3FF-28120-31974
1 vaccination
5 coded responses
10 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 492 / MI
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Dose 1 — Pfizer-BioNTech
-
2021-01-09
Registered in v-safe
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain, Dyspnoea, Emergency care, Heart rate increased, Neurological symptom — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Had to be rushed to ER last night for chest pain, stroke-like symptoms rapid heart rate and shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-01-14
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2021-01-19
Survey response — day 14, dose 1MedDRA: Heart rate irregular, Hyperhidrosis, Syncope — Feeling: Poor · Be unable to workFree text: episodes of syncope and irregular heart rhythm, diaphoresisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Survey response — day 21, dose 1MedDRA: Heart rate increased, Medical counselling, Pre-existing disease, Supraventricular tachycardia, Thyroiditis — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professionalFree text: Symptoms: Diagnosed with acute thyroiditis secondary to the Covid vaccine. 48 hr heart monitor showed several episodes of SVT , heart rate in the 180s · Healthcare visit (other): Family Dr and cardiologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Report sent to call center — day 21, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-16
-
2021-02-16
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-06-07
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2021-07-08
Survey response — 6 months, dose 1MedDRA: Amenorrhoea — Feeling: FairFree text: Periods have completely stoppedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2022-01-05
Survey response — 12 months, dose 1MedDRA: Blood thyroid stimulating hormone abnormal, Menstruation delayed, Supraventricular tachycardia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Intermittent episodes of SVT, and fluctuating TSH. Still have not had a period since the vaccine. Still taking atenolol for heart trouble since the vaccine. · Healthcare visit (other): Labs drawnMedDRA releases: 2024-11 · check-in free text available
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2022-01-05
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Pfizer-BioNTech |
Call center
3 call center cases
1 successful · 2 unsuccessful
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Had to be rushed to ER last night for chest pain, stroke-like symptoms rapid heart rate and shortness of breath
Release 2 — day 14, dose 1
Symptoms: episodes of syncope and irregular heart rhythm, diaphoresis
Release 2 — day 21, dose 1
Symptoms: Diagnosed with acute thyroiditis secondary to the Covid vaccine. 48 hr heart monitor showed several episodes of SVT , heart rate in the 180s
Healthcare visit (other): Family Dr and cardiologist
Release 9 — 6 months, dose 1
Symptoms: Periods have completely stopped
Release 10 — 12 months, dose 1
Symptoms: Intermittent episodes of SVT, and fluctuating TSH. Still have not had a period since the vaccine. Still taking atenolol for heart trouble since the vaccine.
Healthcare visit (other): Labs drawn
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Amenorrhoea | ✓ | ✓ | ✓ |
| SD | Blood thyroid stimulating hormone abnormal | · | · | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Heart rate irregular | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Menstruation delayed | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Supraventricular tachycardia | ✓ | ✓ | ✓ |
| SD | Syncope | ✓ | ✓ | ✓ |
| SD | Thyroiditis | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Neurological symptom | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release