YXZ-28286-80745
4 vaccinations
9 coded responses
33 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 221 / VA
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-14
Registered in v-safe
-
2021-02-14
Dose 1 — Pfizer-BioNTech
- 2021-02-14
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2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Note: the above symptoms are normal for this weather for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia, Pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Not sure muscle/body ache related to vaccine since in hipsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-21
- 2021-02-28
- 2021-03-07
-
2021-03-10
Dose 2 — Pfizer-BioNTech
- 2021-03-10
- 2021-03-11
- 2021-03-12
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-15
-
2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Good · Muscle or body achesFree text: Muscle pains could be caused by other health issues I haveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-06-09
-
2021-09-02
Dose 3 — Moderna
-
2021-09-08
Survey response — 6 months, dose 2MedDRA: Adverse reaction — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Got Covid Booster and experienced the side effects for the first time.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-02
-
2021-10-07
Survey response — day 35, dose 3MedDRA: Chills, Fatigue, Pyrexia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Low grade fever, chills, exhaustion - probably due to Flu Vaccine. Symptoms stopped 24 hours after flu vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-14
-
2021-12-02
Survey response — 3 months, dose 3MedDRA: Bile duct stone, Pain — Feeling: GoodFree text: Bile duct stone painMedDRA releases: 2024-11 · check-in free text available
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2022-03-03
Survey response — 6 months, dose 3MedDRA: Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sinus infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-03-03
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-04
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2022-03-11
Dose 4 — Moderna
-
2022-03-11
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-15
- 2022-04-22
- 2022-06-10
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2022-09-09
Survey response — 6 months, dose 4MedDRA: Surgery — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I had major surgery yesterday.MedDRA releases: 2024-11 · check-in free text available
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2023-03-11
Survey response — 12 months, dose 4MedDRA: Office visit, Tendonitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-03-11
Report sent to call center — 12 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-14 | Pfizer-BioNTech | |
| 2 | 2021-03-10 | Pfizer-BioNTech | |
| 3 | 2021-09-02 | Moderna | No |
| 4 | 2022-03-11 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-03 | Successful 2022-03-11 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2023-03-11 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Note: the above symptoms are normal for this weather for me.
Systemic reaction (other): Not sure muscle/body ache related to vaccine since in hips
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Muscle pains could be caused by other health issues I have
Release 9 — 6 months, dose 2
Symptoms: Got Covid Booster and experienced the side effects for the first time.
Release 10 — day 35, dose 3
Symptoms: Low grade fever, chills, exhaustion - probably due to Flu Vaccine. Symptoms stopped 24 hours after flu vaccine.
Release 10 — 3 months, dose 3
Symptoms: Bile duct stone pain
Release 11 — 6 months, dose 3
Symptoms: Sinus infection
Release 12 — 6 months, dose 4
Symptoms: I had major surgery yesterday.
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 | Adverse reaction | · | · | ✓ |
| SD | Bile duct stone | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Surgery | · | · | ✓ |
| SD | Tendonitis | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release