YXR-74026-82954
5 vaccinations
13 coded responses
52 check-ins
12 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 907 / CA
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Registered in v-safe
-
2021-02-24
Dose 1 — Pfizer-BioNTech
- 2021-02-24
- 2021-02-25
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2021-02-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
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2021-03-17
Dose 2 — Pfizer-BioNTech
- 2021-03-17
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2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-03-19
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2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-03-21
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2021-03-22
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: GoodFree text: CoughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-25
- 2021-03-31
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2021-04-07
Survey response — day 21, dose 2MedDRA: Headache — Feeling: GoodFree text: HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — day 28, dose 2MedDRA: Constipation, Pain, Stress — Feeling: GoodFree text: Pain in right side. I have chronic constipation and Ive been really stressed about going back to work right now so its probably that.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — day 35, dose 2MedDRA: Flank pain, Pre-existing disease — Feeling: GoodFree text: Pain in both sides. I have chronic constipation so Im not concernedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
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2021-06-16
Survey response — 3 months, dose 2MedDRA: Constipation, Fatigue, Headache — Feeling: GoodFree text: Constipation, tiredness, headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-15
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2021-10-06
Dose 3 — Pfizer-BioNTechCo-administered: Flu
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2021-10-07
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Oropharyngeal pain, Thirst — Feeling: Poor · Site: Redness, Swelling · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Dry cough, extreme thirst, sore throatMedDRA releases: 2024-11 · check-in free text available
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2021-10-08
Survey response — days 1–6 daily, dose 3MedDRA: Eating disorder, Vomiting — Feeling: Fair · Site: Redness, Swelling · Fever · Chills, Fatigue or tiredness, Vomiting · Be unable to do your normal daily activitiesFree text: It took me 24 hours before I could eat again. I vomited most of yesterday and once this morningMedDRA releases: 2024-11 · check-in free text available
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2021-10-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
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2021-10-10
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
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2021-10-11
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Cough, Dizziness, Dry mouth, Oropharyngeal pain, Thirst, Vomiting — Feeling: Good · Site: Swelling · FeverFree text: Coughing this morning. Besides the chills and vomiting on the day of the booster, I also had a sore throat, extreme thirst, a dry cough, a dry mouth, and I was dizzy. I forgot to tell you about that on Wednesday, October 6MedDRA releases: 2024-11 · check-in free text available
- 2021-10-13
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2021-10-20
Survey response — day 14, dose 3MedDRA: Headache, Rhinorrhoea — Feeling: GoodFree text: Headache and runny noseMedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
- 2021-11-03
- 2021-11-10
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2021-11-17
Survey response — day 42, dose 3MedDRA: Adverse food reaction, Nausea — Feeling: FairFree text: Nausea, probably from something I ateMedDRA releases: 2024-11 · check-in free text available
- 2022-01-05
- 2022-04-06
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2022-04-27
Dose 4 — Pfizer-BioNTech
- 2022-04-27
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2022-04-28
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
- 2022-04-29
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2022-04-30
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tirednessAdult check-in
- 2022-05-02
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2022-05-03
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Fatigue or tiredness, NauseaAdult check-in
- 2022-05-06
- 2022-05-13
- 2022-05-18
- 2022-05-25
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2022-06-01
Survey response — day 35, dose 4MedDRA: Neoplasm — Feeling: GoodFree text: Tumor on my head that They took a biopsy offMedDRA releases: 2024-11 · check-in free text available
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2022-06-08
Survey response — day 42, dose 4MedDRA: Pre-existing disease — Feeling: GoodFree text: I have skin cancer, a melanoma on my scalpMedDRA releases: 2024-11 · check-in free text available
- 2022-07-27
- 2022-10-26
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2022-11-07
Dose 5 — Moderna
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2023-05-08
Survey response — 6 months, dose 5MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-05-08
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2023-05-09
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Pfizer-BioNTech | |
| 2 | 2021-03-17 | Pfizer-BioNTech | |
| 3 | 2021-10-06 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-27 | Pfizer-BioNTech | No |
| 5 | 2022-11-07 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-05-08 | Successful 2023-05-09 |
Participant prefers to complete VAERS report online |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Coughing
Release 7 — day 21, dose 2
Symptoms: Headache
Release 7 — day 28, dose 2
Symptoms: Pain in right side. I have chronic constipation and Ive been really stressed about going back to work right now so its probably that.
Release 7 — day 35, dose 2
Symptoms: Pain in both sides. I have chronic constipation so Im not concerned
Release 9 — 3 months, dose 2
Symptoms: Constipation, tiredness, headache
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Dry cough, extreme thirst, sore throat
Systemic reaction (other): It took me 24 hours before I could eat again. I vomited most of yesterday and once this morning
Systemic reaction (other): Coughing this morning. Besides the chills and vomiting on the day of the booster, I also had a sore throat, extreme thirst, a dry cough, a dry mouth, and I was dizzy. I forgot to tell you about that on Wednesday, October 6
Release 10 — day 14, dose 3
Symptoms: Headache and runny nose
Release 10 — day 42, dose 3
Symptoms: Nausea, probably from something I ate
Release 11 — day 35, dose 4
Symptoms: Tumor on my head that They took a biopsy off
Release 11 — day 42, dose 4
Symptoms: I have skin cancer, a melanoma on my scalp
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 |
|---|---|---|---|---|
| SD | Adverse food reaction | · | · | ✓ |
| SD | Constipation | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Flank pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Neoplasm | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Stress | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Dry mouth | · | · | ✓ |
| SRO | Eating disorder | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Thirst | · | · | ✓ |
| SRO | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release