YYY-29298-71955
3 vaccinations
5 coded responses
35 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 481 / MI
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-09
Registered in v-safe
-
2021-01-09
Dose 1 — Pfizer-BioNTech
- 2021-01-09
- 2021-01-10
- 2021-01-12
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-23
-
2021-01-30
Dose 2 — Pfizer-BioNTech
-
2021-01-30
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, NauseaAdult check-in
-
2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Headache, Muscle or body achesAdult check-in
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-03-01
- 2021-03-06
- 2021-03-13
-
2021-05-01
Survey response — 3 months, dose 2MedDRA: Diarrhoea, Nausea, Vomiting — Feeling: Good · Be unable to workFree text: Nausea, vomiting, diarrhea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-31
Survey response — 6 months, dose 2MedDRA: Chills, Headache, Office visit, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: On July 17 I awoke with fever, chills, body aches, sore throat, and headache. No head or sinus or chest congestion, no cough, sneezing, or loss of smell or taste. Went to urgent care, COVID rapid test neg.Day before and after, felt fine.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-31
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-12
-
2021-08-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-10-12
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-10-15
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Fair · Site: Pain · DiarrheaFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
-
2021-10-16
Health check-in — days 1–6 daily, dose 3Feeling: Good · Joint pains, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-10-17
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal distension — Feeling: GoodFree text: Bloating, abdominal.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-18
- 2021-10-19
- 2021-10-26
- 2021-11-02
- 2021-11-09
-
2021-11-18
Survey response — day 35, dose 3MedDRA: Ear discomfort, Tinnitus — Feeling: GoodFree text: I'm saying yes because I want to say I've noted since probably a week after the booster shot, but hasn't thought to say as I didn't think it related, a fluttering sound/feeling in one ear. It's now and then but didn't have it prior to the booster.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-25
- 2022-01-11
- 2022-04-12
- 2022-10-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Pfizer-BioNTech | |
| 2 | 2021-01-30 | Pfizer-BioNTech | |
| 3 | 2021-10-12 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-31 | Successful 2021-08-16 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 8 — 3 months, dose 2
Symptoms: Nausea, vomiting, diarrhea.
Release 9 — 6 months, dose 2
Symptoms: On July 17 I awoke with fever, chills, body aches, sore throat, and headache. No head or sinus or chest congestion, no cough, sneezing, or loss of smell or taste. Went to urgent care, COVID rapid test neg.Day before and after, felt fine.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Dizziness
Systemic reaction (other): Bloating, abdominal.
Release 10 — day 35, dose 3
Symptoms: I'm saying yes because I want to say I've noted since probably a week after the booster shot, but hasn't thought to say as I didn't think it related, a fluttering sound/feeling in one ear. It's now and then but didn't have it prior to the booster.
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 | Chills | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Ear discomfort | · | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Abdominal distension | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release