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YYF-13868-92696

4 vaccinations 12 coded responses 34 check-ins 12 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
980 / WA
Registered
2021-04-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
Q6G-31610-27763 Child or adolescent in my care · Female · 2021-11-05

Timeline

  1. 2021-03-16
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-06
    Registered in v-safe
  3. 2021-04-06
    Dose 2 — Pfizer-BioNTech
  4. 2021-04-06
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  6. 2021-04-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Good
    Free text: Injection site still very mildly sore to the touch but not noticeable if not touched; even when moving arm around it doesn't feel sore, only when directly pressed on.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-05-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-05-13
    Survey response — day 35, dose 2
    MedDRA: Abdominal discomfort — Feeling: Fair
    Free text: Lower intestinal discomfort. It's probably not related to the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-07-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-11-04
    Dose 3 — Pfizer-BioNTech
  12. 2021-11-04
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  14. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-11-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site discomfort, Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: NO MUSCLE/BODY ACHES but had to check one to comment the following:The injection site pain is just barely sore and only if pressed on; the discomfort seems deep in, not at the surface, and is very mild. It seems to be improving greatly every day.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-11-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Adverse reaction — Feeling: Good · Headache, Fatigue or tiredness
    Free text: Symptoms today could be Covid symptoms as we just found out one of my daughters tested positive despite have 2 Pfizer doses, 2nd on April 6,2021.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-11-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Headache, Viral infection — Feeling: Good · Headache
    Free text: The headache may just be usual because I have them from time to time, or could be because my body is fighting the actual virus, as my daughter who lives with me has Covid.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-11-11
    Survey response — day 7, dose 3
    MedDRA: SARS-CoV-2 test negative — Feeling: Good · Headache
    Free text: Only ckd 2 comment: NO actual headache.test from yesterday came back negative today for me &several family member in same household when 1 was thought to be pos for Covid-today she read neg for the test taken yesterday. all PCR
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-11-18
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  20. 2021-11-25
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  21. 2021-12-03
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  22. 2021-12-10
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  23. 2021-12-16
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-02-03
    Survey response — 3 months, dose 3
    MedDRA: Endometrial hypertrophy, Heavy menstrual bleeding, Office visit, Polyp — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: I doubt these new health issues are in any way related to vaccine. I had very heavy menses, discovered I have a vascular polyp (fibroid? drs aren't sure yet) & my endometrial lining is 11mm when 5mm is normal. Getting ckd soon for endometrial cancer.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-02-03
    Report sent to call center — 3 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  26. 2022-02-07
  27. 2022-05-07
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  28. 2022-06-02
    Dose 4 — Pfizer-BioNTech
  29. 2022-06-03
    Survey response — days 1–6 daily, dose 4
    MedDRA: Chest discomfort, Emergency care, Heart rate increased, Supraventricular extrasystoles — Feeling: Poor · Site: Pain, Redness · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Chest pressure, 145/95 BP (my usual is ~126/69) & rapid bpm126, now 87bpm sitting, which became concerning 9 hours after shot, ER visit ln dismissed it as PAC but I think it's triggered by the vaccine; my PAC only1xb4was not really detectable by me
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-06-03
    Report sent to call center — days 1–6 daily, dose 4
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  31. 2022-06-04
    Survey response — days 1–6 daily, dose 4
    MedDRA: Heart rate increased, Middle insomnia — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Still elevated HR but not as constant; it comes & goes irrespective of lying down, sitting resting, or standing/moving. RN it's 73 sitting which is normal 4me but often it's 90 to 103 & was in this higher range everytime I woke during night last nigh
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-06-05
    Survey response — days 1–6 daily, dose 4
    MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Elevated heart rate most of the day, between 90 and 117. Usual resting awake sitting is 74bpm but it's now 97 after sitting for long enough for it to usually lower to around average 74. Finally lowered to 58-62 sitting for 8 minutes.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-06-06
  34. 2022-06-06
  35. 2022-06-07
    Survey response — days 1–6 daily, dose 4
    MedDRA: Abdominal pain, Diarrhoea, Sleep disorder — Feeling: Poor · Site: Pain · Diarrhea · Be unable to do your normal daily activities
    Free text: Was better all day, fairly normal heart rate & better energy. 01:45ish to now 02:30 moderate to severe diarrhea w/abdominal pain waking me. Not sure if it's re vaccine.
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-06-11
    Health check-in — day 7, dose 4
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  37. 2022-06-17
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-06-26
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-06-30
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-07-08
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-07-16
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-09-01
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in
  43. 2022-12-03
    Survey response — 6 months, dose 4
    MedDRA: COVID-19, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I had COVID from about November 6 until about November 17, with a negative test obtained on November 18.
    MedDRA releases: 2024-11 · check-in free text available
  44. 2023-06-02
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Pfizer-BioNTech
22021-04-06Pfizer-BioNTech
32021-11-04Pfizer-BioNTech No
42022-06-02Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2022-02-03 Unsuccessful
2022-06-03 Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Injection site still very mildly sore to the touch but not noticeable if not touched; even when moving arm around it doesn't feel sore, only when directly pressed on.

