4CV-23253-95252
2 vaccinations
4 coded responses
12 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 921 / CA
- Registered
- 2021-05-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-05-07
Dose 1 — Pfizer-BioNTech
-
2021-05-28
Dose 2 — Pfizer-BioNTech
-
2021-05-30
Registered in v-safe
-
2021-05-30
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Depressed mood, Fatigue, Major depression, Nausea, Nightmare, Panic attack, Somnolence, Suicidal ideation — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: After the first dosage, extreme sleepiness in the next 24 hours. Then, a few days later I experienced deep sadness and felt deeply depressed, melancholic with suicide thoughts. Now, today, a couple of days after my 2nd dosage, I experienced nightmares and panic attacks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-31
-
2021-06-01
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Slight pain in the location where the vaccine was applied.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-02
- 2021-06-03
-
2021-06-04
Survey response — day 7, dose 2MedDRA: Apathy, Memory impairment, Panic attack — Feeling: Good · Headache · Be unable to workFree text: Yesterday I got a panic attack and was very mind scattered & unmotivated all day longMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-11
- 2021-06-18
- 2021-06-25
- 2021-07-02
- 2021-07-09
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2021-08-27
Survey response — 3 months, dose 2MedDRA: Otitis media, Vertigo — Feeling: Good · 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 visitFree text: Serous otitis media and vertigo.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-27
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)
-
2021-09-02
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-07 | Pfizer-BioNTech | |
| 2 | 2021-05-28 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): After the first dosage, extreme sleepiness in the next 24 hours. Then, a few days later I experienced deep sadness and felt deeply depressed, melancholic with suicide thoughts. Now, today, a couple of days after my 2nd dosage, I experienced nightmares and panic attacks.
Systemic reaction (other): Slight pain in the location where the vaccine was applied.
Release 8 — day 7, dose 2
Systemic reaction (other): Yesterday I got a panic attack and was very mind scattered & unmotivated all day long
Release 9 — 3 months, dose 2
Symptoms: Serous otitis media and vertigo.
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 |
|---|---|---|---|---|
| SD | Otitis media | ✓ | · | ✓ |
| SD | Vertigo | ✓ | · | ✓ |
| SRO | Apathy | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Depressed mood | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Major depression | ✓ | ✓ | ✓ |
| SRO | Memory impairment | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Nightmare | ✓ | ✓ | ✓ |
| SRO | Panic attack | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Suicidal ideation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release