YW7-89402-69367
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 983 / WA
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-06
Registered in v-safe
-
2021-03-06
Dose 1 — Pfizer-BioNTech
- 2021-03-06
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2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
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2021-03-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-09
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-22
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2021-03-27
Dose 2 — Pfizer-BioNTech
- 2021-03-27
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2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Tender lymph nodes under armsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Vaccine positive rechallenge — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Shoulder popping on side of shot site. Same happened with first shot on other side.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Fatigue or tirednessAdult check-in
- 2021-04-01
- 2021-04-02
- 2021-04-03
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2021-04-10
Survey response — day 14, dose 2MedDRA: Headache, Herpes zoster, Skin burning sensation — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: A burning spot in my head and off snd on headaches since my second vaccine has been diagnosed as shingles non rash variety.Something I had lightly but undiagnosed previously but since the vaccine I developed a very serious case resulting in diagnosMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-18
- 2021-04-24
- 2021-05-01
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2021-05-08
Survey response — day 42, dose 2MedDRA: Herpes zoster — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: A second serious shingles attack since my second covid vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-26
Survey response — 3 months, dose 2MedDRA: Herpes zoster, Office visit — 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 · Outpatient clinic or urgent care clinic visitFree text: Symptoms: a shingles outbreak a week after second vaccine has become internal and complicated. It started internal on top left skull but was followed by a blister on left torso a blister under right breast. A blister on lower eyelid and lip & is in eye and ear · Healthcare visit (other): My pcp at free clinicMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-26
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-06-29
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2021-06-29
Call successfulParticipant prefers to complete VAERS report online
- 2021-09-27
- 2022-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Pfizer-BioNTech | |
| 2 | 2021-03-27 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-10 | Successful | Participant prefers to complete VAERS report online |
| 2021-05-08 | Successful | Participant prefers to complete VAERS report online |
| 2021-06-26 | Successful 2021-06-29 |
Participant prefers to complete VAERS report online |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Tender lymph nodes under arms
Systemic reaction (other): Shoulder popping on side of shot site. Same happened with first shot on other side.
Release 7 — day 14, dose 2
Symptoms: A burning spot in my head and off snd on headaches since my second vaccine has been diagnosed as shingles non rash variety.Something I had lightly but undiagnosed previously but since the vaccine I developed a very serious case resulting in diagnos cut off by CDC
Release 8 — day 42, dose 2
Symptoms: A second serious shingles attack since my second covid vaccination
Release 9 — 3 months, dose 2
Symptoms: a shingles outbreak a week after second vaccine has become internal and complicated. It started internal on top left skull but was followed by a blister on left torso a blister under right breast. A blister on lower eyelid and lip & is in eye and ear cut off by CDC
Healthcare visit (other): My pcp at free clinic
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 | Headache | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Skin burning sensation | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release