YXY-21198-95099
3 vaccinations
17 coded responses
37 check-ins
17 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 368 / AL
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-14
Registered in v-safe
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2021-01-14
Dose 1 — Pfizer-BioNTech
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2021-01-14
Survey response — day 0, dose 1MedDRA: Arthralgia, Pain in extremity — Feeling: GoodFree text: Right arm opposite arm the shot was in aches a little on upper arm & shoulder. Not enough to pay attention to.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Vaccination site joint pain — Feeling: Good · Site: Pain · Chills, Joint painsFree text: Only had chills once last night. My joint pain was in opposite shoulder from where shot was given.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Myalgia, Pain in extremity — Feeling: Fair · Joint pains, Muscle or body achesFree text: My opposite shoulder from the shot arm has ached down in the muscle or joint most all day. Its sore when I use the arm which I did anyway.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
- 2021-01-18
- 2021-01-19
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2021-01-21
Survey response — day 7, dose 1MedDRA: Fatigue, Feeling abnormal — Feeling: Good · Fatigue or tirednessFree text: I got tired & my head felt funny for about 15 minutes today. Might not have anything to do with vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
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2021-02-04
Dose 2 — Pfizer-BioNTech
- 2021-02-04
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2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Good · Site: Pain · Joint painsFree text: Mild shoulder joint aches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-07
- 2021-02-08
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2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I had a rash on my nose & cheek that only lasted an hour or so before it went away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain — Feeling: Good · Abdominal painFree text: Had abdominal pain last night at bedtime for 30 or 40 minutes. Finally got comfortable enough to go to sleep & it was gone when I next wakes up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-18
- 2021-02-25
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2021-03-04
Survey response — day 28, dose 2MedDRA: Chills, Eye pruritus, Hypersensitivity, Seasonal allergy, Sneezing — Feeling: GoodFree text: I had a chill one night that lasted for a good while then went away. Plus Ive had days of allergy symptoms such as itchy eyes & sneezing which I dont know if its hay fever or a reaction.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
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2021-03-18
Survey response — day 42, dose 2MedDRA: Hypertension, Medical counselling — Feeling: GoodFree text: My blood pressure was real high 180/67 when I went to my doctor for my checkup last week. Dont know if Covid vaccine had anything to do with it or not. Id think not but wanted to report it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
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2021-08-05
Survey response — 6 months, dose 2MedDRA: Abdominal discomfort, Chest discomfort, Dyspepsia, Paraesthesia, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ive had several heart( wiring) problems & had heart tests run. Tight chest & radiating pins & needles running from chest up & down arms. Also have had indigestion & a messed up stomach for the past week.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-05
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-11-05
Dose 3 — Pfizer-BioNTech
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2021-11-05
Survey response — day 0, dose 3MedDRA: Cough, Heart rate increased, Unevaluable event — Feeling: Fair · Site: PainFree text: My heart started beating really fast & I coughed a couple of times & it stopped.MedDRA releases: 2024-11 · check-in free text available
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2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Allergic respiratory symptom, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Fair · Site: PainFree text: Bad allergy symptoms. sneezing, nose pouring, & head stopped up which all started this morning.MedDRA releases: 2024-11 · check-in free text available
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2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-11-09
- 2021-11-11
- 2021-11-12
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2021-11-15
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-19
- 2021-11-26
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2021-12-03
Survey response — day 28, dose 3MedDRA: Asthenia, Chills, Dyspnoea exertional — Feeling: FairFree text: One night I had a chill. Lasted about 15 or 20 minutes. I get short of breath walking up a hill. & I'd just gotten my energy back after 1 st Covid shot & now short on energy again.MedDRA releases: 2024-11 · check-in free text available
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2021-12-10
