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YZY-56967-91894

3 vaccinations 6 coded responses 21 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
926 / CA
Registered
2021-02-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-09
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-31
    Dose 2 — Pfizer-BioNTech
  3. 2021-02-02
    Registered in v-safe
  4. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-02-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cold sweat, Cough — Feeling: Good · Site: Pain, Itching · Fever · Fatigue or tiredness
    Free text: Slight trickle/cough and a little clammy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-02-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-02-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-02-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-14
    Survey response — day 42, dose 2
    MedDRA: Balance disorder, Lymphadenopathy, Sinus disorder — Feeling: Good
    Free text: Enlarged lymph noded on mammogram on left side (suspect due to vaccine). Feelings of disequilibrium that likely had to do with my sinuses, resilved after 1 week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-11-11
    Dose 3 — Pfizer-BioNTech
  15. 2021-11-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Fatigue or tiredness
    Adult check-in
  16. 2021-11-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Itching · Fever · None
    Adult check-in
  17. 2021-11-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Redness, Itching · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to work or attend school
    Adult check-in
  18. 2021-11-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  19. 2021-11-18
    Health check-in — day 7, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2021-11-25
    Survey response — day 14, dose 3
    MedDRA: Chills, Pyrexia — Feeling: Good
    Free text: Chills and low grade fever that resolved
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-12-02
    Survey response — day 21, dose 3
    MedDRA: Hypoaesthesia, Muscle twitching — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Left side facial twitching and numbness that was transient after a few hours
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-12-02
    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)
  23. 2021-12-06
  24. 2021-12-11
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-12-16
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-12-23
    Survey response — day 42, dose 3
    MedDRA: Nasopharyngitis — Feeling: Fair
    Free text: Head cold
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-02-12
    Survey response — 3 months, dose 3
    MedDRA: Cough, Headache, Influenza like illness, Myalgia, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Poor · 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 visit
    Free text: Flu like covid like illness started on 2/9/22. Myalgias, headache, fever, cough, sore throat. Negative covud antigens and pcr
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-02-12
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  29. 2022-02-18
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-01-09Pfizer-BioNTech
22021-01-31Pfizer-BioNTech
32021-11-11Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-12-02 Unsuccessful
2022-02-12 Successful
2022-02-18
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-03

Systemic reaction (other): Slight trickle/cough and a little clammy

Release 5 — day 42, dose 2

2021-03-14

Symptoms: Enlarged lymph noded on mammogram on left side (suspect due to vaccine). Feelings of disequilibrium that likely had to do with my sinuses, resilved after 1 week.

Release 10 — day 14, dose 3

2021-11-25

Symptoms: Chills and low grade fever that resolved

Release 10 — day 21, dose 3

2021-12-02

Symptoms: Left side facial twitching and numbness that was transient after a few hours

Release 10 — day 42, dose 3

2021-12-23

Symptoms: Head cold

Release 11 — 3 months, dose 3

2022-02-12

Symptoms: Flu like covid like illness started on 2/9/22. Myalgias, headache, fever, cough, sore throat. Negative covud antigens and pcr

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
SDBalance disorder ✓ ✓ ✓
SDChills · · ✓
SDCough · · ✓
SDHeadache · · ✓
SDHypoaesthesia · · ✓
SDInfluenza like illness · · ✓
SDLymphadenopathy ✓ ✓ ✓
SDMuscle twitching · · ✓
SDMyalgia · · ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain · · ✓
SDPyrexia · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSinus disorder ✓ ✓ ✓
SROCold sweat ✓ ✓ ✓
SROCough ✓ ✓ ✓

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