YX4-20726-27185
4 vaccinations
7 coded responses
26 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 138 / NY
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Pfizer-BioNTech
-
2021-03-22
Registered in v-safe
-
2021-03-22
Dose 2 — Pfizer-BioNTech
- 2021-03-22
- 2021-03-23
-
2021-03-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose increased — Feeling: GoodFree text: Unexpected blood glucose spikeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
-
2021-04-26
Survey response — day 35, dose 2MedDRA: Arthralgia, Neck pain, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Extremely stiff neck and right shoulder pain · Healthcare visit (other): Massage therapyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-26
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-03
- 2021-06-21
- 2021-09-20
-
2021-11-08
Dose 3 — Pfizer-BioNTech
- 2022-03-22
-
2022-04-08
Call successfulParticipant prefers to complete VAERS report online
-
2022-04-18
Dose 4 — Pfizer-BioNTech
- 2022-04-24
- 2022-04-25
- 2022-05-02
-
2022-05-09
Survey response — day 21, dose 4MedDRA: Cough, Ear pain, Rhinorrhoea, Sinus congestion — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Sinus congestion, runny nose, ear pain, periodic coughMedDRA releases: 2024-11 · check-in free text available
-
2022-05-09
Report sent to call center — day 21, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-05-10
- 2022-05-16
- 2022-05-23
-
2022-05-30
Survey response — day 42, dose 4MedDRA: Fatigue, Headache — Feeling: FairFree text: Early evening fatigue, headachesMedDRA releases: 2024-11 · check-in free text available
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2022-07-18
Survey response — 3 months, dose 4MedDRA: Vertigo — Feeling: FairFree text: Some vertigo and possible hearing loss. Have yet to see a practitionerMedDRA releases: 2024-11 · check-in free text available
-
2022-10-17
Survey response — 6 months, dose 4MedDRA: Brain fog, COVID-19, Cognitive disorder, Cough, SARS-CoV-2 test negative, Sinus congestion — Feeling: FairFree text: Had a dry cough and sinus congestion last week. Tested negative at home for Covid 2x last week. Been experiencing persistent brain fog/cognitive change since having Covid in early MayMedDRA releases: 2024-11 · check-in free text available
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2023-04-20
Survey response — 12 months, dose 4MedDRA: Dermatitis contact — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Pfizer-BioNTech | |
| 2 | 2021-03-22 | Pfizer-BioNTech | |
| 3 | 2021-11-08 | Pfizer-BioNTech | No |
| 4 | 2022-04-18 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-26 | Successful 2022-04-08 |
Participant prefers to complete VAERS report online |
| 2022-05-09 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Unexpected blood glucose spike
Release 8 — day 35, dose 2
Symptoms: Extremely stiff neck and right shoulder pain
Healthcare visit (other): Massage therapy
Release 11 — day 21, dose 4
Symptoms: Sinus congestion, runny nose, ear pain, periodic cough
Release 11 — day 42, dose 4
Symptoms: Early evening fatigue, headaches
Release 12 — 3 months, dose 4
Symptoms: Some vertigo and possible hearing loss. Have yet to see a practitioner
Release 12 — 6 months, dose 4
Symptoms: Had a dry cough and sinus congestion last week. Tested negative at home for Covid 2x last week. Been experiencing persistent brain fog/cognitive change since having Covid in early May
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Cognitive disorder | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dermatitis contact | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Blood glucose increased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release