Survey response — day 35, dose 3MedDRA: Dyspepsia, Self-medication — Feeling: GoodFree text: I've had really bad indigestion several nights. It corrects with tums. Probably not from Covid shot.MedDRA releases: 2024-11 · check-in free text available
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2021-12-17
Survey response — day 42, dose 3MedDRA: Dyspepsia, Malaise, Nausea — Feeling: FairFree text: I've had quite a bit of nausea & indigestion in the past week. It came out of the blue . Don't know if my booster had anything to do with it or not but just haven't felt real good.MedDRA releases: 2024-11 · check-in free text available
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2022-02-04
Survey response — 3 months, dose 3MedDRA: Brain fog, COVID-19, Cough, Exposure to SARS-CoV-2, Medical counselling, Quarantine, Sinus congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had a cough & sinuses were stuffy & I had brain fog for a couple of days. l had been exposed to Covid as my husband had it. Doctor had tested him but told me to assume I had it if I developed any symptoms. I assume I had it & I quarantined.MedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Survey response — 6 months, dose 3MedDRA: Pruritus — Feeling: GoodFree text: Itching all over. Might be allergy.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Pfizer-BioNTech | |
| 2 | 2021-02-04 | Pfizer-BioNTech | |
| 3 | 2021-11-05 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-05 | Successful 2021-11-15 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Right arm opposite arm the shot was in aches a little on upper arm & shoulder. Not enough to pay attention to.
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Only had chills once last night. My joint pain was in opposite shoulder from where shot was given.
Systemic reaction (other): My opposite shoulder from the shot arm has ached down in the muscle or joint most all day. Its sore when I use the arm which I did anyway.
Release 2 — day 7, dose 1
Systemic reaction (other): I got tired & my head felt funny for about 15 minutes today. Might not have anything to do with vaccine.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Mild shoulder joint aches.
Systemic reaction (other): I had a rash on my nose & cheek that only lasted an hour or so before it went away.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Had abdominal pain last night at bedtime for 30 or 40 minutes. Finally got comfortable enough to go to sleep & it was gone when I next wakes up.
Release 5 — day 28, dose 2
Symptoms: I had a chill one night that lasted for a good while then went away. Plus Ive had days of allergy symptoms such as itchy eyes & sneezing which I dont know if its hay fever or a reaction.
Release 5 — day 42, dose 2
Symptoms: My blood pressure was real high 180/67 when I went to my doctor for my checkup last week. Dont know if Covid vaccine had anything to do with it or not. Id think not but wanted to report it.
Release 9 — 6 months, dose 2
Symptoms: Ive had several heart( wiring) problems & had heart tests run. Tight chest & radiating pins & needles running from chest up & down arms. Also have had indigestion & a messed up stomach for the past week.
Release 10 — day 0, dose 3
Systemic reaction (other): My heart started beating really fast & I coughed a couple of times & it stopped.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Bad allergy symptoms. sneezing, nose pouring, & head stopped up which all started this morning.
Release 10 — day 28, dose 3
Symptoms: One night I had a chill. Lasted about 15 or 20 minutes. I get short of breath walking up a hill. & I'd just gotten my energy back after 1 st Covid shot & now short on energy again.
Release 10 — day 35, dose 3
Symptoms: I've had really bad indigestion several nights. It corrects with tums. Probably not from Covid shot.
Release 10 — day 42, dose 3
Symptoms: I've had quite a bit of nausea & indigestion in the past week. It came out of the blue . Don't know if my booster had anything to do with it or not but just haven't felt real good.
Release 11 — 3 months, dose 3
Symptoms: I had a cough & sinuses were stuffy & I had brain fog for a couple of days. l had been exposed to Covid as my husband had it. Doctor had tested him but told me to assume I had it if I developed any symptoms. I assume I had it & I quarantined.
Release 11 — 6 months, dose 3
Symptoms: Itching all over. Might be allergy.
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 | Abdominal discomfort | ✓ | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Chest discomfort | ✓ | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspepsia | ✓ | · | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Eye pruritus | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Paraesthesia | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | Seasonal allergy | ✓ | ✓ | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Allergic respiratory symptom | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
| SRO | Vaccination site joint pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release