YWV-14939-56290

3 vaccinations 7 coded responses 25 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 760 / TX
Registered: 2021-02-25

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

2021-02-25
Registered in v-safe
2021-02-25
Dose 1 — Pfizer-BioNTech
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-18
Dose 2 — Pfizer-BioNTech
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: the rash is on one side of my face only no other rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Rash — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: the rash is clear but the headaches we're all night long and right now in fact otherwise I feel great

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 7, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-27
Dose 3 — Pfizer-BioNTech
2021-10-04
Health check-in — day 7, dose 3
Feeling: Fair · None

Adult check-in
2021-10-20
Survey response — day 21, dose 3
MedDRA: Cough, Nasopharyngitis — Feeling: Poor

Free text: Bad cold with cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — day 35, dose 3
MedDRA: Pneumonia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: I have had pneumonia my was in hospital over a week my husband passed away

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Report sent to call center — day 35, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-11-03
Call 1 — Left Voicemail
2021-11-08
Survey response — day 42, dose 3
MedDRA: Pneumonia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: I spent five days in the hospital with pneumonia then my husband died in the hospital from septus · Healthcare visit (other): I had pneumonia

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-11-11
Call 1 — Left Voicemail
2021-12-29
Survey response — 3 months, dose 3
MedDRA: Pneumonia — Feeling: Good

Free text: Pneumonia

MedDRA releases: 2024-11 · check-in free text available
2022-03-28
Survey response — 6 months, dose 3
MedDRA: Pneumonia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: And October I had pneumonia And my husband died in October With Pneumonia And sceptis Shock

MedDRA releases: 2024-11 · check-in free text available
2022-03-28
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-03-30
Call 1 — Left Voicemail
2022-09-30
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Pfizer-BioNTech
2	2021-03-18	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-02	Unsuccessful
2021-11-08	Unsuccessful
2022-03-28	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): the rash is on one side of my face only no other rash

2021-03-24

Systemic reaction (other): the rash is clear but the headaches we're all night long and right now in fact otherwise I feel great

Release 10 — day 21, dose 3

2021-10-20

Symptoms: Bad cold with cough

Release 10 — day 35, dose 3

2021-11-02

Symptoms: I have had pneumonia my was in hospital over a week my husband passed away

Release 10 — day 42, dose 3

2021-11-08

Symptoms: I spent five days in the hospital with pneumonia then my husband died in the hospital from septus

Healthcare visit (other): I had pneumonia

Release 10 — 3 months, dose 3

2021-12-29

Symptoms: Pneumonia

Release 11 — 6 months, dose 3

2022-03-28

Symptoms: And October I had pneumonia And my husband died in October With Pneumonia And sceptis Shock

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	Pneumonia	·	·	✓
SD	Cough	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pneumonia	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Rash	✓	✓	✓

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