happened in the past on occasionMedDRA releases: 2024-11 · check-in free text available
- 2022-01-21
- 2022-01-28
- 2022-03-18
-
2022-06-17
Survey response — 6 months, dose 3MedDRA: Migraine, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive, Sinus congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: 2-3 days of sore throat, sinus congestion, runny nose, headache/migraine (tested positive for Covid on day 2 of symptoms)MedDRA releases: 2024-11 · check-in free text available
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2022-11-29
Dose 4 — ModernaCo-administered: Flu
- 2022-11-29
-
2022-11-30
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
-
2022-12-02
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Chills, Headache, Muscle or body achesAdult check-in
- 2022-12-03
- 2022-12-04
-
2022-12-05
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-12-06
-
2022-12-13
Survey response — day 14, dose 4MedDRA: Chills, Cough — Feeling: GoodFree text: Slight cough, slight chillsMedDRA releases: 2024-11 · check-in free text available
- 2022-12-20
- 2022-12-27
- 2023-01-03
- 2023-01-10
- 2023-02-28
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2023-05-30
Survey response — 6 months, dose 4MedDRA: Kidney infection — 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 · Emergency room or emergency department visitMedDRA releases: 2024-11
- 2023-05-30
- 2023-05-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-04 | Pfizer-BioNTech | |
| 2 | 2021-05-28 | Pfizer-BioNTech | |
| 3 | 2021-12-17 | Pfizer-BioNTech | No |
| 4 | 2022-11-29 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-27 | Successful 2021-08-31 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2023-05-30 | Unsuccessful |
Free text
Release 8 — day 0, dose 2
Systemic reaction (other): Dizziness
Release 9 — 3 months, dose 2
Symptoms: Had 1 abnormal period with heavy bleeding and large clots
Healthcare visit (other): Had a telehealth and referral for GYN appointment and an ultrasound is scheduled
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Feeling faint& mild chest pain. These symptoms did not occur with the first 2 injections and the one difference is that did not stop OCP for 3rd shot but did for 1st&2nd
Systemic reaction (other): Sinus and nasal congestion, sneezing, stuffy/runny nose
Systemic reaction (other): Sinus congestion, runny/stuffy nose, sneezing
Release 10 — day 7, dose 3
Systemic reaction (other): Passed out. (It has happened before due to dehydration, low blood sugar, and orthostatic hypotension)
Release 10 — day 14, dose 3
Symptoms: Had 2 menstrual cycles this month but that has happened prior to Covid vaccines too
Release 10 — day 28, dose 3
Symptoms: 2 menstrual cycles in one month but that's happened in the past on occasion
Release 12 — 6 months, dose 3
Symptoms: 2-3 days of sore throat, sinus congestion, runny nose, headache/migraine (tested positive for Covid on day 2 of symptoms)
Release 12 — day 14, dose 4
Symptoms: Slight cough, slight chills
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 | Telemedicine | ✓ | · | ✓ |
| SD | Abnormal menstrual clots | ✓ | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Heavy menstrual bleeding | ✓ | · | ✓ |
| SD | Kidney infection | · | · | ✓ |
| SD | Menstrual disorder | ✓ | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Loss of consciousness | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Oral contraception | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sinus congestion | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release