YYB-16887-17513
3 vaccinations
11 coded responses
39 check-ins
11 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 853 / AZ
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-25
Dose 1 — Pfizer-BioNTech
-
2021-02-26
Registered in v-safe
-
2021-02-26
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Had energy in the morning and walked dog over a mile but just didnt feel like myself in the afternoon.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
-
2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain, Emergency care, Medical observation — Feeling: Poor · Headache · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: At hospital in observation for chest pain. Most likely unrelated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
-
2021-03-19
Dose 2 — Pfizer-BioNTech
- 2021-03-19
-
2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pain in earsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Axillary pain — Feeling: Fair · Fatigue or tirednessFree text: Pain in left armpit and a little in left shoulder. Injection was on left.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-06-18
-
2021-09-01
Dose 3 — Pfizer-BioNTech
-
2021-09-01
Survey response — day 0, dose 3MedDRA: Pre-existing disease — Feeling: GoodFree text: I have indolent non-Hodgkins lymphomaMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-02
Survey response — days 1–6 daily, dose 3MedDRA: Cold sweat, Feeling cold, Loss of consciousness, Nausea — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Felt very clammy and cold when I woke up. I was nauseous and briefly passed out.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-03
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness · Joint pains, Fatigue or tirednessAdult check-in
-
2021-09-04
Survey response — days 1–6 daily, dose 3MedDRA: Injection site rash — Feeling: Fair · Site: Redness, Itching · Fatigue or tirednessFree text: Rash at injection site has spreadMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-05
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Good · Site: RednessFree text: Forgot to report pain under arm that received injection for 2 days.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-09-07
- 2021-09-08
- 2021-09-09
-
2021-09-10
Call successfulParticipant prefers to complete VAERS report online
- 2021-09-15
- 2021-09-22
- 2021-09-29
- 2021-10-06
- 2021-10-13
-
2021-12-01
Survey response — 3 months, dose 3MedDRA: Pain in extremity, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Severe pain in legs, especially at night. · Healthcare visit (other): Doppler ultrasound, ultrasound for circulation, X-rayMedDRA releases: 2024-11 · check-in free text available
-
2021-12-01
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-12-02
-
2022-03-02
Survey response — 6 months, dose 3MedDRA: Office visit, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Pain in legs · Healthcare visit (other): Primary care and Vascular DrMedDRA releases: 2024-11 · check-in free text available
-
2022-03-02
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-03
-
2022-09-01
Survey response — 12 months, dose 3MedDRA: Chronic lymphocytic leukaemia, Immunodeficiency, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I was diagnosed with Chronic Lymphatic Leukemia. Have also been told I have low immunity and will receive IVIG monthly. · Healthcare visit (other): Oncology office visitsMedDRA releases: 2024-11 · check-in free text available
-
2022-09-01
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-09-02
- 2022-09-02
- 2022-09-02
-
2022-09-02
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-02
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-02
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Pfizer-BioNTech | |
| 2 | 2021-03-19 | Pfizer-BioNTech | |
| 3 | 2021-09-01 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-28 | Successful 2021-09-10 |
Participant prefers to complete VAERS report online |
| 2021-12-01 | Successful 2022-09-02 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-03-02 | Successful 2022-09-02 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-09-01 | Successful 2022-09-02 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Had energy in the morning and walked dog over a mile but just didnt feel like myself in the afternoon.
Systemic reaction (other): At hospital in observation for chest pain. Most likely unrelated.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Pain in ears
Systemic reaction (other): Pain in left armpit and a little in left shoulder. Injection was on left.
Release 9 — day 0, dose 3
Systemic reaction (other): I have indolent non-Hodgkins lymphoma
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Felt very clammy and cold when I woke up. I was nauseous and briefly passed out.
Systemic reaction (other): Rash at injection site has spread
Systemic reaction (other): Forgot to report pain under arm that received injection for 2 days.
Release 10 — 3 months, dose 3
Symptoms: Severe pain in legs, especially at night.
Healthcare visit (other): Doppler ultrasound, ultrasound for circulation, X-ray
Release 11 — 6 months, dose 3
Release 12 — 12 months, dose 3
Symptoms: I was diagnosed with Chronic Lymphatic Leukemia. Have also been told I have low immunity and will receive IVIG monthly.
Healthcare visit (other): Oncology office visits
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 | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Chronic lymphocytic leukaemia | · | · | ✓ |
| SD | Immunodeficiency | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Cold sweat | ✓ | · | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Emergency care | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | · | ✓ |
| SRO | Injection site rash | ✓ | · | ✓ |
| SRO | Loss of consciousness | ✓ | · | ✓ |
| SRO | Medical observation | · | · | ✓ |
| SRO | Nausea | ✓ | · | ✓ |
| SRO | Pre-existing disease | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release