3ZP-97983-10911
2 vaccinations
13 coded responses
23 check-ins
13 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 484 / MI
- Registered
- 2021-05-14
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-05-13
Dose 1 — Pfizer-BioNTech
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2021-05-14
Registered in v-safe
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2021-05-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-05-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-16
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain, Dyspnoea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: Hurts to breathe , Chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain, Dyspnoea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Chest pain and breathing problemsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-19
Survey response — days 1–6 daily, dose 1MedDRA: Respiratory disorder — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: BreathingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Health check-in — day 7, dose 1Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-05-27
Survey response — day 14, dose 1MedDRA: Dyspnoea — Feeling: FairFree text: Breathing troubleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Dose 2 — Pfizer-BioNTech
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2021-06-03
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-06-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-06-05
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain, Painful respiration — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: Hurts when breathing in and a little pain in chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-06
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain, Painful respiration — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: Chest pain and hurts to breathe in someMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-07
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain, Dyspnoea, Swelling — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: Hurts breathing in, chest pain some and for the last 3 days right side face keeps swelling off and onMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-08
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain, Painful respiration, Swelling face — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: Hurts to breathe in, right side of face swollen off and on and chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-09
Survey response — days 1–6 daily, dose 2MedDRA: Blood pressure increased, Chest pain, Dyspnoea, Swelling face — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: Chest pain, hurt to breathe in, blood pressure up and right side of face swell off and onMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-10
Survey response — day 7, dose 2MedDRA: Chest pain, Dyspnoea, Hypertension — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: Hurts to breathe in, chest pain some and blood pressure upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-17
Survey response — day 14, dose 2MedDRA: Chest pain, Medical counselling — 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 professionalFree text: Symptoms: Hurts to breathe in, blood pressure and chest pain . · Healthcare visit (other): Phone call from sick callMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-17
Report sent to call center — day 14, 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)
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2021-06-24
Survey response — day 21, dose 2MedDRA: Hypertension, Painful respiration — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Blood pressure high,hurts to breathe inMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-01
- 2021-07-01
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2021-07-06
Call successfulDoes not wish to fill out VAERS report
- 2021-07-09
- 2021-07-16
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2021-09-02
Survey response — 3 months, dose 2MedDRA: Angiopathy, Cough, Ear infection, Feeling of body temperature change, Nausea, Oropharyngeal pain — 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 · Telehealth, virtual health, or email health consultationFree text: Cough, sore throat, ear infection, nausea, hot and cold have to go get tested tomorrow and mild vascular congestion and something else I just can't remember the nameMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-02
Report sent to call center — 3 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)
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2021-09-03
Call successfulParticipant prefers to complete VAERS report online
- 2021-12-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-13 | Pfizer-BioNTech | |
| 2 | 2021-06-03 | Pfizer-BioNTech |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 1
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Hurts to breathe , Chest pain
Systemic reaction (other): Chest pain and breathing problems
Systemic reaction (other): Breathing
Release 8 — day 14, dose 1
Symptoms: Breathing trouble
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Hurts when breathing in and a little pain in chest
Systemic reaction (other): Chest pain and hurts to breathe in some
Systemic reaction (other): Hurts breathing in, chest pain some and for the last 3 days right side face keeps swelling off and on
Systemic reaction (other): Hurts to breathe in, right side of face swollen off and on and chest pain
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Chest pain, hurt to breathe in, blood pressure up and right side of face swell off and on
Release 9 — day 7, dose 2
Systemic reaction (other): Hurts to breathe in, chest pain some and blood pressure up
Release 9 — day 14, dose 2
Symptoms: Hurts to breathe in, blood pressure and chest pain .
Healthcare visit (other): Phone call from sick call
Release 9 — day 21, dose 2
Symptoms: Blood pressure high,hurts to breathe in
Release 9 — 3 months, dose 2
Symptoms: Cough, sore throat, ear infection, nausea, hot and cold have to go get tested tomorrow and mild vascular congestion and something else I just can't remember the name
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 | ✓ | ✓ | ✓ |
| SD | Angiopathy | ✓ | · | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Ear infection | ✓ | · | ✓ |
| SD | Feeling of body temperature change | ✓ | · | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Painful respiration | ✓ | ✓ | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Hypertension | ✓ | ✓ | ✓ |
| SRO | Painful respiration | ✓ | ✓ | ✓ |
| SRO | Respiratory disorder | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release