Release 8 — day 35, dose 2

2021-05-13

Symptoms: Lower intestinal discomfort. It's probably not related to the vaccine.

Release 10 — days 1–6 daily, dose 3

2021-11-07

Systemic reaction (other): NO MUSCLE/BODY ACHES but had to check one to comment the following:The injection site pain is just barely sore and only if pressed on; the discomfort seems deep in, not at the surface, and is very mild. It seems to be improving greatly every day.

2021-11-09

Systemic reaction (other): Symptoms today could be Covid symptoms as we just found out one of my daughters tested positive despite have 2 Pfizer doses, 2nd on April 6,2021.

2021-11-10

Systemic reaction (other): The headache may just be usual because I have them from time to time, or could be because my body is fighting the actual virus, as my daughter who lives with me has Covid.

Release 10 — day 7, dose 3

2021-11-11

Systemic reaction (other): Only ckd 2 comment: NO actual headache.test from yesterday came back negative today for me &several family member in same household when 1 was thought to be pos for Covid-today she read neg for the test taken yesterday. all PCR

Release 11 — 3 months, dose 3

2022-02-03

Symptoms: I doubt these new health issues are in any way related to vaccine. I had very heavy menses, discovered I have a vascular polyp (fibroid? drs aren't sure yet) & my endometrial lining is 11mm when 5mm is normal. Getting ckd soon for endometrial cancer. cut off by CDC

Release 11 — days 1–6 daily, dose 4

2022-06-03

Systemic reaction (other): Chest pressure, 145/95 BP (my usual is ~126/69) & rapid bpm126, now 87bpm sitting, which became concerning 9 hours after shot, ER visit ln dismissed it as PAC but I think it's triggered by the vaccine; my PAC only1xb4was not really detectable by me cut off by CDC

2022-06-04

Systemic reaction (other): Still elevated HR but not as constant; it comes & goes irrespective of lying down, sitting resting, or standing/moving. RN it's 73 sitting which is normal 4me but often it's 90 to 103 & was in this higher range everytime I woke during night last nigh cut off by CDC

2022-06-05

Systemic reaction (other): Elevated heart rate most of the day, between 90 and 117. Usual resting awake sitting is 74bpm but it's now 97 after sitting for long enough for it to usually lower to around average 74. Finally lowered to 58-62 sitting for 8 minutes.

2022-06-07

Systemic reaction (other): Was better all day, fairly normal heart rate & better energy. 01:45ish to now 02:30 moderate to severe diarrhea w/abdominal pain waking me. Not sure if it's re vaccine.

Release 12 — 6 months, dose 4

2022-12-03

Symptoms: I had COVID from about November 6 until about November 17, with a negative test obtained on November 18.

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

FieldPreferred term2021-092023-042024-11
SDAbdominal discomfort ✓ ✓ ✓
SDCOVID-19 · · ✓
SDEndometrial hypertrophy · · ✓
SDHeavy menstrual bleeding · · ✓
SDOffice visit · · ✓
SDPolyp · · ✓
SDSARS-CoV-2 test negative · · ✓
SROAbdominal pain · · ✓
SROAdverse reaction · · ✓
SROChest discomfort · · ✓
SRODiarrhoea · · ✓
SROEmergency care · · ✓
SROHeadache · · ✓
SROHeart rate increased · · ✓
SROInjection site discomfort · · ✓
SROInjection site pain ✓ ✓ ✓
SROMiddle insomnia · · ✓
SROSARS-CoV-2 test negative · · ✓
SROSleep disorder · · ✓
SROSupraventricular extrasystoles · · ✓
SROViral infection · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release