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YZA-21751-52640

3 vaccinations 7 coded responses 11 check-ins 7 free-text entries 5 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
750 / TX
Registered
2021-04-05
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-24
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-17
    Dose 2 — Pfizer-BioNTech
  3. 2021-04-05
    Registered in v-safe
  4. 2021-04-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  5. 2021-04-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-09-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-09-27
    Dose 3 — Pfizer-BioNTech
  8. 2021-10-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Platelet count decreased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Platelet count low
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-10-01
    Report sent to call center — days 1–6 daily, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  10. 2021-10-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Platelet count decreased — Feeling: Fair
    Free text: Low platelet count
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-10-04
    Survey response — day 7, dose 3
    MedDRA: Platelet count decreased — Feeling: Fair
    Free text: Platelet count low
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-10-08
  13. 2021-10-12
    Survey response — day 14, dose 3
    MedDRA: Discomfort — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I have had some discomforts si e I got Pfizer booster on 9/27
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-10-12
    Report sent to call center — day 14, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  15. 2021-10-18
    Call successful
    Does not wish to fill out VAERS report
  16. 2021-10-19
    Survey response — day 21, dose 3
    MedDRA: Neutrophil count decreased, Platelet count decreased — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Low blood plt and anc
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-10-19
    Report sent to call center — day 21, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  18. 2021-10-20
  19. 2021-10-25
    Survey response — day 28, dose 3
    MedDRA: Full blood count abnormal, Neutrophil count decreased, Office visit, Platelet count decreased, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: I got Pfizer booster on 9/26 my CBC on 9/29 indicated my PLT And ANC are low. I have seen two Hematologists for them. Since I need to take AB ultrasound and etc, please don't call me · Healthcare visit (other): Please don't call me
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-10-25
    Report sent to call center — day 28, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  21. 2021-11-01
    Survey response — day 35, dose 3
    MedDRA: Blood test abnormal, Cytopenia, Immunisation reaction, Office visit, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Since I had Cytopenias, my family doctor referred me to hematologist, After I got a lot of blood testsmy hematologist said my Cytopenias was resulted from Pfizer booster. I just had an ultrasound to see this morning. · Healthcare visit (other): Please don't call me
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-11-01
    Report sent to call center — day 35, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-12-27
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-24Pfizer-BioNTech
22021-03-17Pfizer-BioNTech
32021-09-27Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-10-01 Successful Does not wish to fill out VAERS report
2021-10-12 Successful
2021-10-18
Does not wish to fill out VAERS report
2021-10-19 Unsuccessful
2021-10-25 Unsuccessful
2021-11-01 Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): Platelet count low

2021-10-02

Systemic reaction (other): Low platelet count

Release 9 — day 7, dose 3

2021-10-04

Systemic reaction (other): Platelet count low

Release 10 — day 14, dose 3

2021-10-12

Symptoms: I have had some discomforts si e I got Pfizer booster on 9/27

Release 10 — day 21, dose 3

2021-10-19

Symptoms: Low blood plt and anc

Release 10 — day 28, dose 3

2021-10-25

Symptoms: I got Pfizer booster on 9/26 my CBC on 9/29 indicated my PLT And ANC are low. I have seen two Hematologists for them. Since I need to take AB ultrasound and etc, please don't call me
Healthcare visit (other): Please don't call me

Release 10 — day 35, dose 3

2021-11-01

Symptoms: Since I had Cytopenias, my family doctor referred me to hematologist, After I got a lot of blood testsmy hematologist said my Cytopenias was resulted from Pfizer booster. I just had an ultrasound to see this morning.
Healthcare visit (other): Please don't call me

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
HCVOUnevaluable event · · ✓
SDBlood test abnormal · · ✓
SDCytopenia · · ✓
SDDiscomfort · · ✓
SDFull blood count abnormal · · ✓
SDImmunisation reaction · · ✓
SDNeutrophil count decreased · · ✓
SDOffice visit · · ✓
SDPlatelet count decreased · · ✓
SROPlatelet count decreased · · ✓

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