3W8-32755-59218
2 vaccinations
8 coded responses
19 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 840 / UT
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Registered in v-safe
-
2021-03-30
Dose 1 — Pfizer-BioNTech
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2021-03-30
Survey response — day 0, dose 1MedDRA: Palpitations — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Heart palpitationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Palpitations, Pre-existing disease — Feeling: Good · Site: PainFree text: Over night I had some issues breathing, I have asthma that requires using my rescue inhaler. I had not done anything that usually triggers this response. Also had a pounding heart rate but has subsided by this morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
-
2021-04-20
Dose 2 — Pfizer-BioNTech
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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory distress — Feeling: FairFree text: Respiratory distressMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory distress — Feeling: GoodFree text: Respiratory distressMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory distress — Feeling: GoodFree text: Some respirory distress stillMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory distress — Feeling: GoodFree text: Still mild respiratory distressMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Survey response — day 7, dose 2MedDRA: Respiratory distress — Feeling: GoodFree text: Mild respiratory distressMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
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2021-07-20
Survey response — 3 months, dose 2MedDRA: Inflammation, Office visit, Respiratory disorder — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Inflammation that is also causing some mild breathing issues · Healthcare visit (other): Primary care physicianMedDRA releases: 2024-11 · check-in free text available
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2021-07-20
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-26
-
2021-07-26
Call successfulCompleted over the phone
- 2021-10-19
- 2022-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Pfizer-BioNTech | |
| 2 | 2021-04-20 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Heart palpitations
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Over night I had some issues breathing, I have asthma that requires using my rescue inhaler. I had not done anything that usually triggers this response. Also had a pounding heart rate but has subsided by this morning
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Respiratory distress
Systemic reaction (other): Respiratory distress
Systemic reaction (other): Some respirory distress still
Systemic reaction (other): Still mild respiratory distress
Release 8 — day 7, dose 2
Systemic reaction (other): Mild respiratory distress
Release 9 — 3 months, dose 2
Symptoms: Inflammation that is also causing some mild breathing issues
Healthcare visit (other): Primary care physician
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 | Office visit | · | · | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Respiratory distress | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release